A Phase I / II Trial of Nintedanib in Asian Hepatocellular Carcinoma Patients

Sponsor
Boehringer Ingelheim (Industry)
Overall Status
Completed
CT.gov ID
NCT00987935
Collaborator
(none)
134
16
2
75
8.4
0.1

Study Details

Study Description

Brief Summary

This study is to evaluate the safety, appropriate dose, and efficacy of BIBF 1120 in liver cancer patients

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
134 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Open Label, Phase I/Randomized II Study to Evaluate Safety, Pharmacokinetics and Efficacy of BIBF 1120 in Comparison With Sorafenib for Advanced Hepatocellular Carcinoma Patients in Asia.
Study Start Date :
Oct 1, 2009
Actual Primary Completion Date :
Jul 1, 2014
Actual Study Completion Date :
Jan 1, 2016

Arms and Interventions

Arm Intervention/Treatment
Experimental: Nintedanib (BIBF 1120)

Phase I dose escalation and phase II using dose determined in phase I

Drug: BIBF 1120
Twice daily

Active Comparator: Sorafenib

Twice daily dosing in phase II

Drug: Sorafenib
400 mg twice daily

Outcome Measures

Primary Outcome Measures

  1. Maximum Tolerated Dose in Phase I [4 weeks]

    The MTD was defined as the highest dose studied for which the incidence of DLTs was 0/3 or less than 2/6 patients during the first treatment course.

  2. Time to Progression (TTP) in Phase II [From randomization until data cut-off (28 Sep 2012); Up to 77 weeks]

    TTP according to Response Evaluation Criteria in Solid Tumours (RECIST) 1.0 criteria based on central independent review. TTP RECIST 1.0 was defined as the time from randomisation to disease progression according to RECIST 1.0.

Secondary Outcome Measures

  1. Time to Progression (TTP) in Phase II (Follow-up Analyses) [From randomization until disease progression or data cut-off (16 Jul 2014); Up to 171 weeks]

    TTP according to Response Evaluation Criteria in Solid Tumours (RECIST) 1.0 criteria based on central independent review. TTP RECIST 1.0 was defined as the time from randomisation to disease progression according to RECIST 1.0.

  2. Incidence and Intensity of Adverse Events (AEs) Reported as the Number of Patients With AEs According to Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 Throughout the Treatment Period. [AEs with an onset during therapy with study treatment or within 28 days after discontinuation of study treatment (up to 1066 days)]

    Incidence and worst intensity (severity) of Adverse Events with grading according to the Common Terminology Criteria for Adverse Events (CTCAE version 3.0).

  3. Incidence of Dose Limiting Toxicity in Phase I [4 weeks]

    Number of patients with dose limiting toxicity are presented

  4. Objective Tumour Response by RECIST [From randomization until data cut-off (16 July 2014); Up to 171 weeks]

    Objective RECIST 1.0 tumour response was defined as Complete Response (CR) or Partial Response (PR) and was derived from the patient's best objective RECIST 1.0 response based on central independent review. 95% Confidence Interval presented below are computed by Clopper and Pearson method.

  5. Progression Free Survival (PFS) [From randomization until data cut-off (16 July 2014); Up to 171 weeks]

    PFS by RECIST 1.0 was defined as the duration from date of randomisation to date of progression or death, whichever occurred earlier, based on central independent review.

  6. Overall Survival [From randomization until data cut-off (16 July 2014); Up to 171 weeks]

    Overall survival was defined as the duration from date of randomisation to the date of death.

  7. AUC0-12,ss,Norm (Area Under the Plasma Concentration-time Curve Between 0 and 12 Hours at Steady State, Normalised Values) of Nintedanib [Day1, Day15 and Day 16]

    AUC0-12,ss,norm (area under the plasma concentration-time curve between 0 and 12 hours at steady state, normalised values) of Nintedanib Detailed time points of sampling are: Phase I and selected phase II patients in the Nintedanib arm: Cycle 1, Day 15 to 16: Immediately prior to swallowing the dose of nintedanib (predose) and 1 hour (h), 2 h, 3 h, 4 h, 5 h, 7 h, 10 h, 12 h and 24 h after drug administration on Day 15; Cycle 2, Day 1: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 1; Cycle 2, Day 15: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 15.

  8. AUC0-12,ss,Norm (Area Under the Plasma Concentration-time Curve Between 0 and 12 Hours at Steady State, Normalised Values) of BIBF 1202 (Metabolite of Nintedanib) [Day1, Day15 and Day 16]

    AUC0-12,ss,norm (area under the plasma concentration-time curve between 0 and 12 hours at steady state, normalised values) of BIBF 1202 (metabolite of Nintedanib). Detailed time points of sampling are: Phase I and selected phase II patients in the Nintedanib arm: Cycle 1, Day 15 to 16: Immediately prior to swallowing the dose of nintedanib (predose) and 1 hour (h), 2 h, 3 h, 4 h, 5 h, 7 h, 10 h, 12 h and 24 h after drug administration on Day 15; Cycle 2, Day 1: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 1; Cycle 2, Day 15: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 15.

  9. AUC0-12,ss,Norm (Area Under the Plasma Concentration-time Curve Between 0 and 12 Hours at Steady State, Normalised Values) of BIBF 1202 Glucuronide (Metabolite of Nintedanib) [Day1, Day15 and Day 16]

    AUC0-12,ss,norm of BIBF 1202 glucuronide (Metabolite of Nintedanib): Detailed time points of sampling are: Phase I and selected phase II patients in the Nintedanib arm: Cycle 1, Day 15 to 16: Immediately prior to swallowing the dose of nintedanib (predose) and 1 hour (h), 2 h, 3 h, 4 h, 5 h, 7 h, 10 h, 12 h and 24 h after drug administration on Day 15; Cycle 2, Day 1: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 1; Cycle 2, Day 15: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 15.

  10. Cmax,ss,Norm (Maximum Concentration of the Nintedanib in Plasma at Steady State, Normalised Values) [Day1, Day15 and Day 16]

    Cmax,ss,norm (maximum concentration of the Nintedanib in plasma at steady state, normalised values). Detailed time points of sampling are: Phase I and selected phase II patients in the Nintedanib arm: Cycle 1, Day 15 to 16: Immediately prior to swallowing the dose of nintedanib (predose) and 1 hour (h), 2 h, 3 h, 4 h, 5 h, 7 h, 10 h, 12 h and 24 h after drug administration on Day 15; Cycle 2, Day 1: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 1; Cycle 2, Day 15: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 15.

  11. Cmax,ss,Norm (Maximum Concentration of the BIBF 1202 in Plasma at Steady State, Normalised Values) [Day1, Day15 and Day 16]

    Cmax,ss,norm (maximum concentration of the BIBF 1202 in plasma at steady state, normalised values). Detailed time points of sampling are: Phase I and selected phase II patients in the Nintedanib arm: Cycle 1, Day 15 to 16: Immediately prior to swallowing the dose of nintedanib (predose) and 1 hour (h), 2 h, 3 h, 4 h, 5 h, 7 h, 10 h, 12 h and 24 h after drug administration on Day 15; Cycle 2, Day 1: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 1; Cycle 2, Day 15: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 15.

  12. Cmax,ss,Norm (Maximum Concentration of the BIBF 1202 Glucuronide in Plasma at Steady State, Normalised Values) [Day1, Day15 and Day 16]

    Cmax,ss,norm (maximum concentration of the BIBF 1202 glucuronide in plasma at steady state, normalised values). Detailed time points of sampling are: Phase I and selected phase II patients in the Nintedanib arm: Cycle 1, Day 15 to 16: Immediately prior to swallowing the dose of nintedanib (predose) and 1 hour (h), 2 h, 3 h, 4 h, 5 h, 7 h, 10 h, 12 h and 24 h after drug administration on Day 15; Cycle 2, Day 1: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 1; Cycle 2, Day 15: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 15.

  13. fe0-12,ss (Fraction Excreted in Urine Between 0 and 12 Hours at Steady State) for Nintedanib [0 to 4 hours (h), 4 to 12 h, and 12 to 24 h after nintedanib]

    fe0-12,ss (fraction excreted in urine between 0 and 12 hours at steady state) for Nintedanib. The reported value corresponds to the percentage of administered dose.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion criteria:
  1. Hepatocellular carcinoma, either histologically/cytologically confirmed or clinically diagnosed, which is not amenable to curative surgery or loco-regional therapy

  2. Age 18 years or older

  3. Eastern Cooperative Group performance score of 2 or less

  4. Child-Pugh score of 7 or less

  5. Written informed consent in accordance with International Conference on Harmonisation (ICH) and Good Clinical Practice (GCP) and local legislation

Exclusion criteria:
  1. Prior systemic therapy for metastatic/unresectable hepatocellular carcinoma (for phase II)

  2. More than one line of prior systemic therapy for metastatic/unresectable hepatocellular carcinoma (for phase I)

  3. Uncontrolled or refractory ascites to adequate medical therapy

  4. Bilirubin greater than 1.5 times upper limit of normal

  5. Aspartate amino transferase or alanine amino transferase greater than 5 times upper limit of normal

  6. Absolute neutrophil count less than 1500/microliter

  7. Platelet count less than 75000/microliter

  8. Hemoglobin less than 9 g/dL

  9. Serum creatinine greater than 1.5 times upper limit of normal

Contacts and Locations

Locations

Site City State Country Postal Code
1 1199.39.82001 Boehringer Ingelheim Investigational Site Seoul Korea, Republic of
2 1199.39.82002 Boehringer Ingelheim Investigational Site Seoul Korea, Republic of
3 1199.39.82003 Boehringer Ingelheim Investigational Site Seoul Korea, Republic of
4 1199.39.82004 Boehringer Ingelheim Investigational Site Seoul Korea, Republic of
5 1199.39.82005 Boehringer Ingelheim Investigational Site Seoul Korea, Republic of
6 1199.39.82006 Boehringer Ingelheim Investigational Site Seoul Korea, Republic of
7 1199.39.88606 Boehringer Ingelheim Investigational Site Changhua Taiwan
8 1199.39.88609 Boehringer Ingelheim Investigational Site Kaohsiung Taiwan
9 1199.39.88610 Boehringer Ingelheim Investigational Site Kaohsiung Taiwan
10 1199.39.88605 Boehringer Ingelheim Investigational Site Taichung Taiwan
11 1199.39.88608 Boehringer Ingelheim Investigational Site Tainan City Taiwan
12 1199.39.88602 Boehringer Ingelheim Investigational Site Tainan Taiwan
13 1199.39.88601 Boehringer Ingelheim Investigational Site Taipei Taiwan
14 1199.39.88603 Boehringer Ingelheim Investigational Site Taipei Taiwan
15 1199.39.88604 Boehringer Ingelheim Investigational Site Taoyuan County Taiwan
16 1199.39.88607 Boehringer Ingelheim Investigational Site Yunlin County Taiwan

Sponsors and Collaborators

  • Boehringer Ingelheim

Investigators

  • Study Chair: Boehringer Ingelheim, Boehringer Ingelheim

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Boehringer Ingelheim
ClinicalTrials.gov Identifier:
NCT00987935
Other Study ID Numbers:
  • 1199.39
First Posted:
Oct 1, 2009
Last Update Posted:
Mar 10, 2016
Last Verified:
Feb 1, 2016
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details The trial consisted of 2 Phases. Patients were stratified into 1 of 2 groups according to their aspartate aminotransferase (AST)/alanine aminotransferase (ALT) and Child-Pugh score at baseline.
Pre-assignment Detail Group 1 patients had a baseline Child-Pugh score of 5 or 6, and AST (aspartate aminotransferase ) and ALT (alanine transaminase) ≤2 times the upper limit of normal (ULN). Group 2 patients had a baseline Child-Pugh score of 7, or AST or ALT >2 to ≤5 times ULN
Arm/Group Title Phase I Group I, 100 mg Nintedanib Bid Phase I Group 1, 150 mg Nintedanib Bid Phase I Group 1, 200 mg Nintedanib Bid Phase I Group 2, 50 mg Nintedanib Bid Phase I Group 2, 100 mg Nintedanib Bid Phase I Group 2, 150 mg Nintedanib Bid Phase I Group 2, 200 mg Nintedanib Bid Phase II, 200 mg Nintedanib Bid Phase II, 400 mg Sorafenib Bid
Arm/Group Description Oral administration of Nintedanib (BIBF 1120) 100 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the maximal tolerated dose (MTD) and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 150 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 50 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 100 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 150 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS). Oral administration of Sorafenib 400 mg film coated tablets twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS).
Period Title: Overall Study
STARTED 4 3 3 3 7 3 16 63 32
COMPLETED 0 0 0 0 0 0 1 1 0
NOT COMPLETED 4 3 3 3 7 3 15 62 32

Baseline Characteristics

Arm/Group Title Phase I Group I, 100 mg Nintedanib Bid Phase I Group 1, 150 mg Nintedanib Bid Phase I Group 1, 200 mg Nintedanib Bid Phase I Group 2, 50 mg Nintedanib Bid Phase I Group 2, 100 mg Nintedanib Bid Phase I Group 2, 150 mg Nintedanib Bid Phase I Group 2, 200 mg Nintedanib Bid Phase II, 200 mg Nintedanib Bid Phase II, 400 mg Sorafenib Bid Total
Arm/Group Description Oral administration of Nintedanib (BIBF 1120) 100 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the maximal tolerated dose (MTD) and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 150 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 50 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 100 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 150 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS). Oral administration of Sorafenib 400 mg film coated tablets twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS). Total of all reporting groups
Overall Participants 4 3 3 3 7 3 16 63 32 134
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
44.5
(14.5)
55.7
(4.2)
47.7
(6.8)
64.3
(15.3)
62.3
(11.1)
68.7
(10.1)
56.1
(11.7)
58.2
(12.6)
61.2
(11.5)
58.6
(12.3)
Sex: Female, Male (Count of Participants)
Female
0
0%
0
0%
0
0%
0
0%
0
0%
1
33.3%
3
18.8%
6
9.5%
6
18.8%
16
11.9%
Male
4
100%
3
100%
3
100%
3
100%
7
100%
2
66.7%
13
81.3%
57
90.5%
26
81.3%
118
88.1%

Outcome Measures

1. Primary Outcome
Title Maximum Tolerated Dose in Phase I
Description The MTD was defined as the highest dose studied for which the incidence of DLTs was 0/3 or less than 2/6 patients during the first treatment course.
Time Frame 4 weeks

Outcome Measure Data

Analysis Population Description
Treated set (Patients from the dose escalation part that were not replaced for MTD determination)
Arm/Group Title Group 1 Group 2
Arm/Group Description Patients treated with nintedanib belonging to Group1 from the 2 phases, Phase I Group 1 treatment consists of nintedanib, 100, 150 or 200 mg twice daily (bid) Phase II treatment consists of Nintedanib 200 mg twice daily (bid) Patients treated with nintedanib belonging to Group1 from the 2 phases, Phase I Group 1 treatment consists of nintedanib, 100, 150 or 200 mg twice daily (bid) Phase II treatment consists of Nintedanib 200 mg twice daily (bid)
Measure Participants 9 15
Number [mg]
200
200
2. Primary Outcome
Title Time to Progression (TTP) in Phase II
Description TTP according to Response Evaluation Criteria in Solid Tumours (RECIST) 1.0 criteria based on central independent review. TTP RECIST 1.0 was defined as the time from randomisation to disease progression according to RECIST 1.0.
Time Frame From randomization until data cut-off (28 Sep 2012); Up to 77 weeks

Outcome Measure Data

Analysis Population Description
Treated set, only phase II participants.
Arm/Group Title Phase II, 200 mg Nintedanib Bid Phase II, 400 mg Sorafenib Bid
Arm/Group Description Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS). Oral administration of Sorafenib 400 mg film coated tablets twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS).
Measure Participants 63 32
Median (Inter-Quartile Range) [months]
2.73
3.71
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Group 1, Group 2
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.357
Confidence Interval (2-Sided) 95%
0.802 to 2.296
Parameter Dispersion Type:
Value:
Estimation Comments Hazard ratio from Cox proportional hazards model stratified by macroscopic vacular invasion, extrahepatic spread, or both present vs both absent. HR below 1 favors Nintedanib.
3. Secondary Outcome
Title Time to Progression (TTP) in Phase II (Follow-up Analyses)
Description TTP according to Response Evaluation Criteria in Solid Tumours (RECIST) 1.0 criteria based on central independent review. TTP RECIST 1.0 was defined as the time from randomisation to disease progression according to RECIST 1.0.
Time Frame From randomization until disease progression or data cut-off (16 Jul 2014); Up to 171 weeks

Outcome Measure Data

Analysis Population Description
Treated set, Only phase II participants
Arm/Group Title Phase II, 200 mg Nintedanib Bid Phase II, 400 mg Sorafenib Bid
Arm/Group Description Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS). Oral administration of Sorafenib 400 mg film coated tablets twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS).
Measure Participants 63 32
Median (Inter-Quartile Range) [months]
2.76
3.71
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Group 1, Group 2
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.213
Confidence Interval (2-Sided) 95%
0.730 to 2.014
Parameter Dispersion Type:
Value:
Estimation Comments Hazard ratio from Cox proportional hazards model stratified by macroscopic vacular invasion, extrahepatic spread, or both present vs both absent. HR below 1 favors Nintedanib.
4. Secondary Outcome
Title Incidence and Intensity of Adverse Events (AEs) Reported as the Number of Patients With AEs According to Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 Throughout the Treatment Period.
Description Incidence and worst intensity (severity) of Adverse Events with grading according to the Common Terminology Criteria for Adverse Events (CTCAE version 3.0).
Time Frame AEs with an onset during therapy with study treatment or within 28 days after discontinuation of study treatment (up to 1066 days)

Outcome Measure Data

Analysis Population Description
Treated set
Arm/Group Title Phase I Group I, 100 mg Nintedanib Bid Phase I Group 1, 150 mg Nintedanib Bid Phase I Group 1, 200 mg Nintedanib Bid Phase I Group 2, 50 mg Nintedanib Bid Phase I Group 2, 100 mg Nintedanib Bid Phase I Group 2, 150 mg Nintedanib Bid Phase I Group 2, 200 mg Nintedanib Bid Phase II, 200 mg Nintedanib Bid Phase II, 400 mg Sorafenib Bid
Arm/Group Description Oral administration of Nintedanib (BIBF 1120) 100 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the maximal tolerated dose (MTD) and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 150 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 50 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 100 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 150 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS). Oral administration of Sorafenib 400 mg film coated tablets twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS).
Measure Participants 4 3 3 3 7 3 16 63 32
Grade 1
0
0%
0
0%
1
33.3%
0
0%
1
14.3%
0
0%
1
6.3%
12
19%
1
3.1%
Grade 2
2
50%
2
66.7%
1
33.3%
0
0%
0
0%
1
33.3%
4
25%
15
23.8%
4
12.5%
Grade 3
2
50%
1
33.3%
1
33.3%
1
33.3%
3
42.9%
2
66.7%
5
31.3%
17
27%
18
56.3%
Grade 4
0
0%
0
0%
0
0%
2
66.7%
1
14.3%
0
0%
1
6.3%
8
12.7%
5
15.6%
Grade 5
0
0%
0
0%
0
0%
0
0%
2
28.6%
0
0%
5
31.3%
10
15.9%
4
12.5%
5. Secondary Outcome
Title Incidence of Dose Limiting Toxicity in Phase I
Description Number of patients with dose limiting toxicity are presented
Time Frame 4 weeks

Outcome Measure Data

Analysis Population Description
Treated set (Phase I patients from the dose escalation part that were not replaced for MTD determination).
Arm/Group Title Phase I Group 1, 100 mg Nintedanib Bid Phase I Group 1, 150 mg Nintedanib Bid Phase I Group 1, 200 mg Nintedanib Bid Phase I Group 2, 50 mg Nintedanib Bid Phase I Group 2, 100 mg Nintedanib Bid Phase I Group 2, 150 mg Nintedanib Bid Phase I Group 2, 200 mg Nintedanib Bid
Arm/Group Description Oral administration of Nintedanib (BIBF 1120) 100 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the maximal tolerated dose (MTD) and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 150 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 50 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 100 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 150 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib. Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase I: A standard 3+3 dose escalation part to determine the MTD and pharmacokinetics (PK) of nintedanib.
Measure Participants 3 3 3 3 6 3 3
Number [participants]
0
0%
0
0%
0
0%
0
0%
1
14.3%
0
0%
0
0%
6. Secondary Outcome
Title Objective Tumour Response by RECIST
Description Objective RECIST 1.0 tumour response was defined as Complete Response (CR) or Partial Response (PR) and was derived from the patient's best objective RECIST 1.0 response based on central independent review. 95% Confidence Interval presented below are computed by Clopper and Pearson method.
Time Frame From randomization until data cut-off (16 July 2014); Up to 171 weeks

Outcome Measure Data

Analysis Population Description
Treated set, only phase II participants.
Arm/Group Title Phase II, 200 mg Nintedanib Bid Phase II, 400 mg Sorafenib Bid
Arm/Group Description Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS). Oral administration of Sorafenib 400 mg film coated tablets twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS).
Measure Participants 63 32
Number (95% Confidence Interval) [percentage of participants]
6.3
157.5%
3.1
103.3%
7. Secondary Outcome
Title Progression Free Survival (PFS)
Description PFS by RECIST 1.0 was defined as the duration from date of randomisation to date of progression or death, whichever occurred earlier, based on central independent review.
Time Frame From randomization until data cut-off (16 July 2014); Up to 171 weeks

Outcome Measure Data

Analysis Population Description
Treated set, only phase II participants.
Arm/Group Title Phase II, 200 mg Nintedanib Bid Phase II, 400 mg Sorafenib Bid
Arm/Group Description Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS). Oral administration of Sorafenib 400 mg film coated tablets twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS).
Measure Participants 63 32
Median (Inter-Quartile Range) [months]
2.66
3.71
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Group 1, Group 2
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.186
Confidence Interval (2-Sided) 95%
0.728 to 1.932
Parameter Dispersion Type:
Value:
Estimation Comments Hazard ratio from Cox proportional hazards model stratified by macroscopic vacular invasion, extrahepatic spread, or both present vs both absent. HR below 1 favors Nintedanib.
8. Secondary Outcome
Title Overall Survival
Description Overall survival was defined as the duration from date of randomisation to the date of death.
Time Frame From randomization until data cut-off (16 July 2014); Up to 171 weeks

Outcome Measure Data

Analysis Population Description
Treated set, include only phase II participants
Arm/Group Title Phase II, 200 mg Nintedanib Bid Phase II, 400 mg Sorafenib Bid
Arm/Group Description Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS). Oral administration of Sorafenib 400 mg film coated tablets twice daily (bid). Phase II: Patients were randomly assigned to open-label treatment with nintedanib or sorafenib. Patients were stratified for macro-vascular invasion (MVI) and/or extra-hepatic spread (EHS).
Measure Participants 63 32
Median (Inter-Quartile Range) [months]
10.18
10.71
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Group 1, Group 2
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.940
Confidence Interval (2-Sided) 95%
0.593 to 1.489
Parameter Dispersion Type:
Value:
Estimation Comments Hazard ratio from Cox proportional hazards model stratified by macroscopic vacular invasion, extrahepatic spread, or both present vs both absent. HR below 1 favors Nintedanib.
9. Secondary Outcome
Title AUC0-12,ss,Norm (Area Under the Plasma Concentration-time Curve Between 0 and 12 Hours at Steady State, Normalised Values) of Nintedanib
Description AUC0-12,ss,norm (area under the plasma concentration-time curve between 0 and 12 hours at steady state, normalised values) of Nintedanib Detailed time points of sampling are: Phase I and selected phase II patients in the Nintedanib arm: Cycle 1, Day 15 to 16: Immediately prior to swallowing the dose of nintedanib (predose) and 1 hour (h), 2 h, 3 h, 4 h, 5 h, 7 h, 10 h, 12 h and 24 h after drug administration on Day 15; Cycle 2, Day 1: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 1; Cycle 2, Day 15: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 15.
Time Frame Day1, Day15 and Day 16

Outcome Measure Data

Analysis Population Description
Pharmacokinetic set (PKS): The PK set was a subset of the treated set and included all patients who received at least one dose of trial medication and for whom at least one PK observation was available.
Arm/Group Title Group 1 Group 2
Arm/Group Description Patients treated with nintedanib belonging to Group1 from the 2 phases, Phase I Group 1 treatment consists of nintedanib, 100, 150 or 200 mg twice daily (bid) Phase II treatment consists of Nintedanib 200 mg twice daily (bid) Phase I Group 2 treatment consists of nintedanib, 50, 100, 150 or 200 mg twice daily:
Measure Participants 20 20
Geometric Mean (Geometric Coefficient of Variation) [(ng*h/mL)/mg]
1.97
(97.1)
3.82
(64.1)
10. Secondary Outcome
Title AUC0-12,ss,Norm (Area Under the Plasma Concentration-time Curve Between 0 and 12 Hours at Steady State, Normalised Values) of BIBF 1202 (Metabolite of Nintedanib)
Description AUC0-12,ss,norm (area under the plasma concentration-time curve between 0 and 12 hours at steady state, normalised values) of BIBF 1202 (metabolite of Nintedanib). Detailed time points of sampling are: Phase I and selected phase II patients in the Nintedanib arm: Cycle 1, Day 15 to 16: Immediately prior to swallowing the dose of nintedanib (predose) and 1 hour (h), 2 h, 3 h, 4 h, 5 h, 7 h, 10 h, 12 h and 24 h after drug administration on Day 15; Cycle 2, Day 1: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 1; Cycle 2, Day 15: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 15.
Time Frame Day1, Day15 and Day 16

Outcome Measure Data

Analysis Population Description
Pharmacokinetic set (PKS): The PK set was a subset of the treated set and included all patients who received at least one dose of trial medication and for whom at least one PK observation was available.
Arm/Group Title Group 1 Group 2
Arm/Group Description Patients treated with nintedanib belonging to Group1 from the 2 phases, Phase I Group 1 treatment consists of nintedanib, 100, 150 or 200 mg twice daily (bid) Phase II treatment consists of Nintedanib 200 mg twice daily (bid) Phase I Group 2 treatment consists of nintedanib, 50, 100, 150 or 200 mg twice daily:
Measure Participants 20 20
Geometric Mean (Geometric Coefficient of Variation) [(ng*h/mL)/mg]
3.50
(157)
8.95
(114)
11. Secondary Outcome
Title AUC0-12,ss,Norm (Area Under the Plasma Concentration-time Curve Between 0 and 12 Hours at Steady State, Normalised Values) of BIBF 1202 Glucuronide (Metabolite of Nintedanib)
Description AUC0-12,ss,norm of BIBF 1202 glucuronide (Metabolite of Nintedanib): Detailed time points of sampling are: Phase I and selected phase II patients in the Nintedanib arm: Cycle 1, Day 15 to 16: Immediately prior to swallowing the dose of nintedanib (predose) and 1 hour (h), 2 h, 3 h, 4 h, 5 h, 7 h, 10 h, 12 h and 24 h after drug administration on Day 15; Cycle 2, Day 1: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 1; Cycle 2, Day 15: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 15.
Time Frame Day1, Day15 and Day 16

Outcome Measure Data

Analysis Population Description
Pharmacokinetic set (PKS): The PK set was a subset of the treated set and included all patients who received at least one dose of trial medication and for whom at least one PK observation was available.
Arm/Group Title Group 1 Group 2
Arm/Group Description Patients treated with nintedanib belonging to Group1 from the 2 phases, Phase I Group 1 treatment consists of nintedanib, 100, 150 or 200 mg twice daily (bid) Phase II treatment consists of Nintedanib 200 mg twice daily (bid) Phase I Group 2 treatment consists of nintedanib, 50, 100, 150 or 200 mg twice daily:
Measure Participants 20 20
Geometric Mean (Geometric Coefficient of Variation) [(ng*h/mL)/mg]
16.9
(144)
45.0
(124)
12. Secondary Outcome
Title Cmax,ss,Norm (Maximum Concentration of the Nintedanib in Plasma at Steady State, Normalised Values)
Description Cmax,ss,norm (maximum concentration of the Nintedanib in plasma at steady state, normalised values). Detailed time points of sampling are: Phase I and selected phase II patients in the Nintedanib arm: Cycle 1, Day 15 to 16: Immediately prior to swallowing the dose of nintedanib (predose) and 1 hour (h), 2 h, 3 h, 4 h, 5 h, 7 h, 10 h, 12 h and 24 h after drug administration on Day 15; Cycle 2, Day 1: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 1; Cycle 2, Day 15: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 15.
Time Frame Day1, Day15 and Day 16

Outcome Measure Data

Analysis Population Description
Pharmacokinetic set (PKS): The PK set was a subset of the treated set and included all patients who received at least one dose of trial medication and for whom at least one PK observation was available.
Arm/Group Title Group 1 Group 2
Arm/Group Description Patients treated with nintedanib belonging to Group1 from the 2 phases, Phase I Group 1 treatment consists of nintedanib, 100, 150 or 200 mg twice daily (bid) Phase II treatment consists of Nintedanib 200 mg twice daily (bid) Phase I Group 2 treatment consists of nintedanib, 50, 100, 150 or 200 mg twice daily:
Measure Participants 22 23
Geometric Mean (Geometric Coefficient of Variation) [(ng/mL)/mg]
0.348
(98.8)
0.630
(68.9)
13. Secondary Outcome
Title Cmax,ss,Norm (Maximum Concentration of the BIBF 1202 in Plasma at Steady State, Normalised Values)
Description Cmax,ss,norm (maximum concentration of the BIBF 1202 in plasma at steady state, normalised values). Detailed time points of sampling are: Phase I and selected phase II patients in the Nintedanib arm: Cycle 1, Day 15 to 16: Immediately prior to swallowing the dose of nintedanib (predose) and 1 hour (h), 2 h, 3 h, 4 h, 5 h, 7 h, 10 h, 12 h and 24 h after drug administration on Day 15; Cycle 2, Day 1: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 1; Cycle 2, Day 15: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 15.
Time Frame Day1, Day15 and Day 16

Outcome Measure Data

Analysis Population Description
Pharmacokinetic set (PKS): The PK set was a subset of the treated set and included all patients who received at least one dose of trial medication and for whom at least one PK observation was available.
Arm/Group Title Group 1 Group 2
Arm/Group Description Patients treated with nintedanib belonging to Group1 from the 2 phases, Phase I Group 1 treatment consists of nintedanib, 100, 150 or 200 mg twice daily (bid) Phase II treatment consists of Nintedanib 200 mg twice daily (bid) Phase I Group 2 treatment consists of nintedanib, 50, 100, 150 or 200 mg twice daily:
Measure Participants 22 23
Geometric Mean (Geometric Coefficient of Variation) [(ng/mL)/mg]
0.519
(148)
1.01
(118)
14. Secondary Outcome
Title Cmax,ss,Norm (Maximum Concentration of the BIBF 1202 Glucuronide in Plasma at Steady State, Normalised Values)
Description Cmax,ss,norm (maximum concentration of the BIBF 1202 glucuronide in plasma at steady state, normalised values). Detailed time points of sampling are: Phase I and selected phase II patients in the Nintedanib arm: Cycle 1, Day 15 to 16: Immediately prior to swallowing the dose of nintedanib (predose) and 1 hour (h), 2 h, 3 h, 4 h, 5 h, 7 h, 10 h, 12 h and 24 h after drug administration on Day 15; Cycle 2, Day 1: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 1; Cycle 2, Day 15: Immediately prior to swallowing the dose of nintedanib (predose) and 2 h after drug administration on Day 15.
Time Frame Day1, Day15 and Day 16

Outcome Measure Data

Analysis Population Description
Pharmacokinetic set (PKS): The PK set was a subset of the treated set and included all patients who received at least one dose of trial medication and for whom at least one PK observation was available.
Arm/Group Title Group 1 Group 2
Arm/Group Description Patients treated with nintedanib belonging to Group1 from the 2 phases, Phase I Group 1 treatment consists of nintedanib, 100, 150 or 200 mg twice daily (bid) Phase II treatment consists of Nintedanib 200 mg twice daily (bid) Phase I Group 2 treatment consists of nintedanib, 50, 100, 150 or 200 mg twice daily:
Measure Participants 22 23
Geometric Mean (Geometric Coefficient of Variation) [(ng/mL)/mg]
1.56
(139)
3.48
(139)
15. Secondary Outcome
Title fe0-12,ss (Fraction Excreted in Urine Between 0 and 12 Hours at Steady State) for Nintedanib
Description fe0-12,ss (fraction excreted in urine between 0 and 12 hours at steady state) for Nintedanib. The reported value corresponds to the percentage of administered dose.
Time Frame 0 to 4 hours (h), 4 to 12 h, and 12 to 24 h after nintedanib

Outcome Measure Data

Analysis Population Description
Pharmacokinetic set (PKS): The PK set was a subset of the treated set and included all patients who received at least one dose of trial medication and for whom at least one PK observation was available.
Arm/Group Title Group 1 Group 2
Arm/Group Description Patients treated with nintedanib belonging to Group1 from the 2 phases, Phase I Group 1 treatment consists of nintedanib, 100, 150 or 200 mg twice daily (bid) Phase II treatment consists of Nintedanib 200 mg twice daily (bid) Phase I Group 2 treatment consists of nintedanib, 50, 100, 150 or 200 mg twice daily:
Measure Participants 22 23
Geometric Mean (Geometric Coefficient of Variation) [percentage]
0.227
(94.6)
0.286
(46.0)

Adverse Events

Time Frame AEs with an onset during therapy with study treatment or within 28 days after discontinuation of study treatment (up to 1066 days)
Adverse Event Reporting Description
Arm/Group Title Phase I Group I Nintedanib, 100 mg Bid Phase I Group I Nintedanib, 150 mg Bid Phase I Group I Nintedanib, 200 mg Bid Phase I Group II Nintedanib, 50 mg Bid Phase I Group II Nintedanib, 100 mg Bid Phase I Group II Nintedanib, 150 mg Bid Phase I Group II Nintedanib, 200 mg Bid Phase II Nintedanib, 200 mg Bid Phase II Sorafenib, 400 mg Bid
Arm/Group Description Oral administration of Nintedanib (BIBF 1120) 100 mg soft gelatine capsules twice daily (bid) for the Group I patients during Phase I Oral administration of Nintedanib (BIBF 1120) 150 mg soft gelatine capsules twice daily (bid) for the Group I patients during Phase I Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid) for the Group I patients during Phase I Oral administration of Nintedanib (BIBF 1120) 50 mg soft gelatine capsules twice daily (bid) for the Group II patients during Phase I Oral administration of Nintedanib (BIBF 1120) 100 mg soft gelatine capsules twice daily (bid) for the Group II patients during Phase I Oral administration of Nintedanib (BIBF 1120) 150 mg soft gelatine capsules twice daily (bid) for the Group II patients during Phase I Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid) for the Group II patients during Phase I Oral administration of Nintedanib (BIBF 1120) 200 mg soft gelatine capsules twice daily (bid) during Phase II Oral administration of Sorafenib 400 mg film coated tablets twice daily (bid) during Phase II
All Cause Mortality
Phase I Group I Nintedanib, 100 mg Bid Phase I Group I Nintedanib, 150 mg Bid Phase I Group I Nintedanib, 200 mg Bid Phase I Group II Nintedanib, 50 mg Bid Phase I Group II Nintedanib, 100 mg Bid Phase I Group II Nintedanib, 150 mg Bid Phase I Group II Nintedanib, 200 mg Bid Phase II Nintedanib, 200 mg Bid Phase II Sorafenib, 400 mg Bid
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 / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Phase I Group I Nintedanib, 100 mg Bid Phase I Group I Nintedanib, 150 mg Bid Phase I Group I Nintedanib, 200 mg Bid Phase I Group II Nintedanib, 50 mg Bid Phase I Group II Nintedanib, 100 mg Bid Phase I Group II Nintedanib, 150 mg Bid Phase I Group II Nintedanib, 200 mg Bid Phase II Nintedanib, 200 mg Bid Phase II Sorafenib, 400 mg Bid
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 2/4 (50%) 1/3 (33.3%) 0/3 (0%) 3/3 (100%) 4/7 (57.1%) 1/3 (33.3%) 10/16 (62.5%) 29/63 (46%) 18/32 (56.3%)
Blood and lymphatic system disorders
Haemorrhagic anaemia 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Thrombocytopenia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Cardiac disorders
Acute coronary syndrome 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Acute myocardial infarction 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Gastrointestinal disorders
Abdominal distension 0/4 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Abdominal pain 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 1/63 (1.6%) 1/32 (3.1%)
Anal fistula 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Ascites 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 2/63 (3.2%) 0/32 (0%)
Diarrhoea 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 2/63 (3.2%) 0/32 (0%)
Food poisoning 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Gastric haemorrhage 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Gastric perforation 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Gastric ulcer 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 1/63 (1.6%) 0/32 (0%)
Gastroduodenitis 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Gastrointestinal haemorrhage 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Haematochezia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Haemorrhoids 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Nausea 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Oesophageal varices haemorrhage 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Pancreatitis acute 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Upper gastrointestinal haemorrhage 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 1/3 (33.3%) 0/16 (0%) 3/63 (4.8%) 1/32 (3.1%)
Vomiting 1/4 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
General disorders
Asthenia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 2/32 (6.3%)
Chest pain 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Disease progression 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Fatigue 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Malaise 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Pyrexia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 4/63 (6.3%) 3/32 (9.4%)
Hepatobiliary disorders
Cholecystitis acute 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Hepatic failure 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 2/32 (6.3%)
Hepatic function abnormal 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 2/16 (12.5%) 0/63 (0%) 2/32 (6.3%)
Hepatitis 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Hyperbilirubinaemia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Infections and infestations
Biliary tract infection 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Cellulitis 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Peritonitis bacterial 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Pneumonia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Sepsis 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 2/63 (3.2%) 0/32 (0%)
Septic shock 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Upper respiratory tract infection 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Injury, poisoning and procedural complications
Eye injury 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Investigations
Aspartate aminotransferase increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 1/32 (3.1%)
Blood bilirubin increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 2/16 (12.5%) 1/63 (1.6%) 1/32 (3.1%)
Blood creatinine increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Blood urea increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Metabolism and nutrition disorders
Decreased appetite 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Hyperkalaemia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Hypoglycaemia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 2/63 (3.2%) 0/32 (0%)
Hyponatraemia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Musculoskeletal and connective tissue disorders
Back pain 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Musculoskeletal chest pain 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Pathological fracture 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 1/63 (1.6%) 0/32 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic cancer metastatic 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Hepatocellular carcinoma 1/4 (25%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 2/7 (28.6%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Malignant neoplasm progression 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 6/63 (9.5%) 2/32 (6.3%)
Metastases to central nervous system 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 1/32 (3.1%)
Metastatic pain 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Nasal sinus cancer 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Tumour associated fever 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Tumour haemorrhage 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Tumour rupture 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Nervous system disorders
Cognitive disorder 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Headache 1/4 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Hemiparesis 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Hepatic encephalopathy 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Sciatica 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Psychiatric disorders
Anxiety 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Renal and urinary disorders
Renal failure 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Renal failure chronic 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Respiratory, thoracic and mediastinal disorders
Dyspnoea 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 2/63 (3.2%) 0/32 (0%)
Pleural effusion 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Pneumonia aspiration 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Pneumonitis 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Pulmonary embolism 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Respiratory failure 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Vascular disorders
Visceral arterial ischaemia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Other (Not Including Serious) Adverse Events
Phase I Group I Nintedanib, 100 mg Bid Phase I Group I Nintedanib, 150 mg Bid Phase I Group I Nintedanib, 200 mg Bid Phase I Group II Nintedanib, 50 mg Bid Phase I Group II Nintedanib, 100 mg Bid Phase I Group II Nintedanib, 150 mg Bid Phase I Group II Nintedanib, 200 mg Bid Phase II Nintedanib, 200 mg Bid Phase II Sorafenib, 400 mg Bid
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 4/4 (100%) 3/3 (100%) 3/3 (100%) 3/3 (100%) 7/7 (100%) 3/3 (100%) 16/16 (100%) 61/63 (96.8%) 32/32 (100%)
Blood and lymphatic system disorders
Anaemia 1/4 (25%) 0/3 (0%) 1/3 (33.3%) 2/3 (66.7%) 1/7 (14.3%) 1/3 (33.3%) 3/16 (18.8%) 12/63 (19%) 5/32 (15.6%)
Leukocytosis 1/4 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Leukopenia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 2/16 (12.5%) 4/63 (6.3%) 0/32 (0%)
Neutropenia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 2/3 (66.7%) 1/16 (6.3%) 4/63 (6.3%) 1/32 (3.1%)
Thrombocytopenia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 1/3 (33.3%) 4/16 (25%) 11/63 (17.5%) 7/32 (21.9%)
Cardiac disorders
Tachycardia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Ear and labyrinth disorders
Tinnitus 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 2/32 (6.3%)
Endocrine disorders
Hypothyroidism 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 2/32 (6.3%)
Eye disorders
Eye discharge 1/4 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Orbital oedema 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 1/3 (33.3%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Gastrointestinal disorders
Abdominal discomfort 0/4 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 3/63 (4.8%) 1/32 (3.1%)
Abdominal distension 1/4 (25%) 1/3 (33.3%) 2/3 (66.7%) 2/3 (66.7%) 3/7 (42.9%) 0/3 (0%) 3/16 (18.8%) 18/63 (28.6%) 3/32 (9.4%)
Abdominal pain 0/4 (0%) 2/3 (66.7%) 2/3 (66.7%) 2/3 (66.7%) 1/7 (14.3%) 1/3 (33.3%) 2/16 (12.5%) 11/63 (17.5%) 10/32 (31.3%)
Abdominal pain upper 1/4 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 4/16 (25%) 14/63 (22.2%) 11/32 (34.4%)
Abdominal tenderness 1/4 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Ascites 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 2/16 (12.5%) 12/63 (19%) 3/32 (9.4%)
Constipation 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 1/3 (33.3%) 0/16 (0%) 13/63 (20.6%) 7/32 (21.9%)
Diarrhoea 2/4 (50%) 1/3 (33.3%) 0/3 (0%) 2/3 (66.7%) 5/7 (71.4%) 3/3 (100%) 6/16 (37.5%) 28/63 (44.4%) 18/32 (56.3%)
Dry mouth 0/4 (0%) 1/3 (33.3%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 2/16 (12.5%) 0/63 (0%) 1/32 (3.1%)
Duodenal ulcer 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 1/63 (1.6%) 2/32 (6.3%)
Duodenitis 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Dyspepsia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 5/63 (7.9%) 1/32 (3.1%)
Gastric ulcer 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 1/3 (33.3%) 1/16 (6.3%) 2/63 (3.2%) 2/32 (6.3%)
Gastritis 1/4 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 4/63 (6.3%) 1/32 (3.1%)
Gastrointestinal disorder 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Gastrointestinal haemorrhage 0/4 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 1/32 (3.1%)
Gastrooesophageal reflux disease 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 1/3 (33.3%) 4/16 (25%) 5/63 (7.9%) 0/32 (0%)
Haematochezia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 2/32 (6.3%)
Haemorrhoids 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 3/63 (4.8%) 2/32 (6.3%)
Irritable bowel syndrome 0/4 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Mouth haemorrhage 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 1/3 (33.3%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Mouth ulceration 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 2/32 (6.3%)
Nausea 2/4 (50%) 1/3 (33.3%) 1/3 (33.3%) 2/3 (66.7%) 2/7 (28.6%) 2/3 (66.7%) 7/16 (43.8%) 19/63 (30.2%) 4/32 (12.5%)
Plicated tongue 0/4 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Portal hypertensive gastropathy 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 1/32 (3.1%)
Stomatitis 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 3/32 (9.4%)
Upper gastrointestinal haemorrhage 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Vomiting 1/4 (25%) 1/3 (33.3%) 1/3 (33.3%) 1/3 (33.3%) 1/7 (14.3%) 1/3 (33.3%) 5/16 (31.3%) 19/63 (30.2%) 5/32 (15.6%)
General disorders
Asthenia 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 7/63 (11.1%) 3/32 (9.4%)
Chest pain 0/4 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 0/7 (0%) 1/3 (33.3%) 1/16 (6.3%) 2/63 (3.2%) 4/32 (12.5%)
Chills 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 1/63 (1.6%) 0/32 (0%)
Fatigue 0/4 (0%) 1/3 (33.3%) 0/3 (0%) 1/3 (33.3%) 3/7 (42.9%) 1/3 (33.3%) 5/16 (31.3%) 14/63 (22.2%) 4/32 (12.5%)
Influenza like illness 0/4 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 0/7 (0%) 1/3 (33.3%) 0/16 (0%) 2/63 (3.2%) 0/32 (0%)
Malaise 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 4/63 (6.3%) 2/32 (6.3%)
Mucosal inflammation 0/4 (0%) 2/3 (66.7%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 2/16 (12.5%) 2/63 (3.2%) 2/32 (6.3%)
Oedema 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 1/3 (33.3%) 1/16 (6.3%) 4/63 (6.3%) 3/32 (9.4%)
Oedema peripheral 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 1/7 (14.3%) 1/3 (33.3%) 4/16 (25%) 11/63 (17.5%) 4/32 (12.5%)
Pyrexia 0/4 (0%) 0/3 (0%) 1/3 (33.3%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 4/16 (25%) 12/63 (19%) 6/32 (18.8%)
Tenderness 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Hepatobiliary disorders
Hepatic function abnormal 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 4/63 (6.3%) 1/32 (3.1%)
Hepatomegaly 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 1/63 (1.6%) 0/32 (0%)
Immune system disorders
Hypersensitivity 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Infections and infestations
Herpes zoster 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 2/32 (6.3%)
Nasopharyngitis 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 5/63 (7.9%) 1/32 (3.1%)
Pneumonia 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 2/63 (3.2%) 1/32 (3.1%)
Upper respiratory tract infection 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 2/16 (12.5%) 5/63 (7.9%) 0/32 (0%)
Injury, poisoning and procedural complications
Wound 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 1/3 (33.3%) 0/16 (0%) 1/63 (1.6%) 1/32 (3.1%)
Investigations
Activated partial thromboplastin time prolonged 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Alanine aminotransferase increased 1/4 (25%) 2/3 (66.7%) 2/3 (66.7%) 0/3 (0%) 1/7 (14.3%) 1/3 (33.3%) 2/16 (12.5%) 7/63 (11.1%) 7/32 (21.9%)
Aspartate aminotransferase increased 1/4 (25%) 2/3 (66.7%) 2/3 (66.7%) 0/3 (0%) 2/7 (28.6%) 0/3 (0%) 4/16 (25%) 9/63 (14.3%) 10/32 (31.3%)
Blood alkaline phosphatase increased 0/4 (0%) 2/3 (66.7%) 1/3 (33.3%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 1/63 (1.6%) 2/32 (6.3%)
Blood bilirubin increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 2/7 (28.6%) 1/3 (33.3%) 2/16 (12.5%) 6/63 (9.5%) 3/32 (9.4%)
Blood creatine phosphokinase increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 2/63 (3.2%) 2/32 (6.3%)
Blood creatinine increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 2/32 (6.3%)
Blood lactate dehydrogenase increased 1/4 (25%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Blood potassium increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Electrocardiogram QT prolonged 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 1/7 (14.3%) 1/3 (33.3%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Gamma-glutamyltransferase increased 0/4 (0%) 1/3 (33.3%) 1/3 (33.3%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Haematocrit increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Haemoglobin increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
International normalised ratio increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 2/32 (6.3%)
Lipase increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 3/63 (4.8%) 2/32 (6.3%)
Protein total decreased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Prothrombin time prolonged 1/4 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Red blood cell count increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Weight decreased 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 4/63 (6.3%) 1/32 (3.1%)
Metabolism and nutrition disorders
Decreased appetite 1/4 (25%) 1/3 (33.3%) 0/3 (0%) 3/3 (100%) 2/7 (28.6%) 1/3 (33.3%) 8/16 (50%) 25/63 (39.7%) 8/32 (25%)
Hypercalcaemia 0/4 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Hyperglycaemia 0/4 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 2/63 (3.2%) 0/32 (0%)
Hyperkalaemia 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 1/7 (14.3%) 0/3 (0%) 1/16 (6.3%) 5/63 (7.9%) 1/32 (3.1%)
Hypernatraemia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Hyperuricaemia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 2/16 (12.5%) 1/63 (1.6%) 1/32 (3.1%)
Hypoalbuminaemia 0/4 (0%) 0/3 (0%) 0/3 (0%) 2/3 (66.7%) 1/7 (14.3%) 0/3 (0%) 3/16 (18.8%) 4/63 (6.3%) 6/32 (18.8%)
Hypoglycaemia 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Hypokalaemia 0/4 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 2/16 (12.5%) 3/63 (4.8%) 2/32 (6.3%)
Hyponatraemia 0/4 (0%) 0/3 (0%) 0/3 (0%) 3/3 (100%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 2/63 (3.2%) 2/32 (6.3%)
Musculoskeletal and connective tissue disorders
Arthralgia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 2/32 (6.3%)
Back pain 0/4 (0%) 0/3 (0%) 1/3 (33.3%) 2/3 (66.7%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 8/63 (12.7%) 0/32 (0%)
Bone pain 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 3/32 (9.4%)
Musculoskeletal pain 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 1/3 (33.3%) 0/16 (0%) 4/63 (6.3%) 1/32 (3.1%)
Musculoskeletal stiffness 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 1/3 (33.3%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Myalgia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 3/63 (4.8%) 0/32 (0%)
Neck pain 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 1/3 (33.3%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour pain 1/4 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Nervous system disorders
Altered state of consciousness 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Dizziness 2/4 (50%) 1/3 (33.3%) 1/3 (33.3%) 2/3 (66.7%) 1/7 (14.3%) 0/3 (0%) 3/16 (18.8%) 9/63 (14.3%) 6/32 (18.8%)
Encephalopathy 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Headache 1/4 (25%) 1/3 (33.3%) 1/3 (33.3%) 2/3 (66.7%) 1/7 (14.3%) 0/3 (0%) 1/16 (6.3%) 3/63 (4.8%) 3/32 (9.4%)
Hepatic encephalopathy 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 2/63 (3.2%) 3/32 (9.4%)
Hypoaesthesia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 1/32 (3.1%)
Lethargy 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Psychiatric disorders
Delirium 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 2/32 (6.3%)
Depression 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Insomnia 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 2/7 (28.6%) 3/3 (100%) 0/16 (0%) 9/63 (14.3%) 4/32 (12.5%)
Renal and urinary disorders
Dysuria 1/4 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Haematuria 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 1/63 (1.6%) 1/32 (3.1%)
Micturition urgency 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Pollakiuria 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 1/7 (14.3%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 1/32 (3.1%)
Proteinuria 1/4 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 1/16 (6.3%) 5/63 (7.9%) 1/32 (3.1%)
Renal failure acute 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 0/32 (0%)
Urinary retention 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 1/63 (1.6%) 0/32 (0%)
Respiratory, thoracic and mediastinal disorders
Cough 0/4 (0%) 0/3 (0%) 1/3 (33.3%) 1/3 (33.3%) 1/7 (14.3%) 0/3 (0%) 1/16 (6.3%) 18/63 (28.6%) 11/32 (34.4%)
Dysphonia 0/4 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 3/32 (9.4%)
Dyspnoea 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 5/63 (7.9%) 3/32 (9.4%)
Epistaxis 0/4 (0%) 0/3 (0%) 0/3 (0%) 2/3 (66.7%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 2/63 (3.2%) 3/32 (9.4%)
Haemoptysis 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 0/63 (0%) 1/32 (3.1%)
Hiccups 1/4 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 3/63 (4.8%) 2/32 (6.3%)
Oropharyngeal pain 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 1/16 (6.3%) 5/63 (7.9%) 4/32 (12.5%)
Pleural effusion 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 2/63 (3.2%) 3/32 (9.4%)
Pneumonia aspiration 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Productive cough 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/7 (14.3%) 0/3 (0%) 1/16 (6.3%) 1/63 (1.6%) 3/32 (9.4%)
Rhinorrhoea 1/4 (25%) 0/3 (0%) 0/3 (0%) 2/3 (66.7%) 1/7 (14.3%) 0/3 (0%) 1/16 (6.3%) 2/63 (3.2%) 1/32 (3.1%)
Sputum increased 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Skin and subcutaneous tissue disorders
Alopecia 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 5/32 (15.6%)
Decubitus ulcer 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 0/32 (0%)
Dry skin 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/7 (0%) 1/3 (33.3%) 2/16 (12.5%) 1/63 (1.6%) 0/32 (0%)
Ecchymosis 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 1/63 (1.6%) 2/32 (6.3%)
Palmar-plantar erythrodysaesthesia syndrome 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 4/63 (6.3%) 17/32 (53.1%)
Pruritus 0/4 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 1/7 (14.3%) 0/3 (0%) 1/16 (6.3%) 10/63 (15.9%) 3/32 (9.4%)
Rash 1/4 (25%) 2/3 (66.7%) 1/3 (33.3%) 1/3 (33.3%) 1/7 (14.3%) 0/3 (0%) 5/16 (31.3%) 10/63 (15.9%) 9/32 (28.1%)
Skin exfoliation 0/4 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Skin lesion 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 1/3 (33.3%) 0/16 (0%) 0/63 (0%) 0/32 (0%)
Skin reaction 0/4 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 0/16 (0%) 2/63 (3.2%) 5/32 (15.6%)
Vascular disorders
Hypertension 1/4 (25%) 1/3 (33.3%) 1/3 (33.3%) 0/3 (0%) 0/7 (0%) 0/3 (0%) 3/16 (18.8%) 10/63 (15.9%) 7/32 (21.9%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights

Results Point of Contact

Name/Title Boehringer Ingelheim Call Center
Organization Boehringer Ingelheim
Phone 1-800-243-0127
Email clintriage.rdg@boehringer-ingelheim.com
Responsible Party:
Boehringer Ingelheim
ClinicalTrials.gov Identifier:
NCT00987935
Other Study ID Numbers:
  • 1199.39
First Posted:
Oct 1, 2009
Last Update Posted:
Mar 10, 2016
Last Verified:
Feb 1, 2016