Study Evaluating SKI-606 (Bosutinib) In Philadelphia Chromosome Positive Leukemias

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT00261846
Collaborator
(none)
571
111
1
114.6
5.1
0

Study Details

Study Description

Brief Summary

This is an open-label, continuous daily dosing, two-part safety and efficacy study of SKI-606 (bosutinib) in Philadelphia chromosome positive leukemias (Ph+). Part 1 is a dose-escalation study in chronic phase Chronic Myelogenous Leukemia (CML) subjects to establish the maximum tolerated dose (MTD) in this subject population. Part 2 has begun after the completion of Part 1 and after a dose has been established for the compound in chronic phase subjects. Part 2 is a study of the the efficacy of 500mg daily oral SKI-606 (bosutinib) in patients with all phases of Ph+ CML and Ph+ Acute Lymphocytic Leukemia (ALL). The protocol will test the hypotheses that oral daily dosing of bosutinib at 500 mg will attain (1) Major Cytogenetic Response (MCyR) in chronic phase CML patients and (2) Overall Hematological Response (OHR) in advanced leukemia patients. Each phase of the disease will be evaluated as a separate cohort.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
571 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1/2 Study Of Bosutinib (Ski-606) In Philadelphia Chromosome Positive Leukemias
Actual Study Start Date :
Jan 18, 2006
Actual Primary Completion Date :
Sep 25, 2009
Actual Study Completion Date :
Aug 6, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: SKI-606

Drug: Bosutinib
Part 1, starting dose 400 mg oral, daily dosing in the dose-escalation component. Part 2, 500 mg oral, continuous, daily dosing.
Other Names:
  • SKI-606
  • Outcome Measures

    Primary Outcome Measures

    1. Number of Participants With Dose Limiting Toxicity (DLT) [Part 1 Baseline up to Day 28]

      DLT was defined as any of the following events occurring during the first 28 days of study medication and considered at least possibly-related to study medication: any grade 3 or 4 clinically-relevant non-hematologic toxicity, any clinically-significant grade 2 non-hematologic toxicity that requires 14 days to resolve (to grade 1).

    2. Maximum Tolerated Dose (MTD) [Part 1 Baseline up to Day 28]

      MTD was defined as highest dose level for which no more than 1 participant in a dose cohort experienced DLT. DLT was defined as any of the following events occurring during the first 28 days of study medication and considered at least possibly-related to study medication: any grade 3 or 4 clinically-relevant non-hematologic toxicity, any clinically-significant grade 2 non-hematologic toxicity that requires 14 days to resolve (to grade 1). NA = not estimable.

    3. Maximum Observed Plasma Concentration (Cmax) - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1]

    4. Time to Reach Maximum Observed Plasma Concentration (Tmax) - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1]

    5. Plasma Decay Half-Life (t1/2) - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1]

      Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. NA = not estimable.

    6. Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC(0-48)] - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1]

      AUC(0-48)= Area under the plasma concentration versus time curve from time zero (pre-dose) to time of last quantifiable concentration (0-48).

    7. Area Under the Concentration-Time Curve (AUC) - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1]

      AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. NA = not estimable.

    8. Apparent Oral Clearance (CL/F) - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1]

      Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population pharmacokinetic (PK) modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. NA = not estimable.

    9. Apparent Volume of Distribution (Vz/F) - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1]

      Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed.

    10. Maximum Observed Plasma Concentration at Steady State (Cmax,ss) - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24 hours post-dose on Day 15]

      Maximum plasma concentration over 24 hours at steady state (ss), on Day 15.

    11. Time to Reach Maximum Observed Plasma Concentration at Steady State (Tmax,ss) - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24 hours post-dose on Day 15]

      Time to reach maximum observed plasma concentration over 24 hours at steady state (ss), on Day 15.

    12. Plasma Decay Half-Life at Steady State (t1/2,ss) - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24 hours post-dose on Day 15]

      Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. Plasma decay half-life over 24 hours at steady state (ss), on Day 15 was calculated.

    13. Area Under the Concentration-Time Curve at Steady State (AUCss) - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24 hours post-dose on Day 15]

      AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. AUC over 24 hours at steady state (ss), on Day 15 was calculated.

    14. Apparent Oral Clearance at Steady State (CL/F,ss) - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24 hours post-dose on Day 15]

      Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population pharmacokinetic (PK) modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. Apparent oral clearence over 24 hours at steady state (ss), on Day 15 was calculated.

    15. Accumulation Ratio (R) [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24 hours post-dose on Day 1 and Day 15]

      R=accumulation ratio (AUCss on Day 15/AUC0-24 on Day 1)

    16. Percentage of Participants With MCyR at Week 24 in Chronic Phase Second-line Imatinib Resistant CML Population - Part 2 [Week 24]

      CyR is based on the prevalence of Ph+ cells. Major cytogenetic response was categorized as either CCyR or partial CyR (PCyR). CCyR was achieved when there was 0 percent (%) Ph+ cells from at least 20 metaphases from conventional bone marrow cytogenetics or less than (<) 1% positive cells from at least 200 cells analyzed from fluorescent in situ hybridization (FISH). PCyR was achieved when 1 to 35% Ph+ cells were present.

    Secondary Outcome Measures

    1. Percentage of Participants With Major Cytogenetic Response (MCyR) - Part 1 [Weeks 12, 24, 36, 48 and the end of active treatment phase of Part 1 (Week 52)]

      Cytogenetic response (CyR) is based on the prevalence of Philadelphia positive (Ph+) cells. Major cytogenetic response was categorized as either complete cytogenetic response (CCyR) or partial cytogenetic response (PCyR). CCyR was achieved when there was 0% Ph+ cells from at least 20 metaphases from conventional bone marrow cytogenetics or <1% positive cells from at least 200 cells analyzed from FISH. PCyR was achieved when 1 to 35% Ph+ cells were present.

    2. Phosphorylation Inhibition of Breakpoint Cluster Region-Abelson Kinase (Bcr-Abl) - Part 1 [Baseline, Weeks 4, 8, 12, 24, 36, 48 and the end of the active treatment phase of Part 1 (Week 52)]

      bcr-Abl is a protein resulting from the transcription of the Philadelphia chromosome following 9:22 chromosomal translocation, and phosphorylation inhibition of which correlates with inhibition of tumor cell growth.

    3. Phosphorylation Inhibition of Crk Like (CrkL) Protein at Baseline - Part 1 [0 (pre-dose) on Day 1 (Baseline)]

      CrkL is a protein, phosphorylation of which has been shown to correlate with CML cell growth; and conversely inhibition of their phosphorylation correlates with inhibition of tumor cell growth. Phosphorylation of CrkL was monitored in whole blood cells, as well as in the cluster of differentiation 3 (CD3+) (T cell), CD19+ (B cell) and CD34+ (blast cell) compartments by using fluorescent activated cell sorter (FACS) flow cytometry.

    4. Percent Change From Baseline in Phosphorylation Inhibition of Crk Like Protein (CrkL) at Day 1, 8 and 15 - Part 1 [6 hours post-dose on Day 1, 0 (pre-dose), 6 hours post-dose on Day 8, 15]

      CrkL is a protein, phosphorylation of which has been shown to correlate with CML cell growth; and conversely inhibition of their phosphorylation correlates with inhibition of tumor cell growth. Phosphorylation of CrkL was monitored in whole blood cells, as well as in the CD3+ (T cell), CD19+ (B cell) and CD34+ (blast cell) compartments by using FACS flow cytometry. NA = not estimable.

    5. Percentage of Participants With Major Cytogenetic Response (MCyR) in Chronic Phase Second-line and Chronic Phase Third-line CML Population - Part 2 [Week 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter up to Year 4 (CP3L) or Year 5 (CP2L)]

      CyR is based on the prevalence of Ph+ cells. MCyR was categorized as either CCyR or PCyR. CCyR was achieved when there was 0% Ph+ cells from at least 20 metaphases from conventional bone marrow cytogenetics or <1% positive cells from at least 200 cells analyzed from FISH. PCyR was achieved when 1 to 35% Ph+ cells were present.

    6. Kaplan-Meier Estimate of Retaining an Attained/Maintained Major Cytogenetic Response (MCyR) at Year 5 in Chronic Phase Second-line CML - Part 2 [From first MCyR to loss of MCyR or censoring, assessed every 12 weeks up to 2 years and then every 24 weeks thereafter up to Year 5]

      MCyR was categorized as either CCyR or PCyR. CCyR was achieved when there was 0% Ph+ cells from at least 20 metaphases from conventional bone marrow cytogenetics or <1% positive cells from at least 200 cells analyzed from FISH. PCyR was achieved when 1 to 35% Ph+ cells were present. The Kaplan-Meier probability of retaining an attained/maintained MCyR at Year 5 is reported. Median durations were not reached as of the minimum follow-up. Duration of response in weeks =(date of confirmed loss of first attained response or last valid cytogenetic assessment for those censored - date of first attained response)/7.

    7. Time to Achieve Major Cytogenetic Response (MCyR) in Chronic Phase Second-line CML for Responders Only - Part 2 [Week 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter up to Year 5]

      MCyR was categorized as either CCyR or PCyR. CCyR was achieved when there was 0% Ph+ cells from at least 20 metaphases from conventional bone marrow cytogenetics or <1% positive cells from at least 200 cells analyzed from FISH. PCyR was achieved when 1 to 35% Ph+ cells were present. Time to MCyR was the interval from the date of first dose of study medication until the first date of achieving a given response. Time to response in weeks equals (=) (event date minus (-) first dose date plus (+) 1)divided (/)7, where the event date is the non-missing date of the first attained response for responders only.

    8. Kaplan-Meier Estimate of Maintaining Complete Hematologic Response (CHR) at Year 4 (CP3L and ADV) or Year 5 (CP2L) - Part 2 [From date of first confirmed CHR to loss of CHR or censoring, assessed at Day 1 and 7 of Week 1, Day 7 of Week 2, 3, 4, 8, 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter up to Year 4 (CP3L and ADV) or Year 5 (CP2L)]

      Hematologic response: if participants met all of the following criteria of CHR: White Blood Cells equal to or less than (≤) institutional upper limit of normal, no peripheral blood blasts or promyelocytes, myelocytes+metamyelocytes <5% in blood, absolute neutrophil count greater than or equal to (≥) 1.0×10^9 per liter (/L) , platelets ≥100×10^9/L & <450×10^9/L, <20% basophils in blood & no extramedually involvement (including hepato- or splenomegaly), ≤5% BM blasts (ADV only & applicable to CP if BM aspirate was performed). The duration of CHR was defined as the interval from the first date of response until the first date of confirmed loss of response. Duration of response in weeks =(date of confirmed loss of attained response or last valid hematologic assessment for those censored - date of first confirmed response)/7. The Kaplan-Meier estimate of maintaining CHR at the end of minimum follow-up is presented (CP2L: Year 5; CP3L & ADV: Year 4). NA = not estimable. NA = not estimable.

    9. Duration of Complete Hematologic Response (CHR) - Part 2 [From date of first confirmed CHR to loss of CHR or censoring, assessed at Day 1 and 7 of Week 1, Day 7 of Week 2, 3, 4, 8, 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter up to Year 4 (CP3L and ADV) or Year 5 (CP2L)]

      Hematologic response: if participants met all of the following criteria of CHR: White Blood Cells equal to or less than (≤) institutional upper limit of normal, no peripheral blood blasts or promyelocytes, myelocytes+metamyelocytes less than (<)5% in blood, absolute neutrophil count greater than or equal to (≥) 1.0×10^9 per liter (/L) , platelets <450×10^9/L, platelets ≥100×10^9/L, <20% basophils in blood and no extramedually involvement (including hepato- or splenomegaly), ≤5% BM blasts (required for ADV only and applicable to CP if BM aspirate was performed). The duration of CHR was defined as the interval from the first date of response until the first date of confirmed loss of response. Duration of response in weeks =(date of confirmed loss of attained response or last valid hematologic assessment for those censored - date of first confirmed response)/7. NA = not estimable.

    10. Time to Achieve Complete Hematologic Response (CHR) for Responders Only - Part 2 [Day 1 and 7 of Week 1, Day 7 of Week 2, 3, 4, 8, 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter up to Year 4 (CP3L and ADV) or Year 5 (CP2L)]

      The time to CHR was measured from the date of first dosing to the first date of response. Time to response in weeks = (event date - first dose date plus 1)/7, where the event date is the non-missing date of the first attained response for responders only.

    11. Cumulative Incidence of Progression/Death - Part 2 [Years 1, 2, 3, 4, and 5 (CP2L only)]

      The cumulative incidence of on-treatment progression or death adjusting for the competing risk of treatment discontinuation without the event. Disease progression was determined by the investigator as the reason for treatment discontinuation and death was due to any cause within 30 days of last dose. Duration in months = (date of PD/death or last valid cytogenetic/hematologic assessment if censored - first dose date)/30.4. 95% confidence intervals were calculated using Gray's method. NA = not estimable. One year = 12 months.

    12. Progression Free Survival (PFS) - Part 2 [Years 1, 2, 3, 4, and 5 (CP2L only)]

      PFS was based on Kaplan-Meier method. Disease progression was determined by the investigator as the reason for treatment discontinuation and death was due to any cause within 30 days of last dose. Duration in months = (date of PD/death or last valid cytogenetic/hematologic assessment if censored - first dose date)/30.4. NA = not estimable. One year = 12 months

    13. Kaplan-Meier Estimate of Overall Survival (OS) - Part 2 [Years 1, 2, 3, 4, and 5 (CP2L only)]

      OS was based on Kaplan-Meier method. Survival was defined as the time period from the date of first dose of bosutinib to the date of death or date of last contact for those censored. NA = not estimable. One year = 12 months.

    14. Overall Survival (OS) - Part 2 [Years 1, 2, 3, 4, and 5 (CP2L only)]

      OS was based on Kaplan-Meier method. Survival was defined as the time period from the date of first dose of bosutinib to the date of death or date of last contact for those censored. NA = not estimable. One year = 12 months.

    15. Percentage of Participants With Confirmed Complete Hematologic Response (CHR) - Part 2 [Day 1 and 7 of Week 1, Day 7 of Week 2, 3, 4, 8, 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter up to Year 4 (CP3L and ADV) or Year 5 (CP2L)]

      Hematologic response: if participants met all of the following criteria of CHR: White Blood Cells ≤ institutional upper limit of normal, no peripheral blood blasts or promyelocytes, myelocytes+metamyelocytes <5% in blood, absolute neutrophil count ≥ 1.0×10^9/L , platelets <450×10^9/L, platelets ≥100×10^9/L, <20% basophils in blood and no extramedually involvement (including hepato- or splenomegaly), ≤5% BM blasts (required for ADV only and applicable to CP if BM aspirate was performed).

    16. Percentage of Participants With Overall Hematologic Response (OHR) by Week 48 in Advanced Leukemia Population - Part 2 [Day 1 and 7 of Week 1, Day 7 of Week 2, 3, 4, 8, 12, thereafter assessed every 12 weeks up to 1 year]

      OHR included CHR, no evidence of leukemia (≤5% bone marrow blasts, no peripheral blood blasts or promyelocytes, <5% myelocytes + metamyelocytes in blood, white blood cells ≤ institutional upper limit of normal, 450x10^9/L > platelets > 20x10^9/L, absolute neutrophil count ≥0.5x10^9/L, <20% basophils in blood, no extramedullary involvement [including liver or spleen]), minor hematologic response (acute lymphoblastic leukemia [ALL] patients only, defined as <15% blasts in marrow & blood, <30% blasts + promyelocytes in marrow & blood, <20% basophils in peripheral blood & no extramedullary disease other than spleen & liver) or return to chronic phase (AP/BP participants, defined as <15% blasts in both peripheral blood &bone marrow, <30% blasts + promyelocytes in both peripheral blood & bone marrow, <20% basophils in both peripheral blood & bone marrow, no extramedullary Involvement other than liver or spleen). Participants had to meet at least 1 criterion.

    17. Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) [Baseline up to follow up visit (30 days after last dose of study treatment)]

      An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state.

    18. Duration of Potentially Clinically Important (PCI) Adverse Events (AEs) [Baseline up to follow-up visit (30 days after last dose of study treatment)]

      An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. The event did not necessarily have a causal relationship with the treatment. PCI AEs included anemia, alanine aminotranferase (ALT), aspartate aminotransferase (AST), cardiac, diarrhea, edema, effusion, gastrointestinal, hemorrhage, hypersensitivity, hypertension, infection, liver, myelosuppression, nausea, neutropenia, rash, renal, thrombocytopenia, vomiting, and vascular events. Duration of AE was calculated as (stop date minus start date) plus 1 for non-missing and non-partial dates. NA = not estimable.

    19. Percentage of Participants With Change From Baseline in Laboratory Tests Results [Week 1, 2, 3, 4, 8, 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter]

      Laboratory assessments included urinalysis, complete blood count (CBC), prothrombin time/partial prothromboplastin time (PT/PPT), international normalized ratio (INR), blood chemistry and serum pregnancy test (β-HCG). Parameters of special interest included liver function tests and those related to myelosuppression. Potentially clinically important (PCI) laboratory values were defined as National Cancer Institute Common Terminology Criteria for Adverse Events Version 3.0 (NCI CTCAE v3.0) grade 3 or higher. Maximum CTCAE grade, and only participants who shifted to Grade 3/4 on-treatment, are reported.

    20. Percentage of Participants With On-treatment PCI Change From Baseline in Electrocardiogram (ECG) Findings [Baseline, 0 (pre-dose), 2, 4, 6 hours on Day 1, 0 (pre-dose), 2, 4, 6, 20-23 hours on Day 21, and end of treatment visit]

      Criteria for PCI changes in ECG (12-lead) were defined as: no sinus rhythm; PR interval >=220 msec and increase of >=20 msec; QRS interval >=120 msec; QT interval corrected using the Fridericia formula (QTcF) and QT interval corrected using the Bazett formula (QTcB) >500 msec or increase of >60 msec; heart rate <=45 beats per minute (bpm) or >=120 bpm or decrease/increase of >=15 bpm.

    21. Number of Participants With Change From Baseline in Findings of Chest X-ray [Baseline, Week 8, and end of treatment]

      Number of participants whose chest X-ray results changed (worsened or improved) from the Baseline.

    22. Number of Participants Who Received Concomitant Medications for Management of Adverse Events (AEs) [Baseline and Weeks 1, 2, 3, 4, 8, 12, then every 12 weeks thereafter until end of treatment, for a mean duration of 28 months]

      Number of participants taking any non-study medications which were administered from Study Day 1 to 30 days after last dose of study treatment as a management of an AE are reported.

    23. Number of Participants With Change From Baseline in Eastern Cooperative Oncology Group Performance Status (ECOG-PS) [Baseline, Week 1, 2, 8, 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter]

      ECOG-PS measured on-therapy (time between first dose and last dose date with a 30-day lag) assessed participant's performance status on 5 point scale: 0=Fully active/able to carry on all pre-disease activities without restriction;1=restricted in physically strenuous activity, ambulatory/able to carry out light or sedentary work;2=ambulatory (>50% of waking hrs), capable of all self care, unable to carry out any work activities;3=capable of only limited self care, confined to bed/chair >50% of waking hrs;4=completely disabled, cannot carry on any self care, totally confined to bed/chair;5=dead.

    24. Percentage of Participants With Change From Baseline in Physical Examinations and Vital Signs [Screening, Baseline, and end of treatment]

      Percentage of participants with PCI physical examinations and vital signs is reported during therapy and at post therapy. Criteria for PCI change in vital signs: heart rate value of <40 beats per min and value >150 beats per min, systolic blood pressure (SBP) of <80 or >210 millimeter of mercury (mmHg), diastolic blood pressure (DBP) of <40 or >130 mmHg, temperature <32 or >40 degree centigrade, respiratory rate (Resp) of <10 or >50 breaths/min and criteria for PCI change in physical examination: >=10% increase or decrease of body weight in kilogram (kg).

    25. Percentage of Participants With Change From Baseline in Physical Examinations and Vital Signs and Number of Participants With PCI Values [Post-therapy]

      Percentage of participants with PCI physical examinations and vital signs is reported during therapy and at post therapy. Criteria for PCI change in vital signs: heart rate value of <40 beats per min and value >150 beats per min, SBP of <80 or >210 mmHg, DBP of <40 or >130 mmHg, temperature <32 or >40 degree centigrade, Resp of <10 or >50 breaths/min and criteria for PCI change in physical examination: >=10% increase or decrease of body weight in kg. No Ph+ ALL participants were analyzed post-therapy (N=0). Part 1 safety data were originally presented in 2011 and are included as cumulative data in the Part 2 final safety results.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Ph+ CML or Ph+ ALL who are primarily refractory to full-dose imatinib (600 mg), have disease progression/relapse while on full-dose imatinib, or are intolerant of any dose of imatinib.

    • At least 3 months post stem cell transplantation

    • Able to take daily oral capsules/tablets reliably

    Exclusion Criteria:
    • Subjects with Philadelphia chromosome, and bcr-abl negative CML

    • Overt leptomeningeal leukemia

    • Subjects without evidence of leukemia in bone marrow (extramedullary disease only)

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 City of Hope National Medical Center Duarte California United States 91010
    2 HealthONE Presbyterian Denver Colorado United States 80218
    3 Rocky Mountain Cancer Centers Denver Colorado United States 80218
    4 Georgetown University Hospital Washington, D.C. District of Columbia United States 20007
    5 Emory Clinic Atlanta Georgia United States 30322
    6 Emory University Hospital Atlanta Georgia United States 30322
    7 Winship Cancer Institute Atlanta Georgia United States 30322
    8 Oncology Specialists, S.C. Niles Illinois United States 60714
    9 Indiana Blood and Marrow Transplantation Indianapolis Indiana United States 46237
    10 LSU Health Sciences Center Shreveport Louisiana United States 71103
    11 University Of Maryland Medical Center Baltimore Maryland United States 21201
    12 University Of Maryland Baltimore Maryland United States 21201
    13 Roswell Park Cancer Institute Buffalo New York United States 14263
    14 Hudson Valley Hematology and Oncology Associates Hawthorne New York United States 10532
    15 Westchester Oncology Hematology Group, P.C. Hawthorne New York United States 10532
    16 Westchester Oncology Hematology, Group, P.C. Hawthorne New York United States 10532
    17 New York Presbyterian Hospital New York New York United States 10021
    18 New York Presbyterian Hospital New York New York United States 10065
    19 University of Rochester Cancer Center Pharmacy Rochester New York United States 14642
    20 University of Rochester Medical Center Strong Memorial Hospital - James P. Wilmot Cancer Center Rochester New York United States 14642
    21 University of Rochester Medical Center Rochester New York United States 14642
    22 University of Rochester-James P. Wilmot Cancer Center Rochester New York United States 14642
    23 University of Rochester Rochester New York United States 14642
    24 Westchester Medical Center Valhalla New York United States 10595
    25 Penn State Milton S Hershey Medical Center Hershey Pennsylvania United States 17033-0850
    26 MD Anderson Cancer Center Houston Texas United States 77030-4009
    27 The University of Texas MD Anderson Cancer Center Houston Texas United States 77030
    28 The University of Texas Houston Texas United States 77030
    29 Virginia Commonwealth University Richmond Virginia United States 23298-0157
    30 Hospital Italiano de la Plata La Plata Provincia de Buenos Aires Argentina 1900
    31 Hospital Britanico Buenos Aires Argentina 1280
    32 Academia Nacional de Medicina-Instituto de Investigaciones Hematologicas Buenos Aires Argentina 1425
    33 Instituto Medico Especializado Alexander Fleming Buenos Aires Argentina 1426
    34 Clinica del Sol Ciudad Autonoma de Buenos Aires Argentina C1425DQI
    35 Centro Medico S.A. Corrientes Argentina 3400
    36 Hospital Jose Ramon Vidal Corrientes Argentina 3400
    37 Hospital universitario austral Pcia de Buenos Aires Argentina B1629ODT
    38 Royal Adelaide Hospital Adelaide South Australia Australia 5000
    39 Institute of Medical and Veterinary Science Adelaide Australia SA 5000
    40 Department of Clinical Haematology and Bone Marrow Transplantation Melbourne Australia 3181
    41 Royal Brisbane and Women's Hospital Queensland Australia 4029
    42 Haematology and Oncology Clinics of Australia Queensland Australia 4101
    43 Klinikum Kreuzschwestern Wels Wels Austria 4600
    44 Hospital Brigadeiro da Secretaria de Estado da Saude de Sao Paulo Jardim Paulista Sao Paulo/sp - Brazil Brazil CEP: 01401-901
    45 Centro de Estudos da Disciplina dr Hematologia da Faculdade de Medicine do ABC Santo Andre Sp - Brazil Brazil CEP 09060-650
    46 Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo Sao Paulo Sp Brazil Brazil 05403-000
    47 Hospital de Clinicas - Universidade Federal do Parana Curitiba, PR Brazil CEP: 80060-900
    48 Cross Cancer Institute Edmonton Alberta Canada T6G1Z2
    49 BC Cancer Agency - Cancer Centre for the Southern Interior Kelowna British Columbia Canada V1Y 5L3
    50 CancerCare Manitoba Winnipeg Manitoba Canada R3E 0V9
    51 University Health Network Princess Margaret Hospital Toronto Ontario Canada M5G 2M9
    52 Sir Mortimer B. Davis, Jewish General Hospital Montreal Quebec Canada H3T 1E2
    53 Instituto Clinico Oncologico del Sur Temuco Chile
    54 The First Hospital affiliated to the Medical School of Zhejiang University Zhejiang P.r China China 310003
    55 Peking Union Medical College Hospital of Chinese Academy of Medical Sciences Beijing P.r. China China 100730
    56 The Department of Hematology, The Chinese PLA General Hospital Beijing P.r. China China 100853
    57 The Hematology Hospital of Chinese Academy of Medical Sciences Tianjin P.r. China China 300020
    58 The Department of Hematology, Ruijin Hospital Affiliated to School of Medicine of Shanghai Jiaotong Shanghai China 200025
    59 Hospital Pablo Tobon Uribe Medellin Antioquia Colombia 4459000
    60 Fundacion Santa Fe de Bogota Bogota Cundinamarca Colombia
    61 Biomedicum Helsinki Helsinki Finland FIN-00029 HUS
    62 Universitaet Mainz Mainz RP Germany 55101
    63 University Hospital Carl Gustav Carus Dresden Germany 01307
    64 Universitaetsklinikum Hamburg - Eppendorf Hamburg Germany 20246
    65 Universitaetsklinikum Hamburg-Eppendorf Hamburg Germany 20246
    66 Universitaetsklinikum Magdeburg A. oe. R. Magdeburg Germany 39120
    67 III Medizinische Klinik und Poliklinik Mainz Germany 55101
    68 Klinikum der Johann Gutenberg Universitaet Mainz Mainz Germany 55131
    69 Universitaet Mainz Iii. Medizinische Klinik Abteilung Fuer Haematologie Mainz Germany D-55101
    70 Universitaetsklinikum Mainz Mainz Germany
    71 III. Medizinische Klinik Mannheim Germany 68169
    72 Pamela Youde Nethersole Eastern Hosp. Chai Wan Hong Kong
    73 Queen Mary Hospital Hong Kong Hong Kong
    74 Fovarosi Onkormanyzat Egyesitett Szent Istvan es Szent Laszlo Budapest Hungary 1096
    75 Christian Medical College Vellore Tamil Nadu India 632 004
    76 University of Bologna Bologna Province of Bologna Italy 40138
    77 Azienda Ospedaliero - Universitaria San Luigi Gonzaga Orbassano Torino Italy 10043
    78 AOU-S.Orsola-Malpighi - Universita degli Studi di Bologna Bologna Italy 40138
    79 Azienda Ospedaliera San Gerardo Monza Italy 20900
    80 The Catholic University of Korea, Seoul St. Mary Hospital Seoul Korea, Republic of 137-701
    81 Dept. of Hematology Seoul Korea, Republic of 138736
    82 Hospital Universitario "Dr. Jose Eleuterio Gonzalez" Nuevo Leon Mexico 64460
    83 Centro Oncologico Estatal ISSEMYM Toluca Estado de Mexico Mexico CP50180
    84 VU University Medical Center Amsterdam Netherlands 1081 HV
    85 University Medical Center Groningen Groningen Netherlands 9700 RB
    86 UMCG - Pharmacy Groningen Netherlands 9713 AP
    87 Universitair Medisch Centrum Groningen Groningen Netherlands 9713 GZ
    88 VUMC The Netherlands Netherlands
    89 Avd. for blodsykdommer Trondheim Norge Norway 7006
    90 Hospital Nacional Edgardo Rebagliati Martins Lima Peru 11
    91 State Healthcare Institution, Sverdlovsk Regional Clinical Hospital Ekaterinburg Russian Federation 620102
    92 Kirov Research Institute of Hematology and Blood transfusion of Roszdrav Hematology clinic Kirov Russian Federation 610027
    93 Hematological Research Centre of RAMS Moscow Russian Federation 125167
    94 Moscow regional Clinical Research Institute named after M.F Vladimirsky Moscow Russian Federation 129110
    95 Rostov State Medical University of Roszdrav Rostov-on Don Russian Federation 344022
    96 Saint Petersburg State Medical University Hematology Department Saint Petersburg Russian Federation 197022
    97 Singapore General Hospital Singapore Singapore 169608
    98 University of the Free State Bloemfontein South Africa 9301
    99 University of Cape Town Cape Town South Africa 7925
    100 Johannesburg Hospital Parktown South Africa 2193
    101 Clinical Haematology Unit Soweto South Africa 2013
    102 Hospital Clinic de Barcelona (Hospital Clinic i Provincial) Barcelona Catalonia Spain 08036
    103 Hospital Universitari Clinic de Barcelona Barcelona Catalonia Spain 08036
    104 Hospital Universitario La Princesa Madrid Spain 28006
    105 Hospital Clinico Universitario de Valencia (CHUV) Valencia Spain 46010
    106 Akademiska University Hospital Uppsala Sweden 75185
    107 National Taiwan University Hospital - Section of Hematology-Oncology Taipei 100 Taiwan 10018
    108 Northern Centre for Cancer Care - The Newcastle Upon Tyne Hospitals - NHS Foundation Trust Newcastle Upon Tyne North East England United Kingdom NE7 7DN
    109 School of Clinical and Laboratory Sciences University upon Tyne North East England United Kingdom NE1 7RU
    110 Hammersmith Hospital London United Kingdom W12 0HS
    111 Clinical Research Facility Newcastle Upon Tyne, North East England United Kingdom NE1 4LP

    Sponsors and Collaborators

    • Pfizer

    Investigators

    • Study Director: Pfizer CT.gov Call Center, Pfizer

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT00261846
    Other Study ID Numbers:
    • 3160A4-200
    • B1871006, 3160A4-200-WW
    • 2005-004230-40
    • B1871006
    First Posted:
    Dec 5, 2005
    Last Update Posted:
    Jul 27, 2017
    Last Verified:
    Jun 1, 2017

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1) Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Single oral dose of bosutinib 400 milligram (mg) on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in chronic phase second-line (CP2L) chronic myelogenous leukemia (CML) Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in advanced phase (AP) CML Part 2 of the study. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. All participants who received bosutinib 500 mg orally once daily in AP CML who were IM R/I or multiple tyrosine kinase inhibitor (Multi-TKI): IM, D and/or NI R/I. All participants who received bosutinib 500 mg orally once daily in blast phase (BP) CML who were IM R/I or Multi-TKI: IM, D and/or NI R/I. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Period Title: Period 1: Part 1 (Dose Escalation)
    STARTED 3 3 12 0 0 0 0 0 0 0 0 0
    COMPLETED 0 0 0 0 0 0 0 0 0 0 0 0
    NOT COMPLETED 3 3 12 0 0 0 0 0 0 0 0 0
    Period Title: Period 1: Part 1 (Dose Escalation)
    STARTED 0 0 0 195 89 5 38 50 26 79 64 24
    COMPLETED 0 0 0 60 39 3 16 21 12 30 15 1
    NOT COMPLETED 0 0 0 135 50 2 22 29 14 49 49 23

    Baseline Characteristics

    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2) Total
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. All participants who received bosutinib 500 mg orally once daily in AP CML who were IM R/I or multiple tyrosine kinase inhibitor (Multi-TKI): IM, D and/or NI R/I. All participants who received bosutinib 500 mg orally once daily in blast phase (BP) CML who were IM R/I or Multi-TKI: IM, D and/or NI R/I. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL Total of all reporting groups
    Overall Participants 195 89 5 38 50 26 79 64 24 570
    Age, Customized (Number) [Number]
    <18 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Between 18 and 44 years
    73
    37.4%
    22
    24.7%
    1
    20%
    5
    13.2%
    7
    14%
    10
    38.5%
    26
    32.9%
    29
    45.3%
    6
    25%
    179
    31.4%
    Between 45 and 64 years
    86
    44.1%
    40
    44.9%
    3
    60%
    23
    60.5%
    29
    58%
    14
    53.8%
    45
    57%
    25
    39.1%
    7
    29.2%
    272
    47.7%
    >=65 years
    36
    18.5%
    27
    30.3%
    1
    20%
    10
    26.3%
    14
    28%
    2
    7.7%
    8
    10.1%
    10
    15.6%
    11
    45.8%
    119
    20.9%
    Sex: Female, Male (Count of Participants)
    Female
    82
    42.1%
    53
    59.6%
    3
    60%
    20
    52.6%
    31
    62%
    12
    46.2%
    35
    44.3%
    22
    34.4%
    12
    50%
    270
    47.4%
    Male
    113
    57.9%
    36
    40.4%
    2
    40%
    18
    47.4%
    19
    38%
    14
    53.8%
    44
    55.7%
    42
    65.6%
    12
    50%
    300
    52.6%

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants With Dose Limiting Toxicity (DLT)
    Description DLT was defined as any of the following events occurring during the first 28 days of study medication and considered at least possibly-related to study medication: any grade 3 or 4 clinically-relevant non-hematologic toxicity, any clinically-significant grade 2 non-hematologic toxicity that requires 14 days to resolve (to grade 1).
    Time Frame Part 1 Baseline up to Day 28

    Outcome Measure Data

    Analysis Population Description
    Safety population included all participants who received at least 1 dose of study medication.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 12
    Number [participants]
    0
    0%
    0
    0%
    1
    20%
    2. Primary Outcome
    Title Maximum Tolerated Dose (MTD)
    Description MTD was defined as highest dose level for which no more than 1 participant in a dose cohort experienced DLT. DLT was defined as any of the following events occurring during the first 28 days of study medication and considered at least possibly-related to study medication: any grade 3 or 4 clinically-relevant non-hematologic toxicity, any clinically-significant grade 2 non-hematologic toxicity that requires 14 days to resolve (to grade 1). NA = not estimable.
    Time Frame Part 1 Baseline up to Day 28

    Outcome Measure Data

    Analysis Population Description
    Safety population included all participants who received at least 1 dose of study medication
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 12
    Number [mg]
    NA
    NA
    NA
    3. Primary Outcome
    Title Maximum Observed Plasma Concentration (Cmax) - Part 1
    Description
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 12
    Mean (Standard Deviation) [nanogram per milliliter (ng/mL)]
    89.3
    (50.0)
    101.0
    (35.6)
    120.0
    (40.2)
    4. Primary Outcome
    Title Time to Reach Maximum Observed Plasma Concentration (Tmax) - Part 1
    Description
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least one dose of study medication and had an adequate baseline efficacy assessment.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 12
    Median (Full Range) [hours (hrs)]
    4.00
    6.00
    4.00
    5. Primary Outcome
    Title Plasma Decay Half-Life (t1/2) - Part 1
    Description Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. NA = not estimable.
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment. 'N' (number of participants analyzed) signifies number of participants who were evaluable for this measure.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 2 3 8
    Mean (Standard Deviation) [hrs]
    22.91
    (3.39)
    22.46
    (1.73)
    22.24
    (5.03)
    6. Primary Outcome
    Title Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC(0-48)] - Part 1
    Description AUC(0-48)= Area under the plasma concentration versus time curve from time zero (pre-dose) to time of last quantifiable concentration (0-48).
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 12
    Mean (Standard Deviation) [ng*hr/mL]
    1850
    (710)
    2060
    (483)
    2340
    (1140)
    7. Primary Outcome
    Title Area Under the Concentration-Time Curve (AUC) - Part 1
    Description AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. NA = not estimable.
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment. 'N' (number of participants analyzed) signifies number of participants who were evaluable for this measure.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 2 3 8
    Mean (Standard Deviation) [ng*hr/mL]
    2530
    (1160)
    2760
    (687)
    2420
    (457)
    8. Primary Outcome
    Title Apparent Oral Clearance (CL/F) - Part 1
    Description Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population pharmacokinetic (PK) modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. NA = not estimable.
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment. 'N' (number of participants analyzed) signifies number of participants who were evaluable for this measure.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 2 3 8
    Mean (Standard Deviation) [liter per hour (L/hr)]
    177
    (81.3)
    189
    (47.5)
    258
    (61.2)
    9. Primary Outcome
    Title Apparent Volume of Distribution (Vz/F) - Part 1
    Description Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed.
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment. 'N' (number of participants analyzed) signifies number of participants who were evaluable for this measure.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 8
    Mean (Standard Deviation) [liter]
    6050
    (3550)
    6080
    (1230)
    8540
    (3820)
    10. Primary Outcome
    Title Maximum Observed Plasma Concentration at Steady State (Cmax,ss) - Part 1
    Description Maximum plasma concentration over 24 hours at steady state (ss), on Day 15.
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24 hours post-dose on Day 15

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment. 'N' (number of participants analyzed) signifies number of participants who were evaluable for this measure.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 10
    Mean (Standard Deviation) [ng/mL]
    146
    (20.0)
    200
    (11.9)
    208
    (73.3)
    11. Primary Outcome
    Title Time to Reach Maximum Observed Plasma Concentration at Steady State (Tmax,ss) - Part 1
    Description Time to reach maximum observed plasma concentration over 24 hours at steady state (ss), on Day 15.
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24 hours post-dose on Day 15

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 12
    Median (Full Range) [hrs]
    4.05
    6.05
    6.00
    12. Primary Outcome
    Title Plasma Decay Half-Life at Steady State (t1/2,ss) - Part 1
    Description Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. Plasma decay half-life over 24 hours at steady state (ss), on Day 15 was calculated.
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24 hours post-dose on Day 15

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment. 'N' (number of participants analyzed) signifies number of participants who were evaluable for this measure.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 7
    Mean (Standard Deviation) [hrs]
    45.96
    (32.30)
    21.71
    (4.64)
    25.87
    (24.85)
    13. Primary Outcome
    Title Area Under the Concentration-Time Curve at Steady State (AUCss) - Part 1
    Description AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. AUC over 24 hours at steady state (ss), on Day 15 was calculated.
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24 hours post-dose on Day 15

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment. 'N' (number of participants analyzed) signifies number of participants who were evaluable for this measure.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 9
    Mean (Standard Deviation) [ng*hr/mL]
    2720
    (442)
    3650
    (425)
    3630
    (1270)
    14. Primary Outcome
    Title Apparent Oral Clearance at Steady State (CL/F,ss) - Part 1
    Description Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population pharmacokinetic (PK) modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. Apparent oral clearence over 24 hours at steady state (ss), on Day 15 was calculated.
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24 hours post-dose on Day 15

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment. 'N' (number of participants analyzed) signifies number of participants who were evaluable for this measure.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 9
    Mean (Standard Deviation) [L/hr]
    150
    (23.2)
    138
    (16.6)
    185
    (66.2)
    15. Primary Outcome
    Title Accumulation Ratio (R)
    Description R=accumulation ratio (AUCss on Day 15/AUC0-24 on Day 1)
    Time Frame 0 (pre-dose), 1, 2, 3, 4, 6, 8, 24 hours post-dose on Day 1 and Day 15

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment. 'N' (number of participants analyzed) signifies number of participants who were evaluable for this measure.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 9
    Mean (Standard Deviation) [ratio]
    3.1
    (1.4)
    2.8
    (0.8)
    2.5
    (0.9)
    16. Primary Outcome
    Title Percentage of Participants With MCyR at Week 24 in Chronic Phase Second-line Imatinib Resistant CML Population - Part 2
    Description CyR is based on the prevalence of Ph+ cells. Major cytogenetic response was categorized as either CCyR or partial CyR (PCyR). CCyR was achieved when there was 0 percent (%) Ph+ cells from at least 20 metaphases from conventional bone marrow cytogenetics or less than (<) 1% positive cells from at least 200 cells analyzed from fluorescent in situ hybridization (FISH). PCyR was achieved when 1 to 35% Ph+ cells were present.
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Cytogenetic evaluable population included all enrolled participants who received at least one dose of study medication and had an adequate baseline cytogenetic assessment.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM.
    Measure Participants 182
    Number (95% Confidence Interval) [percentage of participants]
    35.7
    18.3%
    17. Secondary Outcome
    Title Percentage of Participants With Major Cytogenetic Response (MCyR) - Part 1
    Description Cytogenetic response (CyR) is based on the prevalence of Philadelphia positive (Ph+) cells. Major cytogenetic response was categorized as either complete cytogenetic response (CCyR) or partial cytogenetic response (PCyR). CCyR was achieved when there was 0% Ph+ cells from at least 20 metaphases from conventional bone marrow cytogenetics or <1% positive cells from at least 200 cells analyzed from FISH. PCyR was achieved when 1 to 35% Ph+ cells were present.
    Time Frame Weeks 12, 24, 36, 48 and the end of active treatment phase of Part 1 (Week 52)

    Outcome Measure Data

    Analysis Population Description
    Cytogenetic evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline cytogenetic assessment.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 3 3 12
    Number (95% Confidence Interval) [percentage of participants]
    66.7
    34.2%
    33.3
    37.4%
    50.0
    1000%
    18. Secondary Outcome
    Title Phosphorylation Inhibition of Breakpoint Cluster Region-Abelson Kinase (Bcr-Abl) - Part 1
    Description bcr-Abl is a protein resulting from the transcription of the Philadelphia chromosome following 9:22 chromosomal translocation, and phosphorylation inhibition of which correlates with inhibition of tumor cell growth.
    Time Frame Baseline, Weeks 4, 8, 12, 24, 36, 48 and the end of the active treatment phase of Part 1 (Week 52)

    Outcome Measure Data

    Analysis Population Description
    Data was not summarized since inadequate data included the issue that molecular transcript analyses could not be performed, because of potential sample quality issues due to time required to transport the specimens from the few investigational sites to the central laboratory.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 0 0 0
    19. Secondary Outcome
    Title Phosphorylation Inhibition of Crk Like (CrkL) Protein at Baseline - Part 1
    Description CrkL is a protein, phosphorylation of which has been shown to correlate with CML cell growth; and conversely inhibition of their phosphorylation correlates with inhibition of tumor cell growth. Phosphorylation of CrkL was monitored in whole blood cells, as well as in the cluster of differentiation 3 (CD3+) (T cell), CD19+ (B cell) and CD34+ (blast cell) compartments by using fluorescent activated cell sorter (FACS) flow cytometry.
    Time Frame 0 (pre-dose) on Day 1 (Baseline)

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment. 'N' (number of participants analyzed) signifies number of participants who were evaluable for this measure.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 2 3 10
    Mean (Standard Deviation) [mol/100 cells]
    457075
    (559841.90)
    297967.33
    (171643.30)
    397795.40
    (552536.90)
    20. Secondary Outcome
    Title Percent Change From Baseline in Phosphorylation Inhibition of Crk Like Protein (CrkL) at Day 1, 8 and 15 - Part 1
    Description CrkL is a protein, phosphorylation of which has been shown to correlate with CML cell growth; and conversely inhibition of their phosphorylation correlates with inhibition of tumor cell growth. Phosphorylation of CrkL was monitored in whole blood cells, as well as in the CD3+ (T cell), CD19+ (B cell) and CD34+ (blast cell) compartments by using FACS flow cytometry. NA = not estimable.
    Time Frame 6 hours post-dose on Day 1, 0 (pre-dose), 6 hours post-dose on Day 8, 15

    Outcome Measure Data

    Analysis Population Description
    Evaluable population included all enrolled participants who received at least 1 dose of study medication and had an adequate baseline efficacy assessment. 'N' signifies number of participants who were evaluable for this measure. n=number of participants evaluable for this measure at specified time points for each arm group respectively.
    Arm/Group Title Bosutinib 400 mg (Part 1) Bosutinib 500 mg (Part 1) Bosutinib 600 mg (Part 1)
    Arm/Group Description Single oral dose of bosutinib 400 mg on Day 1 and then bosutinib 400 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 500 mg on Day 1 and then bosutinib 500 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Single oral dose of bosutinib 600 mg on Day 1 and then bosutinib 600 mg orally once daily continuously from Day 3 up to Week 4. All participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study. Eleven participants who completed treatment in Part 1 were continued in CP2L-CML Part 2 of the study and 1 participant was continued in AP-CML Part 2 of the study.
    Measure Participants 1 3 9
    Day 1: post-dose (n=1, 1, 9)
    -34.66
    (NA)
    287.52
    (NA)
    97.79
    (283.61)
    Day 8: pre-dose (n=1, 1, 9)
    562.48
    (NA)
    170.83
    (NA)
    3.88
    (128.97)
    Day 8: post-dose (n=1, 1, 9)
    528.62
    (NA)
    429.79
    (NA)
    143.57
    (289.18)
    Day 15: pre-dose (n=1, 2, 7)
    177.87
    (NA)
    -44.64
    (8.56)
    119.23
    (170.91)
    Day 15: post-dose (n=1, 3, 7)
    -49.85
    (NA)
    -21.13
    (57.91)
    138.45
    (278.24)
    21. Secondary Outcome
    Title Percentage of Participants With Major Cytogenetic Response (MCyR) in Chronic Phase Second-line and Chronic Phase Third-line CML Population - Part 2
    Description CyR is based on the prevalence of Ph+ cells. MCyR was categorized as either CCyR or PCyR. CCyR was achieved when there was 0% Ph+ cells from at least 20 metaphases from conventional bone marrow cytogenetics or <1% positive cells from at least 200 cells analyzed from FISH. PCyR was achieved when 1 to 35% Ph+ cells were present.
    Time Frame Week 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter up to Year 4 (CP3L) or Year 5 (CP2L)

    Outcome Measure Data

    Analysis Population Description
    Cytogenetic evaluable population included all enrolled participants who received at least one dose of study medication and had an adequate baseline cytogenetic assessment.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-R (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM.
    Measure Participants 80 5 36 45 26 182
    Number (95% Confidence Interval) [percentage of participants]
    61.3
    31.4%
    40.0
    44.9%
    38.9
    778%
    42.2
    111.1%
    38.5
    77%
    58.8
    226.2%
    22. Secondary Outcome
    Title Kaplan-Meier Estimate of Retaining an Attained/Maintained Major Cytogenetic Response (MCyR) at Year 5 in Chronic Phase Second-line CML - Part 2
    Description MCyR was categorized as either CCyR or PCyR. CCyR was achieved when there was 0% Ph+ cells from at least 20 metaphases from conventional bone marrow cytogenetics or <1% positive cells from at least 200 cells analyzed from FISH. PCyR was achieved when 1 to 35% Ph+ cells were present. The Kaplan-Meier probability of retaining an attained/maintained MCyR at Year 5 is reported. Median durations were not reached as of the minimum follow-up. Duration of response in weeks =(date of confirmed loss of first attained response or last valid cytogenetic assessment for those censored - date of first attained response)/7.
    Time Frame From first MCyR to loss of MCyR or censoring, assessed every 12 weeks up to 2 years and then every 24 weeks thereafter up to Year 5

    Outcome Measure Data

    Analysis Population Description
    Subgroup of participants from evaluable population who had MCyR.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM.
    Measure Participants 107 49
    Number (95% Confidence Interval) [% probability of retaining MCyR]
    67.2
    79.8
    23. Secondary Outcome
    Title Time to Achieve Major Cytogenetic Response (MCyR) in Chronic Phase Second-line CML for Responders Only - Part 2
    Description MCyR was categorized as either CCyR or PCyR. CCyR was achieved when there was 0% Ph+ cells from at least 20 metaphases from conventional bone marrow cytogenetics or <1% positive cells from at least 200 cells analyzed from FISH. PCyR was achieved when 1 to 35% Ph+ cells were present. Time to MCyR was the interval from the date of first dose of study medication until the first date of achieving a given response. Time to response in weeks equals (=) (event date minus (-) first dose date plus (+) 1)divided (/)7, where the event date is the non-missing date of the first attained response for responders only.
    Time Frame Week 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter up to Year 5

    Outcome Measure Data

    Analysis Population Description
    Cytogenetic evaluable population included all enrolled participants who received at least one dose of study medication and had an adequate baseline cytogenetic assessment.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM.
    Measure Participants 107 49
    Median (95% Confidence Interval) [weeks]
    12.3
    12.1
    24. Secondary Outcome
    Title Kaplan-Meier Estimate of Maintaining Complete Hematologic Response (CHR) at Year 4 (CP3L and ADV) or Year 5 (CP2L) - Part 2
    Description Hematologic response: if participants met all of the following criteria of CHR: White Blood Cells equal to or less than (≤) institutional upper limit of normal, no peripheral blood blasts or promyelocytes, myelocytes+metamyelocytes <5% in blood, absolute neutrophil count greater than or equal to (≥) 1.0×10^9 per liter (/L) , platelets ≥100×10^9/L & <450×10^9/L, <20% basophils in blood & no extramedually involvement (including hepato- or splenomegaly), ≤5% BM blasts (ADV only & applicable to CP if BM aspirate was performed). The duration of CHR was defined as the interval from the first date of response until the first date of confirmed loss of response. Duration of response in weeks =(date of confirmed loss of attained response or last valid hematologic assessment for those censored - date of first confirmed response)/7. The Kaplan-Meier estimate of maintaining CHR at the end of minimum follow-up is presented (CP2L: Year 5; CP3L & ADV: Year 4). NA = not estimable. NA = not estimable.
    Time Frame From date of first confirmed CHR to loss of CHR or censoring, assessed at Day 1 and 7 of Week 1, Day 7 of Week 2, 3, 4, 8, 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter up to Year 4 (CP3L and ADV) or Year 5 (CP2L)

    Outcome Measure Data

    Analysis Population Description
    Subgroup of participants from evaluable population who had confirmed CHR.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) Bosutinib 500 mg, AP-CML IM R/I (Part 2) Bosutinib 500 mg, AP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, BP-CML IM R/I (Part 2) Bosutinib 500 mg, BP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. Bosutinib 500 mg was administered orally once-daily in participants with AP IM R/I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with AP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with BP IM R/I CML ; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with BP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 169 76 4 26 37 19 17 7 9 1 2
    Number (95% Confidence Interval) [% estimate of maintaining response]
    61.5
    78.2
    50.0
    56.5
    69.9
    61.9
    47.1
    64.3
    NA
    NA
    100
    25. Secondary Outcome
    Title Duration of Complete Hematologic Response (CHR) - Part 2
    Description Hematologic response: if participants met all of the following criteria of CHR: White Blood Cells equal to or less than (≤) institutional upper limit of normal, no peripheral blood blasts or promyelocytes, myelocytes+metamyelocytes less than (<)5% in blood, absolute neutrophil count greater than or equal to (≥) 1.0×10^9 per liter (/L) , platelets <450×10^9/L, platelets ≥100×10^9/L, <20% basophils in blood and no extramedually involvement (including hepato- or splenomegaly), ≤5% BM blasts (required for ADV only and applicable to CP if BM aspirate was performed). The duration of CHR was defined as the interval from the first date of response until the first date of confirmed loss of response. Duration of response in weeks =(date of confirmed loss of attained response or last valid hematologic assessment for those censored - date of first confirmed response)/7. NA = not estimable.
    Time Frame From date of first confirmed CHR to loss of CHR or censoring, assessed at Day 1 and 7 of Week 1, Day 7 of Week 2, 3, 4, 8, 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter up to Year 4 (CP3L and ADV) or Year 5 (CP2L)

    Outcome Measure Data

    Analysis Population Description
    Subgroup of participants from evaluable population who had confirmed CHR.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) Bosutinib 500 mg, AP-CML IM R/I (Part 2) Bosutinib 500 mg, AP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, BP-CML IM R/I (Part 2) Bosutinib 500 mg, BP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. Bosutinib 500 mg was administered orally once-daily in participants with AP IM R/I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with AP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with BP IM R/I CML ; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with BP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 169 76 4 26 37 19 17 7 9 1 2
    Median (95% Confidence Interval) [weeks]
    NA
    350.4
    NA
    NA
    295.6
    NA
    138.0
    NA
    28.6
    40.0
    NA
    26. Secondary Outcome
    Title Time to Achieve Complete Hematologic Response (CHR) for Responders Only - Part 2
    Description The time to CHR was measured from the date of first dosing to the first date of response. Time to response in weeks = (event date - first dose date plus 1)/7, where the event date is the non-missing date of the first attained response for responders only.
    Time Frame Day 1 and 7 of Week 1, Day 7 of Week 2, 3, 4, 8, 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter up to Year 4 (CP3L and ADV) or Year 5 (CP2L)

    Outcome Measure Data

    Analysis Population Description
    Hematologic evaluable population included all enrolled participants who received at least one dose of study medication and had an adequate baseline hematologic assessment - responders only.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) Bosutinib 500 mg, AP-CML IM R/I (Part 2) Bosutinib 500 mg, AP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, BP-CML IM R/I (Part 2) Bosutinib 500 mg, BP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. Bosutinib 500 mg was administered orally once-daily in participants with AP IM R/I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with AP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with BP IM R/I CML ; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with BP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 169 76 4 26 37 19 17 7 9 1 2
    Median (95% Confidence Interval) [weeks]
    2.0
    1.3
    1.6
    1.2
    1.3
    2.4
    12.1
    12.1
    8.0
    12.1
    10.0
    27. Secondary Outcome
    Title Cumulative Incidence of Progression/Death - Part 2
    Description The cumulative incidence of on-treatment progression or death adjusting for the competing risk of treatment discontinuation without the event. Disease progression was determined by the investigator as the reason for treatment discontinuation and death was due to any cause within 30 days of last dose. Duration in months = (date of PD/death or last valid cytogenetic/hematologic assessment if censored - first dose date)/30.4. 95% confidence intervals were calculated using Gray's method. NA = not estimable. One year = 12 months.
    Time Frame Years 1, 2, 3, 4, and 5 (CP2L only)

    Outcome Measure Data

    Analysis Population Description
    All-treated population included all enrolled participants who received at least one dose of study medication.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) Bosutinib 500 mg, AP-CML IM R/I (Part 2) Bosutinib 500 mg, AP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, BP-CML IM R/I (Part 2) Bosutinib 500 mg, BP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. Bosutinib 500 mg was administered orally once-daily in participants with AP IM R/I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with AP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with BP IM R/I CML ; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with BP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 195 89 5 38 50 26 49 30 36 28 24
    Year 1
    10.8
    5.5%
    4.5
    5.1%
    20.0
    400%
    23.7
    62.4%
    12.0
    24%
    23.1
    88.8%
    28.6
    36.2%
    20.0
    31.3%
    47.2
    196.7%
    71.4
    12.5%
    58.3
    NaN
    Year 2
    19.0
    9.7%
    6.7
    7.5%
    40.0
    800%
    23.7
    62.4%
    14.0
    28%
    30.8
    118.5%
    42.9
    54.3%
    23.3
    36.4%
    50.0
    208.3%
    71.4
    12.5%
    58.3
    NaN
    Year 3
    22.1
    11.3%
    9.0
    10.1%
    40.0
    800%
    23.7
    62.4%
    16.0
    32%
    34.6
    133.1%
    44.9
    56.8%
    26.7
    41.7%
    50.0
    208.3%
    75.0
    13.2%
    58.3
    NaN
    Year 4
    22.6
    11.6%
    9.0
    10.1%
    40.0
    800%
    23.7
    62.4%
    16.0
    32%
    34.6
    133.1%
    44.9
    56.8%
    26.7
    41.7%
    50.0
    208.3%
    75.0
    13.2%
    58.3
    NaN
    Year 5
    23.1
    11.8%
    10.1
    11.3%
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    28. Secondary Outcome
    Title Progression Free Survival (PFS) - Part 2
    Description PFS was based on Kaplan-Meier method. Disease progression was determined by the investigator as the reason for treatment discontinuation and death was due to any cause within 30 days of last dose. Duration in months = (date of PD/death or last valid cytogenetic/hematologic assessment if censored - first dose date)/30.4. NA = not estimable. One year = 12 months
    Time Frame Years 1, 2, 3, 4, and 5 (CP2L only)

    Outcome Measure Data

    Analysis Population Description
    All-treated population included all enrolled participants who received at least one dose of study medication.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) Bosutinib 500 mg, AP-CML IM R/I (Part 2) Bosutinib 500 mg, AP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, BP-CML IM R/I (Part 2) Bosutinib 500 mg, BP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. Bosutinib 500 mg was administered orally once-daily in participants with AP IM R/I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with AP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with BP IM R/I CML ; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with BP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 195 89 5 38 50 26 49 30 36 28 24
    Median (95% Confidence Interval) [Months]
    NA
    81.5
    NA
    NA
    NA
    NA
    20.4
    35.4
    7.9
    1.8
    1.5
    29. Secondary Outcome
    Title Kaplan-Meier Estimate of Overall Survival (OS) - Part 2
    Description OS was based on Kaplan-Meier method. Survival was defined as the time period from the date of first dose of bosutinib to the date of death or date of last contact for those censored. NA = not estimable. One year = 12 months.
    Time Frame Years 1, 2, 3, 4, and 5 (CP2L only)

    Outcome Measure Data

    Analysis Population Description
    All-treated population included all enrolled participants who received at least 1 dose of study medication.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) Bosutinib 500 mg, AP-CML IM R/I (Part 2) Bosutinib 500 mg, AP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, BP-CML IM R/I (Part 2) Bosutinib 500 mg, BP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. Bosutinib 500 mg was administered orally once-daily in participants with AP IM R/I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with AP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with BP IM R/I CML ; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with BP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 195 89 5 38 50 26 49 30 36 28 24
    Year 1
    96.3
    49.4%
    98.9
    111.1%
    100
    2000%
    85.8
    225.8%
    91.8
    183.6%
    96.2
    370%
    81.3
    102.9%
    72.9
    113.9%
    44.3
    184.6%
    39.3
    6.9%
    16.7
    NaN
    Year 2
    88.2
    45.2%
    97.7
    109.8%
    80.0
    1600%
    79.7
    209.7%
    83.3
    166.6%
    92.3
    355%
    72.7
    92%
    59.0
    92.2%
    41.3
    172.1%
    25.0
    4.4%
    8.3
    NaN
    Year 3
    84.1
    43.1%
    93.0
    104.5%
    80.0
    1600%
    66.1
    173.9%
    83.3
    166.6%
    86.5
    332.7%
    70.1
    88.7%
    45.1
    70.5%
    41.3
    172.1%
    16.7
    2.9%
    8.3
    NaN
    Year 4
    81.5
    41.8%
    93.0
    104.5%
    80.0
    1600%
    66.1
    173.9%
    79.3
    158.6%
    86.5
    332.7%
    65.7
    83.2%
    45.1
    70.5%
    20.7
    86.3%
    16.7
    2.9%
    8.3
    NaN
    Year 5
    80.6
    41.3%
    88.4
    99.3%
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    30. Secondary Outcome
    Title Overall Survival (OS) - Part 2
    Description OS was based on Kaplan-Meier method. Survival was defined as the time period from the date of first dose of bosutinib to the date of death or date of last contact for those censored. NA = not estimable. One year = 12 months.
    Time Frame Years 1, 2, 3, 4, and 5 (CP2L only)

    Outcome Measure Data

    Analysis Population Description
    All-treated population included all enrolled participants who received at least 1 dose of study medication.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) Bosutinib 500 mg, AP-CML IM R/I (Part 2) Bosutinib 500 mg, AP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, BP-CML IM R/I (Part 2) Bosutinib 500 mg, BP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. Bosutinib 500 mg was administered orally once-daily in participants with AP IM R/I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with AP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with BP IM R/I CML ; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with BP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 195 89 5 38 50 26 49 30 36 28 24
    Median (95% Confidence Interval) [Months]
    NA
    81.5
    NA
    NA
    NA
    NA
    NA
    33.4
    11.2
    8.9
    3.6
    31. Secondary Outcome
    Title Percentage of Participants With Confirmed Complete Hematologic Response (CHR) - Part 2
    Description Hematologic response: if participants met all of the following criteria of CHR: White Blood Cells ≤ institutional upper limit of normal, no peripheral blood blasts or promyelocytes, myelocytes+metamyelocytes <5% in blood, absolute neutrophil count ≥ 1.0×10^9/L , platelets <450×10^9/L, platelets ≥100×10^9/L, <20% basophils in blood and no extramedually involvement (including hepato- or splenomegaly), ≤5% BM blasts (required for ADV only and applicable to CP if BM aspirate was performed).
    Time Frame Day 1 and 7 of Week 1, Day 7 of Week 2, 3, 4, 8, 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter up to Year 4 (CP3L and ADV) or Year 5 (CP2L)

    Outcome Measure Data

    Analysis Population Description
    Hematologic evaluable population included all enrolled participants who received at least one dose of study medication and had an adequate baseline hematologic assessment.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) Bosutinib 500 mg, AP-CML IM R/I (Part 2) Bosutinib 500 mg, AP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, BP-CML IM R/I (Part 2) Bosutinib 500 mg, BP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. Bosutinib 500 mg was administered orally once-daily in participants with AP IM R/I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with AP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with BP IM R/I CML ; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with BP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 194 89 5 38 49 25 43 29 34 26 22
    Number (95% Confidence Interval) [percentage of participants]
    87.1
    44.7%
    85.4
    96%
    80.0
    1600%
    68.4
    180%
    75.5
    151%
    76.0
    292.3%
    39.5
    50%
    24.1
    37.7%
    26.5
    110.4%
    3.8
    0.7%
    9.1
    NaN
    32. Secondary Outcome
    Title Percentage of Participants With Overall Hematologic Response (OHR) by Week 48 in Advanced Leukemia Population - Part 2
    Description OHR included CHR, no evidence of leukemia (≤5% bone marrow blasts, no peripheral blood blasts or promyelocytes, <5% myelocytes + metamyelocytes in blood, white blood cells ≤ institutional upper limit of normal, 450x10^9/L > platelets > 20x10^9/L, absolute neutrophil count ≥0.5x10^9/L, <20% basophils in blood, no extramedullary involvement [including liver or spleen]), minor hematologic response (acute lymphoblastic leukemia [ALL] patients only, defined as <15% blasts in marrow & blood, <30% blasts + promyelocytes in marrow & blood, <20% basophils in peripheral blood & no extramedullary disease other than spleen & liver) or return to chronic phase (AP/BP participants, defined as <15% blasts in both peripheral blood &bone marrow, <30% blasts + promyelocytes in both peripheral blood & bone marrow, <20% basophils in both peripheral blood & bone marrow, no extramedullary Involvement other than liver or spleen). Participants had to meet at least 1 criterion.
    Time Frame Day 1 and 7 of Week 1, Day 7 of Week 2, 3, 4, 8, 12, thereafter assessed every 12 weeks up to 1 year

    Outcome Measure Data

    Analysis Population Description
    Hematologic evaluable population included all enrolled participants who received at least one dose of study medication and had an adequate baseline hematologic assessment.
    Arm/Group Title Bosutinib 500 mg, AP-CML IM R/I (Part 2) Bosutinib 500 mg, AP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, BP-CML IM R/I (Part 2) Bosutinib 500 mg, BP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with AP IM R/I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with AP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with BP IM R/I CML ; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with BP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 43 29 34 26 22
    Number (95% Confidence Interval) [percentage of participants]
    67.4
    34.6%
    41.4
    46.5%
    38.2
    764%
    15.4
    40.5%
    9.1
    18.2%
    33. Secondary Outcome
    Title Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
    Description An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state.
    Time Frame Baseline up to follow up visit (30 days after last dose of study treatment)

    Outcome Measure Data

    Analysis Population Description
    Safety population included all participants who receive at least one dose of study medication.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) Bosutinib 500 mg, AP-CML IM R/I (Part 2) Bosutinib 500 mg, AP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, BP-CML IM R/I (Part 2) Bosutinib 500 mg, BP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. Bosutinib 500 mg was administered orally once-daily in participants with AP IM R/I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with AP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with BP IM R/I CML ; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with BP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 195 89 5 38 50 26 49 30 36 28 24
    AEs
    99.5
    51%
    100.0
    112.4%
    100.0
    2000%
    100.0
    263.2%
    100.0
    200%
    100.0
    384.6%
    100.0
    126.6%
    100.0
    156.3%
    97.2
    405%
    100.0
    17.5%
    95.8
    NaN
    SAEs
    41.5
    21.3%
    38.2
    42.9%
    20.0
    400%
    39.5
    103.9%
    38.0
    76%
    19.2
    73.8%
    49.0
    62%
    63.3
    98.9%
    55.6
    231.7%
    60.7
    10.6%
    70.8
    NaN
    34. Secondary Outcome
    Title Duration of Potentially Clinically Important (PCI) Adverse Events (AEs)
    Description An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. The event did not necessarily have a causal relationship with the treatment. PCI AEs included anemia, alanine aminotranferase (ALT), aspartate aminotransferase (AST), cardiac, diarrhea, edema, effusion, gastrointestinal, hemorrhage, hypersensitivity, hypertension, infection, liver, myelosuppression, nausea, neutropenia, rash, renal, thrombocytopenia, vomiting, and vascular events. Duration of AE was calculated as (stop date minus start date) plus 1 for non-missing and non-partial dates. NA = not estimable.
    Time Frame Baseline up to follow-up visit (30 days after last dose of study treatment)

    Outcome Measure Data

    Analysis Population Description
    Safety population included all participants who receive at least one dose of study medication.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. All participants who received bosutinib 500 mg orally once daily in AP CML who were IM R/I or multiple tyrosine kinase inhibitor (Multi-TKI): IM, D and/or NI R/I. All participants who received bosutinib 500 mg orally once daily in blast phase (BP) CML who were IM R/I or Multi-TKI: IM, D and/or NI R/I. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 195 89 5 38 50 26 79 64 24
    Anaemia
    14.0
    36.0
    38.0
    19.0
    13.0
    61.0
    12.5
    4.0
    7.0
    ALT
    29.0
    15.0
    NA
    21.5
    8.0
    21.0
    21.5
    7.5
    3.0
    AST
    29.0
    13.5
    NA
    18.0
    8.5
    15.0
    14.0
    2.0
    5.0
    Diarrhoea
    1.0
    2.0
    2.0
    2.0
    2.0
    1.0
    2.0
    2.0
    3.0
    Effusion
    18.5
    29.0
    79.5
    20.0
    28.0
    20.0
    21.0
    58.0
    5.0
    Infection
    10.0
    9.5
    11.5
    8.0
    9.0
    8.0
    9.0
    9.5
    9.0
    Nausea
    2.0
    4.0
    4.0
    2.0
    14.0
    2.0
    6.0
    6.5
    9.0
    Neutropenia
    23.0
    15.0
    23.0
    14.5
    21.0
    26.0
    8.0
    5.0
    6.5
    Oedema
    29.0
    81.5
    4.0
    1.0
    12.5
    28.0
    88.5
    11.0
    5.0
    Rash
    15.0
    13.0
    17.0
    12.0
    19.0
    12.5
    13.0
    7.5
    12.0
    Renal events
    27.0
    190.0
    1167.0
    162.0
    11.0
    56.5
    26.0
    9.0
    12.0
    Thrombocytopenia
    22.0
    15.0
    38.5
    15.0
    15.0
    21.5
    11.5
    5.0
    9.0
    Vomiting
    1.0
    1.0
    NA
    1.0
    2.0
    7.0
    1.0
    1.0
    1.5
    Cardiac events
    11.0
    6.0
    NA
    7.5
    22.0
    1.0
    14.0
    3.0
    1.5
    Vascular events
    3.5
    6.0
    NA
    10.5
    1.5
    10.0
    2.0
    1.0
    1.0
    Hypertension
    16.0
    1.0
    NA
    7.0
    1.0
    NA
    5.0
    NA
    2.0
    Gastrointestinal events
    1.0
    2.0
    2.0
    2.0
    2.0
    2.0
    2.0
    3.0
    4.0
    Haemorrhage
    10.0
    16.0
    23.0
    4.0
    27.5
    7.5
    6.0
    4.0
    3.5
    Hypersensitivity
    9.0
    8.0
    NA
    7.0
    6.0
    5.0
    1.0
    NA
    NA
    Liver
    29.0
    16.0
    8.0
    25.5
    9.0
    21.0
    16.0
    8.0
    5.0
    Myelosuppression
    22.0
    18.0
    28.0
    15.0
    15.0
    27.0
    11.5
    5.0
    7.0
    35. Secondary Outcome
    Title Percentage of Participants With Change From Baseline in Laboratory Tests Results
    Description Laboratory assessments included urinalysis, complete blood count (CBC), prothrombin time/partial prothromboplastin time (PT/PPT), international normalized ratio (INR), blood chemistry and serum pregnancy test (β-HCG). Parameters of special interest included liver function tests and those related to myelosuppression. Potentially clinically important (PCI) laboratory values were defined as National Cancer Institute Common Terminology Criteria for Adverse Events Version 3.0 (NCI CTCAE v3.0) grade 3 or higher. Maximum CTCAE grade, and only participants who shifted to Grade 3/4 on-treatment, are reported.
    Time Frame Week 1, 2, 3, 4, 8, 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter

    Outcome Measure Data

    Analysis Population Description
    Safety population included all participants who receive at least one dose of study medication.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. All participants who received bosutinib 500 mg orally once daily in AP CML who were IM R/I or multiple tyrosine kinase inhibitor (Multi-TKI): IM, D and/or NI R/I. All participants who received bosutinib 500 mg orally once daily in blast phase (BP) CML who were IM R/I or Multi-TKI: IM, D and/or NI R/I. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 195 89 5 38 50 26 79 64 24
    Hemoglobin: shift from Normal to Grade 3
    0.5
    0.3%
    1.1
    1.2%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    3.8
    14.6%
    5.1
    6.5%
    1.6
    2.5%
    0.0
    0%
    Hemoglobin: shift from Normal to Grade 4
    1.0
    0.5%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    Hemoglobin: shift from Grade 1 to Grade 3
    3.6
    1.8%
    10.1
    11.3%
    0.0
    0%
    2.6
    6.8%
    0.0
    0%
    0.0
    0%
    7.6
    9.6%
    6.3
    9.8%
    8.3
    34.6%
    Hemoglobin: shift from Grade 1 to Grade 4
    1.5
    0.8%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    4.0
    8%
    0.0
    0%
    1.3
    1.6%
    3.1
    4.8%
    0.0
    0%
    Hemoglobin: shift from Grade 2 to Grade 3
    3.1
    1.6%
    6.7
    7.5%
    0.0
    0%
    7.9
    20.8%
    0.0
    0%
    0.0
    0%
    10.1
    12.8%
    15.6
    24.4%
    16.7
    69.6%
    Hemoglobin: shift from Grade 2 to Grade 4
    2.1
    1.1%
    1.1
    1.2%
    0.0
    0%
    0.0
    0%
    4.0
    8%
    0.0
    0%
    2.5
    3.2%
    4.7
    7.3%
    4.2
    17.5%
    Hemoglobin: shift from Grade 3 to Grade 4
    0.5
    0.3%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    5.1
    6.5%
    4.7
    7.3%
    0.0
    0%
    Absolute neutrophils (ANC): Normal to Grade 3
    7.2
    3.7%
    9.0
    10.1%
    0.0
    0%
    5.3
    13.9%
    4.0
    8%
    11.5
    44.2%
    10.1
    12.8%
    3.1
    4.8%
    0.0
    0%
    ANC: shift from Normal to Grade 4
    2.1
    1.1%
    3.4
    3.8%
    20.0
    400%
    7.9
    20.8%
    4.0
    8%
    3.8
    14.6%
    2.5
    3.2%
    3.1
    4.8%
    0.0
    0%
    ANC: shift from Grade 1 to Grade 3
    0.0
    0%
    2.2
    2.5%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    2.5
    3.2%
    7.8
    12.2%
    12.5
    52.1%
    ANC: shift from Grade 1 to Grade 4
    0.5
    0.3%
    0.0
    0%
    0.0
    0%
    2.6
    6.8%
    2.0
    4%
    0.0
    0%
    1.3
    1.6%
    20.3
    31.7%
    4.2
    17.5%
    ANC: shift from Grade 2 to Grade 3
    1.0
    0.5%
    3.4
    3.8%
    0.0
    0%
    2.6
    6.8%
    2.0
    4%
    0.0
    0%
    3.8
    4.8%
    0.0
    0%
    0.0
    0%
    ANC: shift from Grade 2 to Grade 4
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    1.3
    1.6%
    3.1
    4.8%
    8.3
    34.6%
    ANC: shift from Grade 3 to Grade 4
    0.0
    0%
    1.1
    1.2%
    0.0
    0%
    0.0
    0%
    2.0
    4%
    0.0
    0%
    0.0
    0%
    4.7
    7.3%
    8.3
    34.6%
    Platelet count: shift from Normal to Grade 3
    13.3
    6.8%
    13.5
    15.2%
    0.0
    0%
    15.8
    41.6%
    12.0
    24%
    7.7
    29.6%
    11.4
    14.4%
    4.7
    7.3%
    4.2
    17.5%
    Platelet count: shift from Normal to Grade 4
    3.6
    1.8%
    7.9
    8.9%
    0.0
    0%
    0.0
    0%
    8.0
    16%
    15.4
    59.2%
    7.6
    9.6%
    1.6
    2.5%
    0.0
    0%
    Platelet count: shift from Grade 1 to Grade 3
    3.6
    1.8%
    5.6
    6.3%
    0.0
    0%
    2.6
    6.8%
    2.0
    4%
    3.8
    14.6%
    5.1
    6.5%
    3.1
    4.8%
    4.2
    17.5%
    Platelet count: shift from Grade 1 to Grade 4
    1.5
    0.8%
    1.1
    1.2%
    0.0
    0%
    2.6
    6.8%
    4.0
    8%
    0.0
    0%
    6.3
    8%
    6.3
    9.8%
    0.0
    0%
    Platelet count: shift from Grade 2 to Grade 3
    0.5
    0.3%
    2.2
    2.5%
    20.0
    400%
    0.0
    0%
    2.0
    4%
    0.0
    0%
    3.8
    4.8%
    4.7
    7.3%
    0.0
    0%
    Platelet count: shift from Grade 2 to Grade 4
    0.5
    0.3%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    1.3
    1.6%
    4.7
    7.3%
    0.0
    0%
    Platelet count: shift from Grade 3 to Grade 4
    1.0
    0.5%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    2.0
    4%
    0.0
    0%
    5.1
    6.5%
    10.9
    17%
    29.2
    121.7%
    ALT: shift from Normal to Grade 3
    8.7
    4.5%
    12.4
    13.9%
    0.0
    0%
    0.0
    0%
    10.0
    20%
    15.4
    59.2%
    5.1
    6.5%
    1.6
    2.5%
    0.0
    0%
    ALT: shift from Grade 1 to Grade 3
    1.0
    0.5%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    3.8
    4.8%
    0.0
    0%
    0.0
    0%
    AST: shift from Normal to Grade 3
    4.1
    2.1%
    7.9
    8.9%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    7.7
    29.6%
    2.5
    3.2%
    1.6
    2.5%
    0.0
    0%
    AST: shift from Normal to Grade 4
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    3.8
    14.6%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    AST: shift from Grade 1 to Grade 3
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    2.0
    4%
    0.0
    0%
    2.5
    3.2%
    0.0
    0%
    0.0
    0%
    ALP: shift from Normal to Grade 3
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    1.3
    1.6%
    0.0
    0%
    0.0
    0%
    ALP: shift from Grade 1 to Grade 3
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    1.6
    2.5%
    0.0
    0%
    Total bilirubin: shift from Normal to Grade 3
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    2.0
    4%
    0.0
    0%
    0.0
    0%
    6.3
    9.8%
    4.2
    17.5%
    ALT: shift from Normal to Grade 4
    0.0
    0%
    2.2
    2.5%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    3.8
    14.6%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    Total bilirubin: shift from Grade 2 to Grade 3
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    2.0
    4%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    0.0
    0%
    36. Secondary Outcome
    Title Percentage of Participants With On-treatment PCI Change From Baseline in Electrocardiogram (ECG) Findings
    Description Criteria for PCI changes in ECG (12-lead) were defined as: no sinus rhythm; PR interval >=220 msec and increase of >=20 msec; QRS interval >=120 msec; QT interval corrected using the Fridericia formula (QTcF) and QT interval corrected using the Bazett formula (QTcB) >500 msec or increase of >60 msec; heart rate <=45 beats per minute (bpm) or >=120 bpm or decrease/increase of >=15 bpm.
    Time Frame Baseline, 0 (pre-dose), 2, 4, 6 hours on Day 1, 0 (pre-dose), 2, 4, 6, 20-23 hours on Day 21, and end of treatment visit

    Outcome Measure Data

    Analysis Population Description
    Safety population included all participants who receive at least one dose of study medication. 'N' (Number of Participants Analyzed) signifies number of participants who were evaluable for this measure.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. All participants who received bosutinib 500 mg orally once daily in AP CML who were IM R/I or multiple tyrosine kinase inhibitor (Multi-TKI): IM, D and/or NI R/I. All participants who received bosutinib 500 mg orally once daily in blast phase (BP) CML who were IM R/I or Multi-TKI: IM, D and/or NI R/I. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 195 89 5 37 50 26 78 62 23
    Number [Percentage of participants]
    32.3
    16.6%
    23.6
    26.5%
    20.0
    400%
    24.3
    63.9%
    22.0
    44%
    23.1
    88.8%
    39.7
    50.3%
    59.7
    93.3%
    34.8
    145%
    37. Secondary Outcome
    Title Number of Participants With Change From Baseline in Findings of Chest X-ray
    Description Number of participants whose chest X-ray results changed (worsened or improved) from the Baseline.
    Time Frame Baseline, Week 8, and end of treatment

    Outcome Measure Data

    Analysis Population Description
    Safety population included all participants who received at lease one dose of study medication.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. All participants who received bosutinib 500 mg orally once daily in AP CML who were IM R/I or multiple tyrosine kinase inhibitor (Multi-TKI): IM, D and/or NI R/I. All participants who received bosutinib 500 mg orally once daily in blast phase (BP) CML who were IM R/I or Multi-TKI: IM, D and/or NI R/I. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 195 89 5 38 50 26 79 64 24
    Worsened From Baseline
    35
    17.9%
    18
    20.2%
    1
    20%
    6
    15.8%
    18
    36%
    3
    11.5%
    16
    20.3%
    10
    15.6%
    3
    12.5%
    Improved From Baseline
    15
    7.7%
    7
    7.9%
    0
    0%
    4
    10.5%
    1
    2%
    3
    11.5%
    6
    7.6%
    11
    17.2%
    1
    4.2%
    Total
    50
    25.6%
    25
    28.1%
    1
    20%
    10
    26.3%
    19
    38%
    6
    23.1%
    22
    27.8%
    21
    32.8%
    4
    16.7%
    38. Secondary Outcome
    Title Number of Participants Who Received Concomitant Medications for Management of Adverse Events (AEs)
    Description Number of participants taking any non-study medications which were administered from Study Day 1 to 30 days after last dose of study treatment as a management of an AE are reported.
    Time Frame Baseline and Weeks 1, 2, 3, 4, 8, 12, then every 12 weeks thereafter until end of treatment, for a mean duration of 28 months

    Outcome Measure Data

    Analysis Population Description
    Safety population included all participants who receive at least one dose of study medication.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. All participants who received bosutinib 500 mg orally once daily in AP CML who were IM R/I or multiple tyrosine kinase inhibitor (Multi-TKI): IM, D and/or NI R/I. All participants who received bosutinib 500 mg orally once daily in blast phase (BP) CML who were IM R/I or Multi-TKI: IM, D and/or NI R/I. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 195 89 5 38 50 26 79 64 24
    ALT
    7
    3.6%
    3
    3.4%
    0
    0%
    0
    0%
    0
    0%
    1
    3.8%
    1
    1.3%
    0
    0%
    0
    0%
    AST
    5
    2.6%
    3
    3.4%
    0
    0%
    2
    5.3%
    3
    6%
    4
    15.4%
    2
    2.5%
    0
    0%
    0
    0%
    Anemia
    6
    3.1%
    8
    9%
    2
    40%
    2
    5.3%
    2
    4%
    1
    3.8%
    6
    7.6%
    1
    1.6%
    1
    4.2%
    Cardiac events
    13
    6.7%
    4
    4.5%
    0
    0%
    2
    5.3%
    6
    12%
    0
    0%
    7
    8.9%
    2
    3.1%
    1
    4.2%
    Gastrointestinal toxicity - Diarrhoea
    120
    61.5%
    46
    51.7%
    2
    40%
    22
    57.9%
    26
    52%
    14
    53.8%
    44
    55.7%
    22
    34.4%
    10
    41.7%
    Effusion
    11
    5.6%
    5
    5.6%
    1
    20%
    3
    7.9%
    9
    18%
    1
    3.8%
    9
    11.4%
    2
    3.1%
    0
    0%
    Haemorrhage
    12
    6.2%
    3
    3.4%
    0
    0%
    1
    2.6%
    0
    0%
    1
    3.8%
    4
    5.1%
    6
    9.4%
    3
    12.5%
    Hypertension
    15
    7.7%
    4
    4.5%
    0
    0%
    2
    5.3%
    4
    8%
    1
    3.8%
    7
    8.9%
    2
    3.1%
    2
    8.3%
    Hypersensitivity reactions
    5
    2.6%
    2
    2.2%
    0
    0%
    4
    10.5%
    2
    4%
    2
    7.7%
    1
    1.3%
    1
    1.6%
    0
    0%
    Infection
    92
    47.2%
    39
    43.8%
    4
    80%
    11
    28.9%
    18
    36%
    10
    38.5%
    37
    46.8%
    30
    46.9%
    7
    29.2%
    Hepatic events
    10
    5.1%
    5
    5.6%
    0
    0%
    0
    0%
    0
    0%
    2
    7.7%
    3
    3.8%
    3
    4.7%
    0
    0%
    Gastrointestinal toxicity - Nausea
    33
    16.9%
    25
    28.1%
    1
    20%
    11
    28.9%
    10
    20%
    8
    30.8%
    19
    24.1%
    23
    35.9%
    7
    29.2%
    Neutropenia
    2
    1%
    5
    5.6%
    1
    20%
    5
    13.2%
    1
    2%
    1
    3.8%
    6
    7.6%
    5
    7.8%
    2
    8.3%
    Rash
    44
    22.6%
    37
    41.6%
    2
    40%
    8
    21.1%
    16
    32%
    3
    11.5%
    20
    25.3%
    9
    14.1%
    2
    8.3%
    Oedema
    13
    6.7%
    9
    10.1%
    1
    20%
    3
    7.9%
    3
    6%
    0
    0%
    7
    8.9%
    7
    10.9%
    3
    12.5%
    Renal
    2
    1%
    2
    2.2%
    0
    0%
    0
    0%
    1
    2%
    0
    0%
    4
    5.1%
    3
    4.7%
    0
    0%
    Thrombocytopenia
    4
    2.1%
    2
    2.2%
    3
    60%
    10
    26.3%
    19
    38%
    13
    50%
    3
    3.8%
    3
    4.7%
    0
    0%
    Vascular events
    6
    3.1%
    3
    3.4%
    0
    0%
    0
    0%
    3
    6%
    0
    0%
    2
    2.5%
    1
    1.6%
    0
    0%
    Gastrointestinal toxicity - Vomiting
    25
    12.8%
    9
    10.1%
    0
    0%
    5
    13.2%
    7
    14%
    4
    15.4%
    17
    21.5%
    14
    21.9%
    4
    16.7%
    39. Secondary Outcome
    Title Number of Participants With Change From Baseline in Eastern Cooperative Oncology Group Performance Status (ECOG-PS)
    Description ECOG-PS measured on-therapy (time between first dose and last dose date with a 30-day lag) assessed participant's performance status on 5 point scale: 0=Fully active/able to carry on all pre-disease activities without restriction;1=restricted in physically strenuous activity, ambulatory/able to carry out light or sedentary work;2=ambulatory (>50% of waking hrs), capable of all self care, unable to carry out any work activities;3=capable of only limited self care, confined to bed/chair >50% of waking hrs;4=completely disabled, cannot carry on any self care, totally confined to bed/chair;5=dead.
    Time Frame Baseline, Week 1, 2, 8, 12, thereafter assessed every 12 weeks up to 2 years then every 24 weeks thereafter

    Outcome Measure Data

    Analysis Population Description
    Safety population included all participants who receive at least one dose of study medication.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) Bosutinib 500 mg, AP-CML IM R/I (Part 2) Bosutinib 500 mg, AP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, BP-CML IM R/I (Part 2) Bosutinib 500 mg, BP-CML Multi-TKI R/I (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. Bosutinib 500 mg was administered orally once-daily in participants with AP IM R/I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with AP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with BP IM R/I CML ; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with BP Multi-TKI: IM, D and/or NI R/I CML. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 195 89 5 38 50 26 49 30 36 28 24
    Baseline: Grade 0; maximum on-therapy: Grade 0
    92
    47.2%
    36
    40.4%
    2
    40%
    21
    55.3%
    20
    40%
    19
    73.1%
    17
    21.5%
    9
    14.1%
    9
    37.5%
    2
    0.4%
    2
    NaN
    Baseline: Grade 0; maximum on-therapy: Grade 1
    50
    25.6%
    25
    28.1%
    0
    0%
    5
    13.2%
    8
    16%
    5
    19.2%
    11
    13.9%
    5
    7.8%
    47
    195.8%
    2
    0.4%
    4
    NaN
    Baseline: Grade 0; maximum on-therapy: Grade 2
    3
    1.5%
    3
    3.4%
    0
    0%
    0
    0%
    1
    2%
    0
    0%
    0
    0%
    1
    1.6%
    0
    0%
    1
    0.2%
    2
    NaN
    Baseline: Grade 0; maximum on-therapy: Grade 3
    4
    2.1%
    2
    2.2%
    0
    0%
    1
    2.6%
    1
    2%
    0
    0%
    1
    1.3%
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    Baseline: Grade 0; maximum on-therapy: Grade 4
    2
    1%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    Baseline: Grade 1; maximum on-therapy: Grade 0
    0
    0%
    0
    0%
    0
    0%
    2
    5.3%
    0
    0%
    0
    0%
    0
    0%
    1
    1.6%
    3
    12.5%
    1
    0.2%
    1
    NaN
    Baseline: Grade 1; maximum on-therapy: Grade 1
    32
    16.4%
    13
    14.6%
    2
    40%
    7
    18.4%
    13
    26%
    2
    7.7%
    14
    17.7%
    7
    10.9%
    7
    29.2%
    5
    0.9%
    3
    NaN
    Baseline: Grade 1; maximum on-therapy: Grade 2
    10
    5.1%
    6
    6.7%
    1
    20%
    1
    2.6%
    5
    10%
    0
    0%
    2
    2.5%
    5
    7.8%
    0
    0%
    6
    1.1%
    3
    NaN
    Baseline: Grade 1; maximum on-therapy: Grade 3
    0
    0%
    2
    2.2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    2
    2.5%
    0
    0%
    0
    0%
    3
    0.5%
    0
    NaN
    Baseline: Grade 1; maximum on-therapy: Grade 4
    2
    1%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    1.6%
    1
    4.2%
    0
    0%
    0
    NaN
    Baseline: Grade 2; maximum on-therapy: Grade 0
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    4.2%
    0
    0%
    0
    NaN
    Baseline: Grade 2; maximum on-therapy: Grade 1
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    1.3%
    0
    0%
    0
    0%
    1
    0.2%
    0
    NaN
    Baseline: Grade 2; maximum on-therapy: Grade 2
    0
    0%
    1
    1.1%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    6
    25%
    1
    0.2%
    4
    NaN
    Baseline: Grade 2; maximum on-therapy: Grade 3
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    1.6%
    2
    8.3%
    1
    0.2%
    0
    NaN
    Baseline: Grade 2; maximum on-therapy: Grade 4
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    0.2%
    1
    NaN
    Baseline: Missing
    0
    0%
    1
    1.1%
    0
    0%
    0
    0%
    1
    2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    Baseline: Grade 0; maximum on-therapy: Missing
    0
    0%
    0
    0%
    0
    0%
    1
    2.6%
    1
    2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    0.2%
    1
    NaN
    Baseline: Grade 1; maximum on-therapy: Missing
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    3
    0.5%
    3
    NaN
    40. Secondary Outcome
    Title Percentage of Participants With Change From Baseline in Physical Examinations and Vital Signs
    Description Percentage of participants with PCI physical examinations and vital signs is reported during therapy and at post therapy. Criteria for PCI change in vital signs: heart rate value of <40 beats per min and value >150 beats per min, systolic blood pressure (SBP) of <80 or >210 millimeter of mercury (mmHg), diastolic blood pressure (DBP) of <40 or >130 mmHg, temperature <32 or >40 degree centigrade, respiratory rate (Resp) of <10 or >50 breaths/min and criteria for PCI change in physical examination: >=10% increase or decrease of body weight in kilogram (kg).
    Time Frame Screening, Baseline, and end of treatment

    Outcome Measure Data

    Analysis Population Description
    Safety population included all participants who receive at least one dose of study medication. 'N' (number of participants analyzed) signifies number of participants who were evaluable for this measure.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. All participants who received bosutinib 500 mg orally once daily in AP CML who were IM R/I or multiple tyrosine kinase inhibitor (Multi-TKI): IM, D and/or NI R/I. All participants who received bosutinib 500 mg orally once daily in blast phase (BP) CML who were IM R/I or Multi-TKI: IM, D and/or NI R/I. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 188 81 5 35 46 25 75 56 20
    SBP >210 mmHg
    1.1
    0.6%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Weight increase 10%
    16.0
    8.2%
    6.3
    7.1%
    20.0
    400%
    12.1
    31.8%
    6.5
    13%
    16.0
    61.5%
    11.0
    13.9%
    7.5
    11.7%
    6.3
    26.3%
    Weight decrease 10%
    21.9
    11.2%
    16.3
    18.3%
    0
    0%
    6.1
    16.1%
    15.2
    30.4%
    0
    0%
    23.3
    29.5%
    9.4
    14.7%
    0
    0%
    SBP <80 mmHg
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    4.0
    15.4%
    0
    0%
    0
    0%
    0
    0%
    Temperature <32C
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    4.0
    15.4%
    0
    0%
    0
    0%
    0
    0%
    Pulse <40bpm
    0
    0%
    1.4
    1.6%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Resp >50 breaths/min
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    5.0
    19.2%
    0
    0%
    0
    0%
    0
    0%
    Resp <10 breaths/min
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    2.4
    4.8%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    41. Secondary Outcome
    Title Percentage of Participants With Change From Baseline in Physical Examinations and Vital Signs and Number of Participants With PCI Values
    Description Percentage of participants with PCI physical examinations and vital signs is reported during therapy and at post therapy. Criteria for PCI change in vital signs: heart rate value of <40 beats per min and value >150 beats per min, SBP of <80 or >210 mmHg, DBP of <40 or >130 mmHg, temperature <32 or >40 degree centigrade, Resp of <10 or >50 breaths/min and criteria for PCI change in physical examination: >=10% increase or decrease of body weight in kg. No Ph+ ALL participants were analyzed post-therapy (N=0). Part 1 safety data were originally presented in 2011 and are included as cumulative data in the Part 2 final safety results.
    Time Frame Post-therapy

    Outcome Measure Data

    Analysis Population Description
    Safety population included all participants who receive at least one dose of study medication. 'N' (number of participants analyzed) signifies number of participants who were evaluable for this measure. PLEASE NOTE: Results were not applicable for Arms in Part 1 since all participants in Part 1 entered Part 2 and continued the study treatment.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. All participants who received bosutinib 500 mg orally once daily in AP CML who were IM R/I or multiple tyrosine kinase inhibitor (Multi-TKI): IM, D and/or NI R/I. All participants who received bosutinib 500 mg orally once daily in blast phase (BP) CML who were IM R/I or Multi-TKI: IM, D and/or NI R/I. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    Measure Participants 24 16 1 2 11 4 8 3 0
    Pulse <40 bpm
    4.2
    2.2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    SBP >210 mmHg
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    12.5
    15.8%
    0
    0%
    Weight increase 10%
    4.2
    2.2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    33.3
    52%
    Weight decrease 10%
    12.5
    6.4%
    6.7
    7.5%
    0
    0%
    0
    0%
    9.1
    18.2%
    0
    0%
    16.7
    21.1%
    0
    0%

    Adverse Events

    Time Frame Adverse events (AEs) and serious AEs were assessed from informed consent through and including 30 days after last administration of study treatment or at the End of Treatment Visit, whichever comes last.
    Adverse Event Reporting Description An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study. Part 1 safety data were originally presented in 2011 and are included as cumulative data in the Part 2 final safety results.
    Arm/Group Title Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    Arm/Group Description Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-R CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP2L IM-I CML; who had no prior proto-oncogene tyrosine-protein kinase Src, Abl, or Src-Abl inhibitor exposure other than IM. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I, D and NI R/I or IM R/I and NI-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-R CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and D-I CML. Bosutinib 500 mg was administered orally once-daily in participants with CP3L IM R/I and NI-R CML. All participants who received bosutinib 500 mg orally once daily in AP CML who were IM R/I or multiple tyrosine kinase inhibitor (Multi-TKI): IM, D and/or NI R/I. All participants who received bosutinib 500 mg orally once daily in blast phase (BP) CML who were IM R/I or Multi-TKI: IM, D and/or NI R/I. Bosutinib 500 mg was administered orally once-daily in participants with Ph+ ALL
    All Cause Mortality
    Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    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
    Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    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 81/195 (41.5%) 34/89 (38.2%) 1/5 (20%) 15/38 (39.5%) 19/50 (38%) 5/26 (19.2%) 43/79 (54.4%) 37/64 (57.8%) 17/24 (70.8%)
    Blood and lymphatic system disorders
    Thrombocytopenia 3/195 (1.5%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 3/79 (3.8%) 0/64 (0%) 1/24 (4.2%)
    Anaemia 3/195 (1.5%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 5/79 (6.3%) 1/64 (1.6%) 0/24 (0%)
    Febrile neutropenia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 3/64 (4.7%) 4/24 (16.7%)
    Leukocytosis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 2/64 (3.1%) 2/24 (8.3%)
    Neutropenia 0/195 (0%) 0/89 (0%) 1/5 (20%) 3/38 (7.9%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 1/24 (4.2%)
    Granulocytopenia 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Leukopenia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Pancytopenia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Splenomegaly 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Leukostasis syndrome 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Cardiac disorders
    Atrial fibrillation 3/195 (1.5%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 2/50 (4%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Acute myocardial infarction 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Cardiac failure 3/195 (1.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Cardiac failure congestive 3/195 (1.5%) 2/89 (2.2%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Coronary artery disease 1/195 (0.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Myocardial infarction 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Pericardial effusion 2/195 (1%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 2/50 (4%) 0/26 (0%) 2/79 (2.5%) 0/64 (0%) 0/24 (0%)
    Pericarditis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Angina pectoris 1/195 (0.5%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Angina unstable 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Arrhythmia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Left ventricular dysfunction 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Pericardial haemorrhage 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Tachycardia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 2/79 (2.5%) 0/64 (0%) 0/24 (0%)
    Bradycardia 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Cardiorenal syndrome 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Coronary artery stenosis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Extrasystoles 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Palpitations 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pleuropericarditis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Ventricular fibrillation 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Cardiac arrest 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Cardiac disorder 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Congenital, familial and genetic disorders
    Cytogenetic abnormality 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 1/26 (3.8%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Eye disorders
    Diplopia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Glaucoma 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Cataract 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Visual acuity reduced 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Vitreous haemorrhage 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Gastrointestinal disorders
    Diarrhoea 4/195 (2.1%) 3/89 (3.4%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 1/64 (1.6%) 2/24 (8.3%)
    Nausea 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 5/64 (7.8%) 1/24 (4.2%)
    Gastrointestinal haemorrhage 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 2/64 (3.1%) 1/24 (4.2%)
    Vomiting 0/195 (0%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 4/64 (6.3%) 1/24 (4.2%)
    Abdominal pain 2/195 (1%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 3/79 (3.8%) 1/64 (1.6%) 0/24 (0%)
    Inguinal hernia 0/195 (0%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pancreatitis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Rectal haemorrhage 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 1/26 (3.8%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Abdominal pain upper 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Gastritis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Haematochezia 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Intestinal obstruction 1/195 (0.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Toothache 0/195 (0%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Abdominal adhesions 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Abdominal distension 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Colitis 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 1/26 (3.8%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Colitis ischaemic 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Colitis ulcerative 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 1/26 (3.8%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Dental caries 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Duodenal ulcer haemorrhage 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Dysphagia 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Epigastric discomfort 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Food poisoning 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Gastritis erosive 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Ileus 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Lower gastrointestinal haemorrhage 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Melaena 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pancreatitis acute 1/195 (0.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Proctocolitis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 1/26 (3.8%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Retroperitoneal haemorrhage 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Abdominal pain lower 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Gastrooesophageal reflux disease 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Haemorrhoids 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Intestinal haemorrhage 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Intestinal ischaemia 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Large intestinal stenosis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    General disorders
    Pyrexia 5/195 (2.6%) 2/89 (2.2%) 0/5 (0%) 1/38 (2.6%) 1/50 (2%) 0/26 (0%) 4/79 (5.1%) 5/64 (7.8%) 1/24 (4.2%)
    Chest pain 2/195 (1%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 3/79 (3.8%) 1/64 (1.6%) 0/24 (0%)
    General physical health deterioration 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 3/64 (4.7%) 2/24 (8.3%)
    Asthenia 3/195 (1.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Disease progression 3/195 (1.5%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 4/79 (5.1%) 3/64 (4.7%) 1/24 (4.2%)
    Chills 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Multi-organ failure 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 2/79 (2.5%) 0/64 (0%) 0/24 (0%)
    Oedema 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Pain 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 2/64 (3.1%) 0/24 (0%)
    Adverse drug reaction 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Local swelling 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Malaise 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Mucosal inflammation 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Oedema peripheral 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Submandibular mass 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Adhesion 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Death 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Hepatobiliary disorders
    Cholecystitis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Cholecystitis acute 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Cholelithiasis 3/195 (1.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Hepatic function abnormal 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Bile duct stone 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Gallbladder disorder 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Perforation bile duct 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Immune system disorders
    Drug hypersensitivity 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Hypersensitivity 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Infections and infestations
    Pneumonia 6/195 (3.1%) 5/89 (5.6%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 9/79 (11.4%) 5/64 (7.8%) 3/24 (12.5%)
    Sepsis 3/195 (1.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 4/79 (5.1%) 1/64 (1.6%) 1/24 (4.2%)
    Urinary tract infection 3/195 (1.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Bacteraemia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 2/64 (3.1%) 1/24 (4.2%)
    Septic shock 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Upper respiratory tract infection 1/195 (0.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Bronchitis 1/195 (0.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Cellulitis 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Gastroenteritis viral 1/195 (0.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Lung infection 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Sinusitis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Abscess limb 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Appendicitis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Appendicitis perforated 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Brain abscess 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Bronchopneumonia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Clostridium difficile colitis 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Cystitis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Enterococcal sepsis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Erysipelas 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Escherichia bacteraemia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Escherichia sepsis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Febrile infection 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Fungal infection 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Gastroenteritis 1/195 (0.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Gingival abscess 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Influenza 1/195 (0.5%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Kidney infection 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Meningitis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Orchitis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Pharyngitis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pneumonia bacterial 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pneumonia fungal 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pneumonia necrotising 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pseudomembranous colitis 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pseudomonal sepsis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Pyelonephritis acute 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Staphylococcal bacteraemia 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Staphylococcal sepsis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Tooth abscess 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Tooth infection 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Urinary tract infection bacterial 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Infection 1/195 (0.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Atypical pneunomia 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Device related infection 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Diverticulitis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Infectious colitis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Infectious pleural effusion 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Perirectal abscess 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Post procedure infection 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pulmonary mycosis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Injury, poisoning and procedural complications
    Abdominal injury 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Cervical vertebral fracture 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Clavicle fracture 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Gastrointestinal stoma complication 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Humerus fracture 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Overdose 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Post procedural haematuria 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Post procedural swelling 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Rib fracture 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Road traffic accident 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Seroma 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Subdural haematoma 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Subdural haemorrhage 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Tooth fracture 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Transfusion reaction 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Upper limb fracture 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Wound haematoma 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Contusion 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Facial bone fracture 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Failure to anastomose 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Injury 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Muscle injury 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Procedural haemorrhage 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Vascular pseudoaneurysm 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Investigations
    Platelet count decreased 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 2/79 (2.5%) 0/64 (0%) 2/24 (8.3%)
    Alanine aminotransferase increased 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Aspartate aminotransferase increased 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Blood bilirubin increased 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Blood creatine phosphokinase increased 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Blood glucose increased 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Blood pressure increased 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Haemoglobin decreased 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Hepatic enzyme increased 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Liver function test abnormal 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Weight decreased 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Blood creatinine increased 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Intraocular pressure increased 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Metabolism and nutrition disorders
    Dehydration 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 1/64 (1.6%) 1/24 (4.2%)
    Failure to thrive 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 3/64 (4.7%) 0/24 (0%)
    Acidosis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Decreased appetite 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Gout 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Hyperglycaemia 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Hypoglycaemia 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Hypophosphataemia 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Fluid retention 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Hypovolaemia 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Musculoskeletal and connective tissue disorders
    Back pain 0/195 (0%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 2/50 (4%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Arthralgia 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Bone pain 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Osteoarthritis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Pain in extremity 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Bone cyst 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Groin pain 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Intervertebral disc protrusion 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 1/26 (3.8%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Myalgia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Myositis 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Neck pain 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Osteochondrosis 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Spinal column stenosis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Spinal osteoarthritis 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Synovitis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Foot deformity 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Lumbar spinal stenosis 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Osteonecrosis 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Rotator cuff syndrome 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Blast cell crisis 2/195 (1%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Blast crisis in myelogenous leukaemia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 2/64 (3.1%) 0/24 (0%)
    Basal cell carcinoma 1/195 (0.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Squamous cell carcinoma 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Chloroma 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Chronic myelomonocytic leukaemia 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Colon cancer 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Colon cancer metastatic 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Gastric cancer 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Keratoacanthoma 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Leukaemia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Lung adenocarcinoma 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Melanocytic naevus 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Neoplasm skin 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Non-small cell lung cancer 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 1/26 (3.8%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Prostate cancer 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Squamous cell carcinoma of skin 1/195 (0.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Thyroid neoplasm 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Uterine Leiomyoma 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Bowen's disease 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Angiomyolipoma 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Anogenital warts 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Central nervous system leukaemia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Chronic myeloid leukaemia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Laryngeal neoplasm 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Neoplasm prostate 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Paraproteinaemia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Nervous system disorders
    Headache 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 1/50 (2%) 0/26 (0%) 4/79 (5.1%) 2/64 (3.1%) 2/24 (8.3%)
    Subarachnoid haemorrhage 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Cerebral haemorrhage 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 1/24 (4.2%)
    Hemiparesis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Syncope 3/195 (1.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Carotid arteriosclerosis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Cerebral infarction 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Cerebrovascular accident 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Dizziness 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Encephalitis post varicella 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Epilepsy 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Intraventricular haemorrhage 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Loss of consciousness 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Monoparesis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Paraesthesia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Partial seizures 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Speech disorder 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Cerebellar infarction 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Encephalopathy 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Ischaemic stroke 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Nervous system disorder 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 2/64 (3.1%) 0/24 (0%)
    Parkinson's disease 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Radiculitis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Trigeminal neuralgia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Psychiatric disorders
    Confusional state 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Completed suicide 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Hallucination, visual 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Mental status change 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Renal and urinary disorders
    Renal failure 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Acute prerenal failure 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Calculus bladder 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Cystitis haemorrhagic 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Haematuria 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Nephrolithiasis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Renal impairment 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Tubulointerstitial nephritis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Acute kidney injury 4/195 (2.1%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 2/64 (3.1%) 0/24 (0%)
    Chronic kidney disease 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Prerenal failure 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Renal disorder 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Urinary retention 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Reproductive system and breast disorders
    Breast hyperplasia 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Cervical dysplasia 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Dysfunctional uterine bleeding 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pelvic pain 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Vaginal haemorrhage 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Menorrhagia 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Respiratory, thoracic and mediastinal disorders
    Pleural effusion 8/195 (4.1%) 4/89 (4.5%) 0/5 (0%) 3/38 (7.9%) 3/50 (6%) 1/26 (3.8%) 5/79 (6.3%) 2/64 (3.1%) 1/24 (4.2%)
    Dyspnoea 5/195 (2.6%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 2/50 (4%) 0/26 (0%) 4/79 (5.1%) 1/64 (1.6%) 0/24 (0%)
    Pneumonitis 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Respiratory failure 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 2/64 (3.1%) 2/24 (8.3%)
    Asthma 1/195 (0.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Acute respiratory failure 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Chronic obstructive pulmonary disease 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Dyspnoea exertional 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Lung infiltration 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Organising pneumonia 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Pleurisy 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Pleuritic pain 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pneumonia aspiration 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pulmonary embolism 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pulmonary fibrosis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Pulmonary oedema 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Haemoptysis 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Lung disorder 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Skin and subcutaneous tissue disorders
    Rash 2/195 (1%) 6/89 (6.7%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Urticaria 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Angioedema 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Circumoral oedema 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Dermatitis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Erythema multiforme 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Skin lesion 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Rash generalised 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Social circumstances
    Pregnancy of partner 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 1/26 (3.8%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Surgical and medical procedures
    Allogenic bone marrow transplantation therapy 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Knee anthroplasty 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Vascular disorders
    Hypertension 2/195 (1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Hypotension 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Aortic stenosis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Venous thrombosis 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Necrosis ischaemic 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Peripheral arterial occlusive disease 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 1/26 (3.8%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Other (Not Including Serious) Adverse Events
    Bosutinib 500 mg, CP2L-CML IM-R (Part 2) Bosutinib 500 mg, CP2L-CML IM-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I, (D+NI) R/I or NI-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-R (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + D-I (Part 2) Bosutinib 500 mg, CP3L-CML IM R/I + NI-R (Part 2) AP-CML Total (Part 2) BP-CML Total (Part 2) Bosutinib 500 mg, Ph+ ALL (Part 2)
    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 194/195 (99.5%) 89/89 (100%) 5/5 (100%) 38/38 (100%) 50/50 (100%) 26/26 (100%) 79/79 (100%) 62/64 (96.9%) 23/24 (95.8%)
    Blood and lymphatic system disorders
    Thrombocytopenia 61/195 (31.3%) 32/89 (36%) 3/5 (60%) 9/38 (23.7%) 18/50 (36%) 12/26 (46.2%) 35/79 (44.3%) 18/64 (28.1%) 5/24 (20.8%)
    Anaemia 45/195 (23.1%) 24/89 (27%) 2/5 (40%) 7/38 (18.4%) 7/50 (14%) 6/26 (23.1%) 33/79 (41.8%) 19/64 (29.7%) 10/24 (41.7%)
    Neutropenia 26/195 (13.3%) 13/89 (14.6%) 1/5 (20%) 8/38 (21.1%) 6/50 (12%) 7/26 (26.9%) 12/79 (15.2%) 16/64 (25%) 2/24 (8.3%)
    Leukopenia 19/195 (9.7%) 8/89 (9%) 0/5 (0%) 4/38 (10.5%) 1/50 (2%) 0/26 (0%) 7/79 (8.9%) 9/64 (14.1%) 2/24 (8.3%)
    Leukocytosis 7/195 (3.6%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 2/50 (4%) 0/26 (0%) 4/79 (5.1%) 4/64 (6.3%) 2/24 (8.3%)
    Cardiac disorders
    Pericardial effusion 3/195 (1.5%) 2/89 (2.2%) 1/5 (20%) 1/38 (2.6%) 4/50 (8%) 0/26 (0%) 4/79 (5.1%) 1/64 (1.6%) 0/24 (0%)
    Mitral valve incompetence 1/195 (0.5%) 1/89 (1.1%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Tachycardia 3/195 (1.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 1/26 (3.8%) 0/79 (0%) 4/64 (6.3%) 0/24 (0%)
    Ear and labyrinth disorders
    Ear pain 3/195 (1.5%) 2/89 (2.2%) 0/5 (0%) 2/38 (5.3%) 1/50 (2%) 1/26 (3.8%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Eye disorders
    Eye oedema 1/195 (0.5%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Scleral haemorrhage 0/195 (0%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Visual acuity reduced 3/195 (1.5%) 1/89 (1.1%) 0/5 (0%) 2/38 (5.3%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Gastrointestinal disorders
    Diarrhoea 166/195 (85.1%) 76/89 (85.4%) 5/5 (100%) 30/38 (78.9%) 42/50 (84%) 22/26 (84.6%) 67/79 (84.8%) 41/64 (64.1%) 15/24 (62.5%)
    Nausea 85/195 (43.6%) 46/89 (51.7%) 2/5 (40%) 20/38 (52.6%) 23/50 (46%) 12/26 (46.2%) 36/79 (45.6%) 30/64 (46.9%) 12/24 (50%)
    Vomiting 73/195 (37.4%) 32/89 (36%) 0/5 (0%) 14/38 (36.8%) 24/50 (48%) 7/26 (26.9%) 35/79 (44.3%) 26/64 (40.6%) 11/24 (45.8%)
    Abdominal pain 50/195 (25.6%) 24/89 (27%) 0/5 (0%) 8/38 (21.1%) 12/50 (24%) 8/26 (30.8%) 19/79 (24.1%) 11/64 (17.2%) 3/24 (12.5%)
    Abdominal pain upper 41/195 (21%) 17/89 (19.1%) 0/5 (0%) 8/38 (21.1%) 9/50 (18%) 4/26 (15.4%) 9/79 (11.4%) 7/64 (10.9%) 0/24 (0%)
    Constipation 22/195 (11.3%) 17/89 (19.1%) 2/5 (40%) 2/38 (5.3%) 7/50 (14%) 3/26 (11.5%) 14/79 (17.7%) 9/64 (14.1%) 4/24 (16.7%)
    Dyspepsia 21/195 (10.8%) 7/89 (7.9%) 0/5 (0%) 7/38 (18.4%) 4/50 (8%) 1/26 (3.8%) 9/79 (11.4%) 1/64 (1.6%) 1/24 (4.2%)
    Abdominal distension 17/195 (8.7%) 8/89 (9%) 0/5 (0%) 2/38 (5.3%) 4/50 (8%) 3/26 (11.5%) 1/79 (1.3%) 4/64 (6.3%) 0/24 (0%)
    Flatulence 4/195 (2.1%) 6/89 (6.7%) 0/5 (0%) 3/38 (7.9%) 3/50 (6%) 1/26 (3.8%) 2/79 (2.5%) 2/64 (3.1%) 0/24 (0%)
    Abdominal discomfort 8/195 (4.1%) 9/89 (10.1%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 4/79 (5.1%) 1/64 (1.6%) 2/24 (8.3%)
    Toothache 12/195 (6.2%) 6/89 (6.7%) 1/5 (20%) 2/38 (5.3%) 2/50 (4%) 0/26 (0%) 3/79 (3.8%) 0/64 (0%) 0/24 (0%)
    Aphthous stomatitis 2/195 (1%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 2/26 (7.7%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Gastrointestinal sounds abnormal 0/195 (0%) 0/89 (0%) 1/5 (20%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Gingival bleeding 5/195 (2.6%) 1/89 (1.1%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 2/26 (7.7%) 0/79 (0%) 1/64 (1.6%) 1/24 (4.2%)
    Gingival pain 2/195 (1%) 2/89 (2.2%) 1/5 (20%) 2/38 (5.3%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Haemorrhoids 7/195 (3.6%) 2/89 (2.2%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 3/26 (11.5%) 4/79 (5.1%) 2/64 (3.1%) 1/24 (4.2%)
    Mouth ulceration 6/195 (3.1%) 3/89 (3.4%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 2/26 (7.7%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Stomatitis 2/195 (1%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 1/50 (2%) 1/26 (3.8%) 2/79 (2.5%) 2/64 (3.1%) 2/24 (8.3%)
    Tongue oedema 0/195 (0%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    General disorders
    Pyrexia 58/195 (29.7%) 17/89 (19.1%) 1/5 (20%) 5/38 (13.2%) 7/50 (14%) 3/26 (11.5%) 28/79 (35.4%) 22/64 (34.4%) 10/24 (41.7%)
    Fatigue 49/195 (25.1%) 24/89 (27%) 3/5 (60%) 8/38 (21.1%) 12/50 (24%) 2/26 (7.7%) 17/79 (21.5%) 13/64 (20.3%) 5/24 (20.8%)
    Asthenia 25/195 (12.8%) 16/89 (18%) 2/5 (40%) 2/38 (5.3%) 1/50 (2%) 4/26 (15.4%) 11/79 (13.9%) 3/64 (4.7%) 5/24 (20.8%)
    Oedema peripheral 17/195 (8.7%) 11/89 (12.4%) 1/5 (20%) 1/38 (2.6%) 4/50 (8%) 4/26 (15.4%) 6/79 (7.6%) 7/64 (10.9%) 5/24 (20.8%)
    Pain 16/195 (8.2%) 5/89 (5.6%) 2/5 (40%) 2/38 (5.3%) 2/50 (4%) 1/26 (3.8%) 6/79 (7.6%) 3/64 (4.7%) 2/24 (8.3%)
    Chest pain 13/195 (6.7%) 7/89 (7.9%) 1/5 (20%) 1/38 (2.6%) 2/50 (4%) 0/26 (0%) 6/79 (7.6%) 3/64 (4.7%) 2/24 (8.3%)
    Oedema 9/195 (4.6%) 4/89 (4.5%) 0/5 (0%) 2/38 (5.3%) 2/50 (4%) 0/26 (0%) 5/79 (6.3%) 2/64 (3.1%) 2/24 (8.3%)
    Chills 13/195 (6.7%) 5/89 (5.6%) 0/5 (0%) 0/38 (0%) 3/50 (6%) 0/26 (0%) 3/79 (3.8%) 2/64 (3.1%) 3/24 (12.5%)
    Chest discomfort 1/195 (0.5%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 2/50 (4%) 1/26 (3.8%) 4/79 (5.1%) 1/64 (1.6%) 0/24 (0%)
    Face oedema 4/195 (2.1%) 2/89 (2.2%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 1/26 (3.8%) 1/79 (1.3%) 0/64 (0%) 1/24 (4.2%)
    Influenza like illness 6/195 (3.1%) 5/89 (5.6%) 1/5 (20%) 1/38 (2.6%) 3/50 (6%) 0/26 (0%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Temperature intolerance 0/195 (0%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Hepatobiliary disorders
    Hyperbilirubinaemia 4/195 (2.1%) 1/89 (1.1%) 1/5 (20%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 2/79 (2.5%) 5/64 (7.8%) 1/24 (4.2%)
    Immune system disorders
    Drug hypersensitivity 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 3/38 (7.9%) 1/50 (2%) 1/26 (3.8%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Infections and infestations
    Nasopharyngitis 25/195 (12.8%) 13/89 (14.6%) 1/5 (20%) 3/38 (7.9%) 5/50 (10%) 4/26 (15.4%) 7/79 (8.9%) 1/64 (1.6%) 0/24 (0%)
    Upper respiratory tract infection 19/195 (9.7%) 9/89 (10.1%) 2/5 (40%) 3/38 (7.9%) 7/50 (14%) 0/26 (0%) 8/79 (10.1%) 2/64 (3.1%) 0/24 (0%)
    Influenza 21/195 (10.8%) 6/89 (6.7%) 1/5 (20%) 4/38 (10.5%) 4/50 (8%) 3/26 (11.5%) 5/79 (6.3%) 0/64 (0%) 1/24 (4.2%)
    Urinary tract infection 20/195 (10.3%) 8/89 (9%) 1/5 (20%) 1/38 (2.6%) 2/50 (4%) 2/26 (7.7%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Bronchitis 13/195 (6.7%) 3/89 (3.4%) 1/5 (20%) 1/38 (2.6%) 2/50 (4%) 1/26 (3.8%) 6/79 (7.6%) 0/64 (0%) 0/24 (0%)
    Sinusitis 7/195 (3.6%) 3/89 (3.4%) 1/5 (20%) 2/38 (5.3%) 4/50 (8%) 0/26 (0%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Gastrointestinal infection 0/195 (0%) 0/89 (0%) 0/5 (0%) 2/38 (5.3%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Gingivitis 4/195 (2.1%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 2/26 (7.7%) 0/79 (0%) 1/64 (1.6%) 0/24 (0%)
    Lower respiratory tract infection 1/195 (0.5%) 1/89 (1.1%) 1/5 (20%) 1/38 (2.6%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Oral candidiasis 1/195 (0.5%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 4/79 (5.1%) 2/64 (3.1%) 0/24 (0%)
    Oral herpes 3/195 (1.5%) 3/89 (3.4%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 1/26 (3.8%) 6/79 (7.6%) 1/64 (1.6%) 0/24 (0%)
    Pharyngitis 6/195 (3.1%) 5/89 (5.6%) 1/5 (20%) 2/38 (5.3%) 0/50 (0%) 1/26 (3.8%) 1/79 (1.3%) 1/64 (1.6%) 0/24 (0%)
    Pneumonia 2/195 (1%) 2/89 (2.2%) 0/5 (0%) 1/38 (2.6%) 3/50 (6%) 1/26 (3.8%) 2/79 (2.5%) 4/64 (6.3%) 1/24 (4.2%)
    Respiratory tract infection viral 4/195 (2.1%) 3/89 (3.4%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 3/26 (11.5%) 2/79 (2.5%) 0/64 (0%) 0/24 (0%)
    Wound infection 0/195 (0%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Injury, poisoning and procedural complications
    Contusion 1/195 (0.5%) 7/89 (7.9%) 0/5 (0%) 0/38 (0%) 2/50 (4%) 0/26 (0%) 2/79 (2.5%) 0/64 (0%) 0/24 (0%)
    Procedural pain 5/195 (2.6%) 2/89 (2.2%) 1/5 (20%) 0/38 (0%) 2/50 (4%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Investigations
    Alanine aminotransferase increased 42/195 (21.5%) 21/89 (23.6%) 1/5 (20%) 6/38 (15.8%) 6/50 (12%) 5/26 (19.2%) 11/79 (13.9%) 4/64 (6.3%) 2/24 (8.3%)
    Platelet count decreased 16/195 (8.2%) 11/89 (12.4%) 0/5 (0%) 1/38 (2.6%) 1/50 (2%) 2/26 (7.7%) 5/79 (6.3%) 4/64 (6.3%) 2/24 (8.3%)
    Weight decreased 27/195 (13.8%) 8/89 (9%) 0/5 (0%) 0/38 (0%) 7/50 (14%) 0/26 (0%) 6/79 (7.6%) 3/64 (4.7%) 0/24 (0%)
    Blood creatinine increased 18/195 (9.2%) 8/89 (9%) 1/5 (20%) 4/38 (10.5%) 6/50 (12%) 4/26 (15.4%) 6/79 (7.6%) 3/64 (4.7%) 0/24 (0%)
    Lipase increased 17/195 (8.7%) 9/89 (10.1%) 0/5 (0%) 3/38 (7.9%) 2/50 (4%) 2/26 (7.7%) 6/79 (7.6%) 3/64 (4.7%) 0/24 (0%)
    Blood alkaline phosphatase increased 6/195 (3.1%) 3/89 (3.4%) 0/5 (0%) 3/38 (7.9%) 0/50 (0%) 3/26 (11.5%) 5/79 (6.3%) 3/64 (4.7%) 1/24 (4.2%)
    Amylase increased 12/195 (6.2%) 3/89 (3.4%) 0/5 (0%) 2/38 (5.3%) 1/50 (2%) 3/26 (11.5%) 1/79 (1.3%) 3/64 (4.7%) 0/24 (0%)
    Aspartate aminotransferase increased 38/195 (19.5%) 18/89 (20.2%) 0/5 (0%) 2/38 (5.3%) 3/50 (6%) 4/26 (15.4%) 12/79 (15.2%) 4/64 (6.3%) 1/24 (4.2%)
    Blood creatine phosphokinase increased 14/195 (7.2%) 1/89 (1.1%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 1/26 (3.8%) 3/79 (3.8%) 0/64 (0%) 0/24 (0%)
    Haemoglobin decreased 6/195 (3.1%) 10/89 (11.2%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 3/26 (11.5%) 2/79 (2.5%) 0/64 (0%) 0/24 (0%)
    Weight increased 12/195 (6.2%) 3/89 (3.4%) 0/5 (0%) 3/38 (7.9%) 1/50 (2%) 0/26 (0%) 2/79 (2.5%) 3/64 (4.7%) 0/24 (0%)
    White blood cell count decreased 6/195 (3.1%) 9/89 (10.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 3/79 (3.8%) 4/64 (6.3%) 1/24 (4.2%)
    Blood urea increased 3/195 (1.5%) 1/89 (1.1%) 0/5 (0%) 2/38 (5.3%) 2/50 (4%) 0/26 (0%) 2/79 (2.5%) 1/64 (1.6%) 0/24 (0%)
    Blood uric acid increased 11/195 (5.6%) 1/89 (1.1%) 0/5 (0%) 2/38 (5.3%) 2/50 (4%) 0/26 (0%) 4/79 (5.1%) 0/64 (0%) 1/24 (4.2%)
    Gamma-glutamyltransferase increased 4/195 (2.1%) 2/89 (2.2%) 0/5 (0%) 3/38 (7.9%) 0/50 (0%) 1/26 (3.8%) 2/79 (2.5%) 0/64 (0%) 0/24 (0%)
    Globulins decreased 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 2/26 (7.7%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Haematocrit decreased 0/195 (0%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 1/26 (3.8%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Neutrophil count decreased 3/195 (1.5%) 5/89 (5.6%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 3/79 (3.8%) 1/64 (1.6%) 2/24 (8.3%)
    White blood cells urine positive 3/195 (1.5%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Metabolism and nutrition disorders
    Decreased appetite 29/195 (14.9%) 12/89 (13.5%) 1/5 (20%) 3/38 (7.9%) 7/50 (14%) 4/26 (15.4%) 7/79 (8.9%) 12/64 (18.8%) 1/24 (4.2%)
    Hypokalaemia 10/195 (5.1%) 5/89 (5.6%) 0/5 (0%) 0/38 (0%) 3/50 (6%) 2/26 (7.7%) 2/79 (2.5%) 6/64 (9.4%) 2/24 (8.3%)
    Hypophosphataemia 12/195 (6.2%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 1/50 (2%) 1/26 (3.8%) 5/79 (6.3%) 3/64 (4.7%) 2/24 (8.3%)
    Hyperuricaemia 6/195 (3.1%) 6/89 (6.7%) 1/5 (20%) 1/38 (2.6%) 5/50 (10%) 0/26 (0%) 3/79 (3.8%) 2/64 (3.1%) 0/24 (0%)
    Hypocalcaemia 8/195 (4.1%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 2/79 (2.5%) 5/64 (7.8%) 1/24 (4.2%)
    Hyperglycaemia 8/195 (4.1%) 2/89 (2.2%) 0/5 (0%) 2/38 (5.3%) 1/50 (2%) 2/26 (7.7%) 4/79 (5.1%) 1/64 (1.6%) 2/24 (8.3%)
    Hyperkalaemia 6/195 (3.1%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 4/26 (15.4%) 4/79 (5.1%) 3/64 (4.7%) 0/24 (0%)
    Hypernatraemia 0/195 (0%) 0/89 (0%) 0/5 (0%) 2/38 (5.3%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Hypoglycaemia 2/195 (1%) 1/89 (1.1%) 1/5 (20%) 2/38 (5.3%) 0/50 (0%) 1/26 (3.8%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Hypomagnesaemia 3/195 (1.5%) 1/89 (1.1%) 0/5 (0%) 1/38 (2.6%) 1/50 (2%) 0/26 (0%) 2/79 (2.5%) 4/64 (6.3%) 0/24 (0%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 31/195 (15.9%) 17/89 (19.1%) 0/5 (0%) 5/38 (13.2%) 10/50 (20%) 6/26 (23.1%) 12/79 (15.2%) 8/64 (12.5%) 3/24 (12.5%)
    Back pain 22/195 (11.3%) 16/89 (18%) 1/5 (20%) 5/38 (13.2%) 5/50 (10%) 3/26 (11.5%) 8/79 (10.1%) 4/64 (6.3%) 4/24 (16.7%)
    Pain in extremity 27/195 (13.8%) 4/89 (4.5%) 0/5 (0%) 2/38 (5.3%) 5/50 (10%) 3/26 (11.5%) 9/79 (11.4%) 6/64 (9.4%) 3/24 (12.5%)
    Myalgia 16/195 (8.2%) 7/89 (7.9%) 0/5 (0%) 3/38 (7.9%) 1/50 (2%) 1/26 (3.8%) 7/79 (8.9%) 6/64 (9.4%) 2/24 (8.3%)
    Bone pain 11/195 (5.6%) 3/89 (3.4%) 0/5 (0%) 3/38 (7.9%) 5/50 (10%) 1/26 (3.8%) 1/79 (1.3%) 7/64 (10.9%) 3/24 (12.5%)
    Musculoskeletal pain 8/195 (4.1%) 3/89 (3.4%) 0/5 (0%) 5/38 (13.2%) 3/50 (6%) 2/26 (7.7%) 5/79 (6.3%) 3/64 (4.7%) 1/24 (4.2%)
    Muscle spasms 7/195 (3.6%) 7/89 (7.9%) 0/5 (0%) 2/38 (5.3%) 5/50 (10%) 1/26 (3.8%) 4/79 (5.1%) 1/64 (1.6%) 2/24 (8.3%)
    Groin pain 1/195 (0.5%) 0/89 (0%) 0/5 (0%) 2/38 (5.3%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 1/24 (4.2%)
    Joint swelling 1/195 (0.5%) 2/89 (2.2%) 1/5 (20%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 1/64 (1.6%) 1/24 (4.2%)
    Musculoskeletal chest pain 2/195 (1%) 1/89 (1.1%) 0/5 (0%) 2/38 (5.3%) 1/50 (2%) 0/26 (0%) 3/79 (3.8%) 1/64 (1.6%) 1/24 (4.2%)
    Musculoskeletal stiffness 0/195 (0%) 1/89 (1.1%) 1/5 (20%) 1/38 (2.6%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Neck pain 4/195 (2.1%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 2/26 (7.7%) 1/79 (1.3%) 4/64 (6.3%) 0/24 (0%)
    Nervous system disorders
    Headache 35/195 (17.9%) 18/89 (20.2%) 1/5 (20%) 7/38 (18.4%) 15/50 (30%) 8/26 (30.8%) 12/79 (15.2%) 13/64 (20.3%) 6/24 (25%)
    Dizziness 16/195 (8.2%) 9/89 (10.1%) 2/5 (40%) 5/38 (13.2%) 8/50 (16%) 3/26 (11.5%) 11/79 (13.9%) 7/64 (10.9%) 2/24 (8.3%)
    Hypoaesthesia 11/195 (5.6%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 1/26 (3.8%) 3/79 (3.8%) 2/64 (3.1%) 1/24 (4.2%)
    Paraesthesia 11/195 (5.6%) 3/89 (3.4%) 1/5 (20%) 0/38 (0%) 3/50 (6%) 0/26 (0%) 2/79 (2.5%) 1/64 (1.6%) 0/24 (0%)
    Dysgeusia 3/195 (1.5%) 2/89 (2.2%) 1/5 (20%) 0/38 (0%) 1/50 (2%) 1/26 (3.8%) 2/79 (2.5%) 1/64 (1.6%) 1/24 (4.2%)
    Neuropathy peripheral 3/195 (1.5%) 1/89 (1.1%) 1/5 (20%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 3/79 (3.8%) 1/64 (1.6%) 1/24 (4.2%)
    Sensory disturbance 0/195 (0%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Somnolence 4/195 (2.1%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 2/26 (7.7%) 2/79 (2.5%) 1/64 (1.6%) 0/24 (0%)
    Syncope 3/195 (1.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 2/24 (8.3%)
    Psychiatric disorders
    Insomnia 6/195 (3.1%) 3/89 (3.4%) 3/5 (60%) 1/38 (2.6%) 5/50 (10%) 1/26 (3.8%) 8/79 (10.1%) 5/64 (7.8%) 2/24 (8.3%)
    Anxiety 8/195 (4.1%) 7/89 (7.9%) 0/5 (0%) 1/38 (2.6%) 2/50 (4%) 1/26 (3.8%) 8/79 (10.1%) 3/64 (4.7%) 0/24 (0%)
    Depression 9/195 (4.6%) 4/89 (4.5%) 1/5 (20%) 0/38 (0%) 3/50 (6%) 2/26 (7.7%) 2/79 (2.5%) 5/64 (7.8%) 0/24 (0%)
    Renal and urinary disorders
    Dysuria 6/195 (3.1%) 4/89 (4.5%) 0/5 (0%) 3/38 (7.9%) 0/50 (0%) 2/26 (7.7%) 1/79 (1.3%) 2/64 (3.1%) 1/24 (4.2%)
    Pollakiuria 2/195 (1%) 2/89 (2.2%) 1/5 (20%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Renal failure 3/195 (1.5%) 1/89 (1.1%) 0/5 (0%) 1/38 (2.6%) 1/50 (2%) 0/26 (0%) 5/79 (6.3%) 1/64 (1.6%) 1/24 (4.2%)
    Urinary retention 1/195 (0.5%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 2/26 (7.7%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Respiratory, thoracic and mediastinal disorders
    Cough 46/195 (23.6%) 19/89 (21.3%) 2/5 (40%) 7/38 (18.4%) 12/50 (24%) 4/26 (15.4%) 24/79 (30.4%) 8/64 (12.5%) 1/24 (4.2%)
    Dyspnoea 23/195 (11.8%) 9/89 (10.1%) 1/5 (20%) 2/38 (5.3%) 9/50 (18%) 1/26 (3.8%) 14/79 (17.7%) 12/64 (18.8%) 4/24 (16.7%)
    Oropharyngeal pain 25/195 (12.8%) 10/89 (11.2%) 1/5 (20%) 2/38 (5.3%) 3/50 (6%) 2/26 (7.7%) 8/79 (10.1%) 3/64 (4.7%) 2/24 (8.3%)
    Pleural effusion 18/195 (9.2%) 7/89 (7.9%) 1/5 (20%) 3/38 (7.9%) 13/50 (26%) 1/26 (3.8%) 8/79 (10.1%) 2/64 (3.1%) 2/24 (8.3%)
    Dyspnoea exertional 7/195 (3.6%) 1/89 (1.1%) 1/5 (20%) 1/38 (2.6%) 5/50 (10%) 0/26 (0%) 3/79 (3.8%) 1/64 (1.6%) 0/24 (0%)
    Epistaxis 3/195 (1.5%) 1/89 (1.1%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 2/26 (7.7%) 3/79 (3.8%) 3/64 (4.7%) 2/24 (8.3%)
    Atelectasis 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 2/24 (8.3%)
    Nasal congestion 0/195 (0%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 3/50 (6%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 0/24 (0%)
    Productive cough 4/195 (2.1%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 5/50 (10%) 0/26 (0%) 0/79 (0%) 2/64 (3.1%) 0/24 (0%)
    Pulmonary hilum mass 0/195 (0%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Pulmonary mass 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 1/38 (2.6%) 3/50 (6%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Rales 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 2/24 (8.3%)
    Rhinorrhoea 4/195 (2.1%) 2/89 (2.2%) 1/5 (20%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 2/64 (3.1%) 1/24 (4.2%)
    Skin and subcutaneous tissue disorders
    Rash 63/195 (32.3%) 36/89 (40.4%) 2/5 (40%) 10/38 (26.3%) 18/50 (36%) 3/26 (11.5%) 27/79 (34.2%) 20/64 (31.3%) 4/24 (16.7%)
    Pruritus 18/195 (9.2%) 9/89 (10.1%) 0/5 (0%) 9/38 (23.7%) 8/50 (16%) 3/26 (11.5%) 6/79 (7.6%) 4/64 (6.3%) 0/24 (0%)
    Dry skin 16/195 (8.2%) 4/89 (4.5%) 0/5 (0%) 1/38 (2.6%) 4/50 (8%) 3/26 (11.5%) 3/79 (3.8%) 1/64 (1.6%) 0/24 (0%)
    Skin lesion 10/195 (5.1%) 4/89 (4.5%) 0/5 (0%) 2/38 (5.3%) 2/50 (4%) 2/26 (7.7%) 4/79 (5.1%) 1/64 (1.6%) 0/24 (0%)
    Alopecia 11/195 (5.6%) 3/89 (3.4%) 1/5 (20%) 0/38 (0%) 3/50 (6%) 0/26 (0%) 1/79 (1.3%) 2/64 (3.1%) 0/24 (0%)
    Night sweats 2/195 (1%) 1/89 (1.1%) 0/5 (0%) 2/38 (5.3%) 3/50 (6%) 1/26 (3.8%) 2/79 (2.5%) 0/64 (0%) 0/24 (0%)
    Angioedema 0/195 (0%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Dermatitis 4/195 (2.1%) 0/89 (0%) 0/5 (0%) 2/38 (5.3%) 0/50 (0%) 1/26 (3.8%) 2/79 (2.5%) 1/64 (1.6%) 0/24 (0%)
    Ecchymosis 0/195 (0%) 1/89 (1.1%) 0/5 (0%) 0/38 (0%) 0/50 (0%) 2/26 (7.7%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Erythema 5/195 (2.6%) 7/89 (7.9%) 0/5 (0%) 1/38 (2.6%) 2/50 (4%) 2/26 (7.7%) 4/79 (5.1%) 1/64 (1.6%) 0/24 (0%)
    Hyperhidrosis 3/195 (1.5%) 3/89 (3.4%) 0/5 (0%) 1/38 (2.6%) 3/50 (6%) 1/26 (3.8%) 2/79 (2.5%) 3/64 (4.7%) 0/24 (0%)
    Nail disorder 0/195 (0%) 0/89 (0%) 0/5 (0%) 1/38 (2.6%) 0/50 (0%) 2/26 (7.7%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Petechiae 3/195 (1.5%) 0/89 (0%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 3/64 (4.7%) 3/24 (12.5%)
    Skin burning sensation 2/195 (1%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Skin depigmentation 0/195 (0%) 0/89 (0%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Swelling face 1/195 (0.5%) 1/89 (1.1%) 1/5 (20%) 1/38 (2.6%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Vascular disorders
    Hypertension 17/195 (8.7%) 6/89 (6.7%) 0/5 (0%) 2/38 (5.3%) 5/50 (10%) 1/26 (3.8%) 6/79 (7.6%) 2/64 (3.1%) 2/24 (8.3%)
    Flushing 1/195 (0.5%) 2/89 (2.2%) 1/5 (20%) 0/38 (0%) 0/50 (0%) 0/26 (0%) 0/79 (0%) 0/64 (0%) 0/24 (0%)
    Haematoma 3/195 (1.5%) 2/89 (2.2%) 0/5 (0%) 0/38 (0%) 1/50 (2%) 0/26 (0%) 1/79 (1.3%) 0/64 (0%) 3/24 (12.5%)

    Limitations/Caveats

    Analyses of progression free survival and overall survival was based on all-treated population, instead of evaluable population which was the primary efficacy population as per planned analyses.

    More Information

    Certain Agreements

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

    Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

    Results Point of Contact

    Name/Title Pfizer ClinicalTrials.gov Call Center
    Organization Pfizer, Inc.
    Phone 1-800-718-1021
    Email ClinicalTrials.gov_Inquiries@pfizer.com
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT00261846
    Other Study ID Numbers:
    • 3160A4-200
    • B1871006, 3160A4-200-WW
    • 2005-004230-40
    • B1871006
    First Posted:
    Dec 5, 2005
    Last Update Posted:
    Jul 27, 2017
    Last Verified:
    Jun 1, 2017