Study Evaluating SKI-606 (Bosutinib) In Philadelphia Chromosome Positive Leukemias
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 |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: SKI-606
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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:
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Outcome Measures
Primary Outcome Measures
- 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).
- 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.
- Maximum Observed Plasma Concentration (Cmax) - Part 1 [0 (pre-dose), 1, 2, 3, 4, 6, 8, 24, 48 hours post-dose on Day 1]
- 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]
- 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.
- 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).
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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)
- 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
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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
- 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.
- 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.
- 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).
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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).
- 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
Inclusion Criteria:
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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.
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At least 3 months post stem cell transplantation
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Able to take daily oral capsules/tablets reliably
Exclusion Criteria:
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Subjects with Philadelphia chromosome, and bcr-abl negative CML
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Overt leptomeningeal leukemia
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Subjects without evidence of leukemia in bone marrow (extramedullary disease only)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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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.- 3160A4-200
- B1871006, 3160A4-200-WW
- 2005-004230-40
- B1871006
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
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%
|
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
|
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)
|
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
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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
|
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)
|
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)
|
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)
|
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)
|
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%
|
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%
|
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 |
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)
|
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)
|
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%
|
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
|
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
|
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
|
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
|
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
|
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
|
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
|
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
|
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
|
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
|
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%
|
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
|
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
|
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%
|
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%
|
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%
|
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%
|
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
|
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%
|
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 |
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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
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Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
Results Point of Contact
Name/Title | Pfizer ClinicalTrials.gov Call Center |
---|---|
Organization | Pfizer, Inc. |
Phone | 1-800-718-1021 |
ClinicalTrials.gov_Inquiries@pfizer.com |
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