Safety And Efficacy Of Crizotinib (Regulatory Post Marketing Commitment Plan)

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT01597258
Collaborator
(none)
2,029
69.6

Study Details

Study Description

Brief Summary

The objective of this surveillance is to collect information about 1) adverse drug reaction not expected from the LPD (unknown adverse drug reaction), 2) the incidence of adverse drug reactions in this surveillance, and 3)factors considered to affect the safety and/or efficacy of this drug.

Condition or Disease Intervention/Treatment Phase
  • Drug: Crizotinib (Xalkori)

Detailed Description

All the patients whom an investigator prescribes Crizotinib (XALKORI) should be registered.

Study Design

Study Type:
Observational
Actual Enrollment :
2029 participants
Observational Model:
Case-Only
Time Perspective:
Prospective
Official Title:
SPECIAL INVESTIGATION OF XALKORI FOR NSCLC (REGULATORY POST MARKETING COMMITMENT PLAN)
Actual Study Start Date :
May 29, 2012
Actual Primary Completion Date :
Mar 16, 2018
Actual Study Completion Date :
Mar 16, 2018

Arms and Interventions

Arm Intervention/Treatment
Crizotinib (Xalkori)

Drug: Crizotinib (Xalkori)
XALKORI® Capsule 200 mg/XALKORI® Capsule 250 mg This surveillance is all cases surveillance based on Japanese regulation. Frequency and duration are according to Package Insert as follows. " The recommended dose schedule of crizotinib is 250 mg taken orally twice daily. Dosing interruption and/or dose reduction may be required based on patients' clinical status. "
Other Names:
  • XALKORI® Capsule 200 mg/XALKORI® Capsule 250 mg
  • Outcome Measures

    Primary Outcome Measures

    1. Number of Participants With Adverse Drug Reactions [52 weeks]

      An adverse drug reaction (ADR) was any untoward medical occurrence attributed to XALKORI Capsules in a participant who received XALKORI Capsules. A serious ADR was a ADR resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening experience (immediate risk of dying); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. Relatedness to XALKORI Capsules was assessed by the physician.

    Secondary Outcome Measures

    1. Objective Response Rate (ORR) at 52 Weeks [52 weeks]

      Clinical effectiveness of XALKORI Capsules was assessed as "complete response (CR)", "partial response (PR)", "stable disease (SD)", "progressive disease (PD)", or "indeterminate" by the physician, based on Response Evaluation Criteria in Solid Tumors (RECIST) guideline version 1.1. Overall effectiveness of XALKORI Capsules was determined by the physician based on the best response. Clinical effectiveness rate was ORR, defined as the percentage of subjects achieving CR or PR with best response. The ORR was presented along with the corresponding exact 2-sided 95% confidence interval (CI).

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • All the patients whom an investigator prescribes XALKORI. (Patients need to be administered Crizotinib (XALKORI) in order to be enrolled in this all cases surveillance.)
    Exclusion Criteria:
    • Patients not administered XALKORI in spite of enrolled.

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Pfizer

    Investigators

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

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT01597258
    Other Study ID Numbers:
    • A8081031
    First Posted:
    May 14, 2012
    Last Update Posted:
    Sep 13, 2019
    Last Verified:
    Sep 1, 2019
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Keywords provided by Pfizer
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title XALKORI Capsules (Crizotinib)
    Arm/Group Description Participants who received XALKORI Capsules as indicated in the approved local product document were observed for a period of 52 weeks. The dosage can be adjusted as per physician's discretion.
    Period Title: Overall Study
    STARTED 2029
    COMPLETED 2028
    NOT COMPLETED 1

    Baseline Characteristics

    Arm/Group Title XALKORI Capsules (Crizotinib)
    Arm/Group Description Participants who received XALKORI Capsules as indicated in the approved local product document were observed for a period of 52 weeks. The dosage can be adjusted as per physician's discretion.
    Overall Participants 2028
    Age, Customized (Count of Participants)
    <65 years
    1221
    60.2%
    ≥65 years
    803
    39.6%
    Unknown
    4
    0.2%
    Sex/Gender, Customized (Number) [Number]
    Male
    937
    46.2%
    Female
    1087
    53.6%
    Unknown
    4
    0.2%
    Race and Ethnicity Not Collected (Count of Participants)

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants With Adverse Drug Reactions
    Description An adverse drug reaction (ADR) was any untoward medical occurrence attributed to XALKORI Capsules in a participant who received XALKORI Capsules. A serious ADR was a ADR resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening experience (immediate risk of dying); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. Relatedness to XALKORI Capsules was assessed by the physician.
    Time Frame 52 weeks

    Outcome Measure Data

    Analysis Population Description
    The safety analysis set comprised of participants who satisfied the inclusion criteria and had received XALKORI Capsules at least once.
    Arm/Group Title XALKORI Capsules (Crizotinib)
    Arm/Group Description Participants who received XALKORI Capsules as indicated in the approved local product document were observed for a period of 52 weeks. The dosage can be adjusted as per physician's discretion.
    Measure Participants 2028
    ADR
    1858
    91.6%
    Serious ADR
    518
    25.5%
    2. Secondary Outcome
    Title Objective Response Rate (ORR) at 52 Weeks
    Description Clinical effectiveness of XALKORI Capsules was assessed as "complete response (CR)", "partial response (PR)", "stable disease (SD)", "progressive disease (PD)", or "indeterminate" by the physician, based on Response Evaluation Criteria in Solid Tumors (RECIST) guideline version 1.1. Overall effectiveness of XALKORI Capsules was determined by the physician based on the best response. Clinical effectiveness rate was ORR, defined as the percentage of subjects achieving CR or PR with best response. The ORR was presented along with the corresponding exact 2-sided 95% confidence interval (CI).
    Time Frame 52 weeks

    Outcome Measure Data

    Analysis Population Description
    The efficacy analysis set (EAS) is comprised in the safety analysis set who had at least one measurable lesion and were evaluated for effectiveness. 1633 participants were included in the EAS.
    Arm/Group Title XALKORI Capsules (Crizotinib)
    Arm/Group Description Participants who received XALKORI Capsules as indicated in the approved local product document were observed for a period of 52 weeks. The dosage can be adjusted as per physician's discretion.
    Measure Participants 1633
    Number (95% Confidence Interval) [Percentage of participants]
    66.5
    3.3%

    Adverse Events

    Time Frame 52 weeks
    Adverse Event Reporting Description The frequency of adverse events. The same event may appear as both an adverse event and a serious adverse event. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both serious and non-serious events during the study.
    Arm/Group Title XALKORI Capsules (Crizotinib)
    Arm/Group Description Participants who received XALKORI Capsules as indicated in the approved local product document were observed for a period of 52 weeks. The dosage can be adjusted as per physician's discretion.
    All Cause Mortality
    XALKORI Capsules (Crizotinib)
    Affected / at Risk (%) # Events
    Total 436/2028 (21.5%)
    Serious Adverse Events
    XALKORI Capsules (Crizotinib)
    Affected / at Risk (%) # Events
    Total 777/2028 (38.3%)
    Blood and lymphatic system disorders
    Neutropenia 12/2028 (0.6%)
    Leukopenia 4/2028 (0.2%)
    Febrile neutropenia 7/2028 (0.3%)
    Disseminated intravascular coagulation 5/2028 (0.2%)
    Anaemia 9/2028 (0.4%)
    Cardiac disorders
    Sinus bradycardia 1/2028 (0%)
    Pericardial effusion 4/2028 (0.2%)
    Long QT syndrome 1/2028 (0%)
    Cardio-respiratory arrest 1/2028 (0%)
    Cardiac tamponade 1/2028 (0%)
    Cardiac failure chronic 1/2028 (0%)
    Cardiac failure acute 1/2028 (0%)
    Cardiac failure 11/2028 (0.5%)
    Cardiac arrest 1/2028 (0%)
    Bradycardia 7/2028 (0.3%)
    Arrhythmia 1/2028 (0%)
    Acute myocardial infarction 1/2028 (0%)
    Congenital, familial and genetic disorders
    Tracheo-oesophageal fistula 1/2028 (0%)
    Ear and labyrinth disorders
    Vertigo 1/2028 (0%)
    Endocrine disorders
    Inappropriate antidiuretic hormone secretion 1/2028 (0%)
    Eye disorders
    Visual impairment 2/2028 (0.1%)
    Vision blurred 2/2028 (0.1%)
    Photopsia 1/2028 (0%)
    Photophobia 1/2028 (0%)
    Macular hole 1/2028 (0%)
    Glaucoma 1/2028 (0%)
    Eye disorder 1/2028 (0%)
    Diplopia 1/2028 (0%)
    Cataract 1/2028 (0%)
    Gastrointestinal disorders
    Vomiting 37/2028 (1.8%)
    Upper gastrointestinal haemorrhage 1/2028 (0%)
    Small intestinal perforation 1/2028 (0%)
    Proctitis 1/2028 (0%)
    Pneumatosis intestinalis 1/2028 (0%)
    Pancreatitis acute 1/2028 (0%)
    Oesophagitis 16/2028 (0.8%)
    Oesophageal ulcer 7/2028 (0.3%)
    Oesophageal perforation 1/2028 (0%)
    Oesophageal pain 1/2028 (0%)
    Oesophageal fistula 1/2028 (0%)
    Obstructive pancreatitis 1/2028 (0%)
    Necrotising oesophagitis 1/2028 (0%)
    Nausea 34/2028 (1.7%)
    Large intestine perforation 2/2028 (0.1%)
    Intestinal obstruction 3/2028 (0.1%)
    Ileus 4/2028 (0.2%)
    Haematemesis 2/2028 (0.1%)
    Gastrooesophageal reflux disease 1/2028 (0%)
    Gastrointestinal toxicity 1/2028 (0%)
    Gastrointestinal oedema 1/2028 (0%)
    Gastrointestinal haemorrhage 1/2028 (0%)
    Gastric ulcer 1/2028 (0%)
    Enterocolitis 1/2028 (0%)
    Dysphagia 1/2028 (0%)
    Dyspepsia 1/2028 (0%)
    Duodenal ulcer haemorrhage 1/2028 (0%)
    Diarrhoea 7/2028 (0.3%)
    Constipation 1/2028 (0%)
    Colitis ischaemic 1/2028 (0%)
    Colitis 1/2028 (0%)
    Anorectal disorder 1/2028 (0%)
    Abdominal pain upper 1/2028 (0%)
    Abdominal pain 4/2028 (0.2%)
    Abdominal discomfort 1/2028 (0%)
    General disorders
    Sudden death 1/2028 (0%)
    Pyrexia 12/2028 (0.6%)
    Pain 1/2028 (0%)
    Oedema peripheral 4/2028 (0.2%)
    Oedema 8/2028 (0.4%)
    Multiple organ dysfunction syndrome 1/2028 (0%)
    Malaise 5/2028 (0.2%)
    General physical health deterioration 1/2028 (0%)
    Face oedema 1/2028 (0%)
    Drug interaction 1/2028 (0%)
    Death 5/2028 (0.2%)
    Asthenia 1/2028 (0%)
    Hepatobiliary disorders
    Liver disorder 15/2028 (0.7%)
    Hepatotoxicity 18/2028 (0.9%)
    Hepatitis fulminant 2/2028 (0.1%)
    Hepatitis acute 2/2028 (0.1%)
    Hepatic necrosis 1/2028 (0%)
    Hepatic function abnormal 52/2028 (2.6%)
    Hepatic failure 2/2028 (0.1%)
    Drug-induced liver injury 5/2028 (0.2%)
    Cholecystitis chronic 1/2028 (0%)
    Cholecystitis 2/2028 (0.1%)
    Cholangitis 1/2028 (0%)
    Biliary dilatation 1/2028 (0%)
    Bile duct stone 1/2028 (0%)
    Bile duct obstruction 1/2028 (0%)
    Infections and infestations
    Wound infection 1/2028 (0%)
    Urinary tract infection 5/2028 (0.2%)
    Sepsis 5/2028 (0.2%)
    Renal cyst infection 2/2028 (0.1%)
    Renal abscess 12/2028 (0.6%)
    Pyelonephritis acute 1/2028 (0%)
    Pyelonephritis 2/2028 (0.1%)
    Psoas abscess 2/2028 (0.1%)
    Pseudomembranous colitis 1/2028 (0%)
    Pneumonia pneumococcal 3/2028 (0.1%)
    Pneumonia influenzal 1/2028 (0%)
    Pneumonia herpes viral 1/2028 (0%)
    Pneumonia cytomegaloviral 1/2028 (0%)
    Pneumonia bacterial 12/2028 (0.6%)
    Pneumonia 45/2028 (2.2%)
    Pneumocystis jirovecii pneumonia 5/2028 (0.2%)
    Peritonitis 2/2028 (0.1%)
    Perinephric abscess 1/2028 (0%)
    Otitis media 1/2028 (0%)
    Oesophageal candidiasis 3/2028 (0.1%)
    Muscle abscess 1/2028 (0%)
    Mediastinitis 1/2028 (0%)
    Lung infection 5/2028 (0.2%)
    Lung abscess 1/2028 (0%)
    Localised infection 1/2028 (0%)
    Liver abscess 2/2028 (0.1%)
    Kidney infection 1/2028 (0%)
    Infective exacerbation of bronchiectasis 1/2028 (0%)
    Infectious pleural effusion 3/2028 (0.1%)
    Infection 1/2028 (0%)
    Herpes zoster 3/2028 (0.1%)
    Gastroenteritis salmonella 1/2028 (0%)
    Gastroenteritis 1/2028 (0%)
    Enteritis infectious 1/2028 (0%)
    Cellulitis 1/2028 (0%)
    Bronchopulmonary aspergillosis 1/2028 (0%)
    Bronchitis 2/2028 (0.1%)
    Bacteraemia 1/2028 (0%)
    Atypical pneumonia 1/2028 (0%)
    Arthritis bacterial 1/2028 (0%)
    Appendicitis 2/2028 (0.1%)
    Abdominal abscess 1/2028 (0%)
    Injury, poisoning and procedural complications
    Spinal fracture 1/2028 (0%)
    Spinal compression fracture 3/2028 (0.1%)
    Radiation pneumonitis 2/2028 (0.1%)
    Humerus fracture 1/2028 (0%)
    Fracture 1/2028 (0%)
    Femur fracture 2/2028 (0.1%)
    Compression fracture 1/2028 (0%)
    Investigations
    White blood cell count increased 1/2028 (0%)
    White blood cell count decreased 5/2028 (0.2%)
    Weight increased 1/2028 (0%)
    Renal function test abnormal 1/2028 (0%)
    Platelet count decreased 5/2028 (0.2%)
    Neutrophil count decreased 22/2028 (1.1%)
    Hepatic enzyme increased 1/2028 (0%)
    Haemoglobin decreased 1/2028 (0%)
    Gamma-glutamyltransferase increased 1/2028 (0%)
    Eosinophil count increased 1/2028 (0%)
    Electrocardiogram T wave abnormal 1/2028 (0%)
    Electrocardiogram QT prolonged 10/2028 (0.5%)
    C-reactive protein increased 3/2028 (0.1%)
    Blood creatinine increased 12/2028 (0.6%)
    Blood creatine phosphokinase increased 1/2028 (0%)
    Blood bilirubin increased 3/2028 (0.1%)
    Blood alkaline phosphatase increased 2/2028 (0.1%)
    Blood albumin decreased 1/2028 (0%)
    Aspartate aminotransferase increased 22/2028 (1.1%)
    Alanine aminotransferase increased 22/2028 (1.1%)
    Metabolism and nutrition disorders
    Tumour lysis syndrome 3/2028 (0.1%)
    Metabolic acidosis 1/2028 (0%)
    Hyponatraemia 5/2028 (0.2%)
    Hypokalaemia 2/2028 (0.1%)
    Hypocalcaemia 5/2028 (0.2%)
    Hypoalbuminaemia 4/2028 (0.2%)
    Hyperkalaemia 6/2028 (0.3%)
    Hyperglycaemia 2/2028 (0.1%)
    Hypercalcaemia 1/2028 (0%)
    Fluid overload 1/2028 (0%)
    Dehydration 4/2028 (0.2%)
    Decreased appetite 19/2028 (0.9%)
    Musculoskeletal and connective tissue disorders
    Muscular weakness 1/2028 (0%)
    Muscle atrophy 1/2028 (0%)
    Lumbar spinal stenosis 1/2028 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Small cell lung cancer 1/2028 (0%)
    Second primary malignancy 1/2028 (0%)
    Plasma cell myeloma 1/2028 (0%)
    Non-small cell lung cancer 293/2028 (14.4%)
    Metastases to lung 1/2028 (0%)
    Metastases to central nervous system 1/2028 (0%)
    Malignant ascites 1/2028 (0%)
    Lung adenocarcinoma 1/2028 (0%)
    Intracranial tumour haemorrhage 1/2028 (0%)
    Gastric cancer 1/2028 (0%)
    Cancer pain 1/2028 (0%)
    Anaplastic large-cell lymphoma 1/2028 (0%)
    Nervous system disorders
    Syncope 1/2028 (0%)
    Somnolence 1/2028 (0%)
    Seizure 6/2028 (0.3%)
    Presyncope 1/2028 (0%)
    Peripheral sensory neuropathy 1/2028 (0%)
    Peripheral motor neuropathy 2/2028 (0.1%)
    Paraneoplastic neurological syndrome 1/2028 (0%)
    Neuropathy peripheral 3/2028 (0.1%)
    Neuralgia 1/2028 (0%)
    Myasthenia gravis 1/2028 (0%)
    Loss of consciousness 1/2028 (0%)
    Leukoencephalopathy 1/2028 (0%)
    Lacunar infarction 1/2028 (0%)
    Hemiplegia 1/2028 (0%)
    Guillain-Barre syndrome 1/2028 (0%)
    Facial paralysis 1/2028 (0%)
    Epilepsy 2/2028 (0.1%)
    Encephalopathy 1/2028 (0%)
    Dysgeusia 3/2028 (0.1%)
    Dysarthria 1/2028 (0%)
    Drug withdrawal convulsions 1/2028 (0%)
    Dizziness 3/2028 (0.1%)
    Depressed level of consciousness 7/2028 (0.3%)
    Cerebellar infarction 1/2028 (0%)
    Brain oedema 4/2028 (0.2%)
    Altered state of consciousness 2/2028 (0.1%)
    Akathisia 1/2028 (0%)
    Psychiatric disorders
    Suicide attempt 3/2028 (0.1%)
    Major depression 1/2028 (0%)
    Disorientation 1/2028 (0%)
    Delirium 5/2028 (0.2%)
    Completed suicide 1/2028 (0%)
    Renal and urinary disorders
    Urinary tract obstruction 1/2028 (0%)
    Urinary retention 1/2028 (0%)
    Tubulointerstitial nephritis 1/2028 (0%)
    Renal impairment 7/2028 (0.3%)
    Renal disorder 3/2028 (0.1%)
    Renal cyst 4/2028 (0.2%)
    Neurogenic bladder 1/2028 (0%)
    Bladder disorder 1/2028 (0%)
    Acute kidney injury 4/2028 (0.2%)
    Respiratory, thoracic and mediastinal disorders
    Respiratory failure 12/2028 (0.6%)
    Pulmonary oedema 3/2028 (0.1%)
    Pulmonary infarction 1/2028 (0%)
    Pulmonary fibrosis 2/2028 (0.1%)
    Pulmonary embolism 22/2028 (1.1%)
    Pulmonary artery thrombosis 1/2028 (0%)
    Pulmonary alveolar haemorrhage 2/2028 (0.1%)
    Pneumothorax 1/2028 (0%)
    Pneumonitis 4/2028 (0.2%)
    Pneumonia aspiration 11/2028 (0.5%)
    Pleurisy 3/2028 (0.1%)
    Acute respiratory distress syndrome 4/2028 (0.2%)
    Acute respiratory failure 1/2028 (0%)
    Apnoea 1/2028 (0%)
    Asphyxia 1/2028 (0%)
    Aspiration 3/2028 (0.1%)
    Asthma 1/2028 (0%)
    Chylothorax 1/2028 (0%)
    Cough 1/2028 (0%)
    Dyspnoea 8/2028 (0.4%)
    Dyspnoea exertional 1/2028 (0%)
    Haemoptysis 3/2028 (0.1%)
    Hypoxia 5/2028 (0.2%)
    Interstitial lung disease 84/2028 (4.1%)
    Laryngeal oedema 1/2028 (0%)
    Lung disorder 5/2028 (0.2%)
    Obstructive airways disorder 1/2028 (0%)
    Organising pneumonia 3/2028 (0.1%)
    Pleural effusion 12/2028 (0.6%)
    Skin and subcutaneous tissue disorders
    Toxic skin eruption 1/2028 (0%)
    Rash maculo-papular 1/2028 (0%)
    Rash 1/2028 (0%)
    Erythema multiforme 4/2028 (0.2%)
    Erythema 1/2028 (0%)
    Drug eruption 1/2028 (0%)
    Dermatitis 1/2028 (0%)
    Vascular disorders
    Venous thrombosis limb 2/2028 (0.1%)
    Vena cava thrombosis 1/2028 (0%)
    Thrombosis 1/2028 (0%)
    Thrombophlebitis superficial 1/2028 (0%)
    Peripheral circulatory failure 1/2028 (0%)
    Hypotension 4/2028 (0.2%)
    Embolism venous 1/2028 (0%)
    Embolism 1/2028 (0%)
    Deep vein thrombosis 10/2028 (0.5%)
    Circulatory collapse 1/2028 (0%)
    Other (Not Including Serious) Adverse Events
    XALKORI Capsules (Crizotinib)
    Affected / at Risk (%) # Events
    Total 1783/2028 (87.9%)
    Blood and lymphatic system disorders
    Anaemia 78/2028 (3.8%)
    Coagulopathy 1/2028 (0%)
    Disseminated intravascular coagulation 3/2028 (0.1%)
    Febrile neutropenia 6/2028 (0.3%)
    Leukocytosis 3/2028 (0.1%)
    Leukopenia 14/2028 (0.7%)
    Lymphadenitis 1/2028 (0%)
    Lymphopenia 2/2028 (0.1%)
    Neutropenia 45/2028 (2.2%)
    Pancytopenia 1/2028 (0%)
    Thrombocytopenia 4/2028 (0.2%)
    Cardiac disorders
    Angina pectoris 1/2028 (0%)
    Atrial fibrillation 2/2028 (0.1%)
    Bradycardia 90/2028 (4.4%)
    Cardiac failure 3/2028 (0.1%)
    Cardiac tamponade 1/2028 (0%)
    Cardiac ventricular thrombosis 1/2028 (0%)
    Conduction disorder 1/2028 (0%)
    Palpitations 5/2028 (0.2%)
    Pericardial effusion 3/2028 (0.1%)
    Pericarditis 1/2028 (0%)
    Sinus bradycardia 34/2028 (1.7%)
    Tachycardia 2/2028 (0.1%)
    Ventricular arrhythmia 1/2028 (0%)
    Congenital, familial and genetic disorders
    Colour blindness 1/2028 (0%)
    Congenital cystic kidney disease 1/2028 (0%)
    Ear and labyrinth disorders
    Deafness 2/2028 (0.1%)
    Ear discomfort 2/2028 (0.1%)
    Tinnitus 4/2028 (0.2%)
    Vertigo 1/2028 (0%)
    Endocrine disorders
    Hypothyroidism 3/2028 (0.1%)
    Eye disorders
    Visual impairment 195/2028 (9.6%)
    Photopsia 384/2028 (18.9%)
    Abnormal sensation in eye 1/2028 (0%)
    Accommodation disorder 1/2028 (0%)
    Asthenopia 1/2028 (0%)
    Blepharitis 1/2028 (0%)
    Cataract 2/2028 (0.1%)
    Cataract subcapsular 1/2028 (0%)
    Conjunctival haemorrhage 1/2028 (0%)
    Diabetic retinopathy 1/2028 (0%)
    Diplopia 87/2028 (4.3%)
    Dry eye 4/2028 (0.2%)
    Extraocular muscle paresis 1/2028 (0%)
    Eye disorder 6/2028 (0.3%)
    Eyelid oedema 2/2028 (0.1%)
    Hypermetropia 1/2028 (0%)
    Keratitis 1/2028 (0%)
    Lacrimation increased 1/2028 (0%)
    Night blindness 2/2028 (0.1%)
    Optic nerve disorder 2/2028 (0.1%)
    Periorbital oedema 2/2028 (0.1%)
    Photophobia 54/2028 (2.7%)
    Punctate keratitis 1/2028 (0%)
    Retinal tear 1/2028 (0%)
    Vision blurred 85/2028 (4.2%)
    Visual acuity reduced 4/2028 (0.2%)
    Vitreous floaters 28/2028 (1.4%)
    Gastrointestinal disorders
    Vomiting 326/2028 (16.1%)
    Nausea 633/2028 (31.2%)
    Diarrhoea 500/2028 (24.7%)
    Constipation 299/2028 (14.7%)
    Abdominal discomfort 19/2028 (0.9%)
    Abdominal distension 10/2028 (0.5%)
    Abdominal pain 24/2028 (1.2%)
    Abdominal pain lower 1/2028 (0%)
    Abdominal pain upper 29/2028 (1.4%)
    Anal inflammation 1/2028 (0%)
    Ascites 5/2028 (0.2%)
    Cheilitis 5/2028 (0.2%)
    Chronic gastritis 2/2028 (0.1%)
    Crohn's disease 1/2028 (0%)
    Dental caries 1/2028 (0%)
    Dumping syndrome 1/2028 (0%)
    Dyspepsia 12/2028 (0.6%)
    Dysphagia 11/2028 (0.5%)
    Enterocolitis 6/2028 (0.3%)
    Epigastric discomfort 3/2028 (0.1%)
    Faeces soft 10/2028 (0.5%)
    Food poisoning 2/2028 (0.1%)
    Gastric ulcer 2/2028 (0.1%)
    Gastritis 19/2028 (0.9%)
    Gastritis haemorrhagic 1/2028 (0%)
    Gastrointestinal disorder 6/2028 (0.3%)
    Gastrointestinal mucosal disorder 1/2028 (0%)
    Gastrointestinal oedema 1/2028 (0%)
    Gastrointestinal pain 4/2028 (0.2%)
    Gastrooesophageal reflux disease 23/2028 (1.1%)
    Glossodynia 1/2028 (0%)
    Haematochezia 1/2028 (0%)
    Haemorrhoidal haemorrhage 1/2028 (0%)
    Haemorrhoids 4/2028 (0.2%)
    Hiatus hernia 1/2028 (0%)
    Hypoaesthesia oral 2/2028 (0.1%)
    Ileus 2/2028 (0.1%)
    Intestinal dilatation 1/2028 (0%)
    Irritable bowel syndrome 1/2028 (0%)
    Lip erosion 1/2028 (0%)
    Lip swelling 1/2028 (0%)
    Melaena 1/2028 (0%)
    Mouth haemorrhage 1/2028 (0%)
    Odynophagia 5/2028 (0.2%)
    Oesophageal pain 6/2028 (0.3%)
    Oesophageal stenosis 1/2028 (0%)
    Oesophageal ulcer 9/2028 (0.4%)
    Oesophagitis 40/2028 (2%)
    Oral dysaesthesia 2/2028 (0.1%)
    Oral pain 1/2028 (0%)
    Pancreatic cyst 1/2028 (0%)
    Pancreatitis acute 1/2028 (0%)
    Periodontal disease 1/2028 (0%)
    Stomatitis 34/2028 (1.7%)
    Subileus 2/2028 (0.1%)
    General disorders
    Pyrexia 118/2028 (5.8%)
    Oedema peripheral 118/2028 (5.8%)
    Asthenia 1/2028 (0%)
    Chest discomfort 1/2028 (0%)
    Chest pain 7/2028 (0.3%)
    Chills 1/2028 (0%)
    Face oedema 11/2028 (0.5%)
    Fatigue 18/2028 (0.9%)
    Feeling abnormal 1/2028 (0%)
    Generalised oedema 3/2028 (0.1%)
    Infusion site extravasation 2/2028 (0.1%)
    Localised oedema 3/2028 (0.1%)
    Malaise 93/2028 (4.6%)
    Non-cardiac chest pain 1/2028 (0%)
    Oedema 82/2028 (4%)
    Pain 11/2028 (0.5%)
    Sensation of foreign body 1/2028 (0%)
    Thirst 1/2028 (0%)
    Hepatobiliary disorders
    Liver disorder 145/2028 (7.1%)
    Hepatic function abnormal 249/2028 (12.3%)
    Cholangitis 1/2028 (0%)
    Drug-induced liver injury 6/2028 (0.3%)
    Hepatic cyst 1/2028 (0%)
    Hepatic failure 1/2028 (0%)
    Hepatic steatosis 3/2028 (0.1%)
    Hepatitis 1/2028 (0%)
    Hepatotoxicity 69/2028 (3.4%)
    Hepatobiliary disease 3/2028 (0.1%)
    Immune system disorders
    Hypogammaglobulinaemia 1/2028 (0%)
    Seasonal allergy 4/2028 (0.2%)
    Infections and infestations
    Abscess oral 1/2028 (0%)
    Angular cheilitis 2/2028 (0.1%)
    Appendicitis 1/2028 (0%)
    Atypical mycobacterial infection 1/2028 (0%)
    Bacterial infection 1/2028 (0%)
    Bronchitis 23/2028 (1.1%)
    Cellulitis 5/2028 (0.2%)
    Conjunctivitis 4/2028 (0.2%)
    Cystitis 12/2028 (0.6%)
    Device related infection 1/2028 (0%)
    Enteritis infectious 2/2028 (0.1%)
    Enterocolitis bacterial 1/2028 (0%)
    Folliculitis 1/2028 (0%)
    Gastroenteritis 4/2028 (0.2%)
    Gingivitis 3/2028 (0.1%)
    Herpes simplex 1/2028 (0%)
    Herpes zoster 13/2028 (0.6%)
    Infection 6/2028 (0.3%)
    Infectious pleural effusion 2/2028 (0.1%)
    Influenza 3/2028 (0.1%)
    Lower respiratory tract infection 1/2028 (0%)
    Lung abscess 2/2028 (0.1%)
    Lung infection 13/2028 (0.6%)
    Nasopharyngitis 23/2028 (1.1%)
    Oesophageal candidiasis 9/2028 (0.4%)
    Oral candidiasis 6/2028 (0.3%)
    Oral herpes 4/2028 (0.2%)
    Oropharyngeal candidiasis 1/2028 (0%)
    Osteomyelitis 1/2028 (0%)
    Otitis externa 1/2028 (0%)
    Otitis media 2/2028 (0.1%)
    Otitis media acute 1/2028 (0%)
    Paronychia 2/2028 (0.1%)
    Parotitis 1/2028 (0%)
    Peritonitis 1/2028 (0%)
    Pharyngitis 9/2028 (0.4%)
    Pneumocystis jirovecii pneumonia 1/2028 (0%)
    Pneumonia 51/2028 (2.5%)
    Pneumonia bacterial 6/2028 (0.3%)
    Pulmonary tuberculosis 1/2028 (0%)
    Pyelonephritis 1/2028 (0%)
    Rhinitis 1/2028 (0%)
    Sinusitis 2/2028 (0.1%)
    Skin candida 1/2028 (0%)
    Skin infection 2/2028 (0.1%)
    Tinea infection 1/2028 (0%)
    Tinea pedis 4/2028 (0.2%)
    Tonsillitis 1/2028 (0%)
    Tooth infection 1/2028 (0%)
    Tuberculosis 1/2028 (0%)
    Upper respiratory tract infection 10/2028 (0.5%)
    Urinary tract infection 20/2028 (1%)
    Respiratory tract infection 1/2028 (0%)
    Injury, poisoning and procedural complications
    Chest injury 1/2028 (0%)
    Chillblains 1/2028 (0%)
    Closed globe injury 1/2028 (0%)
    Compression fracture 1/2028 (0%)
    Fall 1/2028 (0%)
    Femur fracture 1/2028 (0%)
    Fracture 2/2028 (0.1%)
    Pelvic fracture 1/2028 (0%)
    Post procedural haemorrhage 1/2028 (0%)
    Radiation oesophagitis 2/2028 (0.1%)
    Radiation pneumonitis 11/2028 (0.5%)
    Rib fracture 2/2028 (0.1%)
    Recall phenomenon 2/2028 (0.1%)
    Spinal compression fracture 5/2028 (0.2%)
    Tendon rupture 1/2028 (0%)
    Tracheal haemorrhage 1/2028 (0%)
    Wound complication 1/2028 (0%)
    Fibula fracture 1/2028 (0%)
    Investigations
    White blood cell count decreased 109/2028 (5.4%)
    Blood creatinine increased 190/2028 (9.4%)
    Neutrophil count decreased 166/2028 (8.2%)
    Blood alkaline phosphatase increased 115/2028 (5.7%)
    Aspartate aminotransferase increased 271/2028 (13.4%)
    Alanine aminotransferase increased 291/2028 (14.3%)
    Amylase increased 2/2028 (0.1%)
    Beta 2 microglobulin increased 1/2028 (0%)
    Blood bilirubin increased 9/2028 (0.4%)
    Blood calcium decreased 1/2028 (0%)
    Blood chloride decreased 2/2028 (0.1%)
    Blood chloride increased 3/2028 (0.1%)
    Blood creatine phosphokinase increased 29/2028 (1.4%)
    Blood lactate dehydrogenase increased 23/2028 (1.1%)
    Blood potassium increased 5/2028 (0.2%)
    Blood pressure decreased 1/2028 (0%)
    Blood urea abnormal 1/2028 (0%)
    Blood urea increased 24/2028 (1.2%)
    Carbohydrate antigen 19-9 increased 1/2028 (0%)
    Carcinoembryonic antigen increased 3/2028 (0.1%)
    Cardioactive drug level increased 1/2028 (0%)
    Cell marker increased 2/2028 (0.1%)
    Chest X-ray abnormal 1/2028 (0%)
    C-reactive protein increased 11/2028 (0.5%)
    Creatinine renal clearance decreased 1/2028 (0%)
    Electrocardiogram QT prolonged 65/2028 (3.2%)
    Gamma-glutamyltransferase increased 9/2028 (0.4%)
    Granulocyte count decreased 1/2028 (0%)
    Grip strength decreased 1/2028 (0%)
    Haemoglobin decreased 9/2028 (0.4%)
    Hepatic enzyme increased 9/2028 (0.4%)
    International normalised ratio increased 3/2028 (0.1%)
    Intraocular pressure increased 2/2028 (0.1%)
    Investigation abnormal 1/2028 (0%)
    Liver function test abnormal 7/2028 (0.3%)
    Liver function test increased 9/2028 (0.4%)
    Lymphocyte count decreased 22/2028 (1.1%)
    Lymphocyte count increased 1/2028 (0%)
    Monocyte count increased 1/2028 (0%)
    Neutrophil count increased 1/2028 (0%)
    Nutritional condition abnormal 1/2028 (0%)
    Oxygen saturation decreased 1/2028 (0%)
    Platelet count decreased 16/2028 (0.8%)
    Platelet count increased 4/2028 (0.2%)
    Protein total decreased 5/2028 (0.2%)
    Prothrombin time prolonged 1/2028 (0%)
    Red blood cell count decreased 1/2028 (0%)
    Renal function test abnormal 1/2028 (0%)
    Transaminases increased 10/2028 (0.5%)
    Tumour marker increased 2/2028 (0.1%)
    Vitamin B12 decreased 1/2028 (0%)
    Weight decreased 5/2028 (0.2%)
    Weight increased 2/2028 (0.1%)
    White blood cell count increased 14/2028 (0.7%)
    Blood albumin decreased 5/2028 (0.2%)
    Eosinophil count increased 7/2028 (0.3%)
    Glomerular filtration rate decreased 2/2028 (0.1%)
    Red blood cell count increased 1/2028 (0%)
    Metabolism and nutrition disorders
    Decreased appetite 210/2028 (10.4%)
    Dehydration 8/2028 (0.4%)
    Diabetes mellitus 3/2028 (0.1%)
    Fluid retention 1/2028 (0%)
    Hyperchloraemia 1/2028 (0%)
    Hyperglycaemia 4/2028 (0.2%)
    Hyperkalaemia 43/2028 (2.1%)
    Hypermagnesaemia 1/2028 (0%)
    Hyperphosphatasaemia 5/2028 (0.2%)
    Hypertriglyceridaemia 1/2028 (0%)
    Hyperuricaemia 6/2028 (0.3%)
    Hypoalbuminaemia 25/2028 (1.2%)
    Hypocalcaemia 22/2028 (1.1%)
    Hypoglycaemia 2/2028 (0.1%)
    Hypokalaemia 11/2028 (0.5%)
    Hyponatraemia 15/2028 (0.7%)
    Hypophosphataemia 1/2028 (0%)
    Hypoproteinaemia 3/2028 (0.1%)
    Hypozincaemia 1/2028 (0%)
    Tumour lysis syndrome 1/2028 (0%)
    Zinc deficiency 1/2028 (0%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 8/2028 (0.4%)
    Arthritis 1/2028 (0%)
    Back pain 16/2028 (0.8%)
    Bone pain 1/2028 (0%)
    Intervertebral disc protrusion 1/2028 (0%)
    Muscle spasms 3/2028 (0.1%)
    Muscle twitching 1/2028 (0%)
    Muscular weakness 2/2028 (0.1%)
    Musculoskeletal pain 6/2028 (0.3%)
    Musculoskeletal stiffness 3/2028 (0.1%)
    Myalgia 6/2028 (0.3%)
    Myopathy 1/2028 (0%)
    Neck pain 2/2028 (0.1%)
    Osteitis 1/2028 (0%)
    Osteoarthritis 1/2028 (0%)
    Osteonecrosis 1/2028 (0%)
    Osteoporosis 1/2028 (0%)
    Pain in extremity 4/2028 (0.2%)
    Pain in jaw 1/2028 (0%)
    Periarthritis 1/2028 (0%)
    Rhabdomyolysis 1/2028 (0%)
    Spinal osteoarthritis 1/2028 (0%)
    Musculoskeletal chest pain 1/2028 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Cancer pain 5/2028 (0.2%)
    Fibrous histiocytoma 1/2028 (0%)
    Gastric cancer 1/2028 (0%)
    Intestinal metastasis 1/2028 (0%)
    Intracranial tumour haemorrhage 1/2028 (0%)
    Lymphangiosis carcinomatosa 1/2028 (0%)
    Metastases to adrenals 1/2028 (0%)
    Metastases to bone 1/2028 (0%)
    Metastases to liver 1/2028 (0%)
    Neoplasm progression 1/2028 (0%)
    Non-small cell lung cancer 13/2028 (0.6%)
    Rectal cancer 1/2028 (0%)
    Tumour associated fever 1/2028 (0%)
    Nervous system disorders
    Dysgeusia 339/2028 (16.7%)
    Altered state of consciousness 2/2028 (0.1%)
    Amnesia 1/2028 (0%)
    Ataxia 1/2028 (0%)
    Brain oedema 2/2028 (0.1%)
    Cerebral infarction 2/2028 (0.1%)
    Cerebral ischaemia 1/2028 (0%)
    Disturbance in attention 1/2028 (0%)
    Dizziness 55/2028 (2.7%)
    Dizziness postural 6/2028 (0.3%)
    Dyslalia 1/2028 (0%)
    Facial neuralgia 1/2028 (0%)
    Headache 23/2028 (1.1%)
    Hypoaesthesia 21/2028 (1%)
    Intracranial pressure increased 1/2028 (0%)
    Loss of consciousness 2/2028 (0.1%)
    Muscle spasticity 1/2028 (0%)
    Nervous system disorder 1/2028 (0%)
    Neuralgia 7/2028 (0.3%)
    Neuropathy peripheral 28/2028 (1.4%)
    Neurotoxicity 1/2028 (0%)
    Paraesthesia 1/2028 (0%)
    Parkinson's disease 1/2028 (0%)
    Peripheral motor neuropathy 1/2028 (0%)
    Peripheral sensory neuropathy 19/2028 (0.9%)
    Pyramidal tract syndrome 1/2028 (0%)
    Sciatica 1/2028 (0%)
    Seizure 3/2028 (0.1%)
    Sensory disturbance 3/2028 (0.1%)
    Somnolence 8/2028 (0.4%)
    Syncope 2/2028 (0.1%)
    Tension headache 1/2028 (0%)
    Transient ischaemic attack 1/2028 (0%)
    Tremor 1/2028 (0%)
    Trigeminal nerve disorder 1/2028 (0%)
    Visual field defect 8/2028 (0.4%)
    Visual perseveration 77/2028 (3.8%)
    Parosmia 1/2028 (0%)
    Psychiatric disorders
    Affective disorder 1/2028 (0%)
    Anticipatory anxiety 1/2028 (0%)
    Anxiety 4/2028 (0.2%)
    Anxiety disorder 3/2028 (0.1%)
    Confusional state 1/2028 (0%)
    Delirium 11/2028 (0.5%)
    Depression 7/2028 (0.3%)
    Dissociative disorder 1/2028 (0%)
    Dysphoria 1/2028 (0%)
    Hallucination 1/2028 (0%)
    Insomnia 35/2028 (1.7%)
    Mental disorder 1/2028 (0%)
    Mood altered 1/2028 (0%)
    Neurosis 1/2028 (0%)
    Restlessness 2/2028 (0.1%)
    Sleep disorder 1/2028 (0%)
    Renal and urinary disorders
    Acute kidney injury 4/2028 (0.2%)
    Chromaturia 1/2028 (0%)
    Chronic kidney disease 1/2028 (0%)
    Dysuria 3/2028 (0.1%)
    Glomerulonephritis chronic 1/2028 (0%)
    Mesangioproliferative glomerulonephritis 1/2028 (0%)
    Nephropathy toxic 3/2028 (0.1%)
    Neurogenic bladder 2/2028 (0.1%)
    Pollakiuria 1/2028 (0%)
    Prerenal failure 1/2028 (0%)
    Proteinuria 3/2028 (0.1%)
    Renal cyst 12/2028 (0.6%)
    Renal disorder 22/2028 (1.1%)
    Renal failure 1/2028 (0%)
    Renal impairment 73/2028 (3.6%)
    Renal vein thrombosis 1/2028 (0%)
    Urethral stenosis 1/2028 (0%)
    Urinary incontinence 1/2028 (0%)
    Urinary retention 5/2028 (0.2%)
    Reproductive system and breast disorders
    Amenorrhoea 1/2028 (0%)
    Benign prostatic hyperplasia 1/2028 (0%)
    Menstruation irregular 1/2028 (0%)
    Respiratory, thoracic and mediastinal disorders
    Aspiration 2/2028 (0.1%)
    Asthma 3/2028 (0.1%)
    Cough 26/2028 (1.3%)
    Dysaesthesia pharynx 1/2028 (0%)
    Dysphonia 2/2028 (0.1%)
    Dyspnoea 13/2028 (0.6%)
    Epistaxis 3/2028 (0.1%)
    Haemoptysis 16/2028 (0.8%)
    Hiccups 5/2028 (0.2%)
    Hyperventilation 1/2028 (0%)
    Hypoxia 4/2028 (0.2%)
    Interstitial lung disease 25/2028 (1.2%)
    Laryngeal discomfort 2/2028 (0.1%)
    Laryngeal pain 1/2028 (0%)
    Lung disorder 2/2028 (0.1%)
    Nasal congestion 1/2028 (0%)
    Obliterative bronchiolitis 1/2028 (0%)
    Oropharyngeal discomfort 3/2028 (0.1%)
    Oropharyngeal pain 14/2028 (0.7%)
    Pharyngeal inflammation 1/2028 (0%)
    Pharyngeal stenosis 1/2028 (0%)
    Pleural effusion 24/2028 (1.2%)
    Pleurisy 2/2028 (0.1%)
    Pleuritic pain 1/2028 (0%)
    Pneumomediastinum 1/2028 (0%)
    Pneumonia aspiration 4/2028 (0.2%)
    Pneumonitis 6/2028 (0.3%)
    Pneumothorax 2/2028 (0.1%)
    Productive cough 3/2028 (0.1%)
    Pulmonary artery thrombosis 1/2028 (0%)
    Pulmonary embolism 2/2028 (0.1%)
    Pulmonary fibrosis 1/2028 (0%)
    Pulmonary oedema 1/2028 (0%)
    Respiratory failure 1/2028 (0%)
    Rhinitis allergic 5/2028 (0.2%)
    Rhinorrhoea 1/2028 (0%)
    Upper respiratory tract inflammation 24/2028 (1.2%)
    Wheezing 2/2028 (0.1%)
    Throat irritation 1/2028 (0%)
    Skin and subcutaneous tissue disorders
    Acne 2/2028 (0.1%)
    Alopecia 7/2028 (0.3%)
    Angioedema 1/2028 (0%)
    Asteatosis 1/2028 (0%)
    Decubitus ulcer 1/2028 (0%)
    Dermatitis 3/2028 (0.1%)
    Dermatitis acneiform 11/2028 (0.5%)
    Dermatitis exfoliative 1/2028 (0%)
    Dermatomyositis 1/2028 (0%)
    Drug eruption 5/2028 (0.2%)
    Dry skin 12/2028 (0.6%)
    Eczema 11/2028 (0.5%)
    Eczema asteatotic 2/2028 (0.1%)
    Erythema 6/2028 (0.3%)
    Erythema annulare 1/2028 (0%)
    Erythema multiforme 4/2028 (0.2%)
    Livedo reticularis 1/2028 (0%)
    Mechanical urticaria 1/2028 (0%)
    Papule 1/2028 (0%)
    Photosensitivity reaction 18/2028 (0.9%)
    Pigmentation disorder 1/2028 (0%)
    Pruritus 19/2028 (0.9%)
    Pruritus generalised 1/2028 (0%)
    Psoriasis 1/2028 (0%)
    Rash 59/2028 (2.9%)
    Rash maculo-papular 5/2028 (0.2%)
    Seborrhoeic dermatitis 2/2028 (0.1%)
    Skin disorder 3/2028 (0.1%)
    Skin erosion 1/2028 (0%)
    Skin exfoliation 1/2028 (0%)
    Skin fissures 1/2028 (0%)
    Eczema nummular 1/2028 (0%)
    Toxic skin eruption 1/2028 (0%)
    Urticaria 7/2028 (0.3%)
    Vascular disorders
    Deep vein thrombosis 7/2028 (0.3%)
    Embolism 3/2028 (0.1%)
    Hypertension 11/2028 (0.5%)
    Hypotension 12/2028 (0.6%)
    Lymphoedema 1/2028 (0%)
    Orthostatic hypotension 2/2028 (0.1%)
    Superior vena cava syndrome 1/2028 (0%)
    Venous thrombosis 1/2028 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

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

    Results Point of Contact

    Name/Title Pfizer ClinicalTrials.gov Call Center
    Organization Pfizer, Inc.
    Phone 1-800-718-1021
    Email ClinicalTrials.gov_Inquiries@pfizer.com
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT01597258
    Other Study ID Numbers:
    • A8081031
    First Posted:
    May 14, 2012
    Last Update Posted:
    Sep 13, 2019
    Last Verified:
    Sep 1, 2019