TASCO1: A Study Evaluating S 95005 Plus Bevacizumab and Capecitabine Plus Bevacizumab in Patients With Previously Untreated Colorectal Cancer Who Are Non-eligible for Intensive Therapy

Sponsor
Institut de Recherches Internationales Servier (Other)
Overall Status
Completed
CT.gov ID
NCT02743221
Collaborator
ADIR, a Servier Group company (Industry)
154
57
2
52.1
2.7
0.1

Study Details

Study Description

Brief Summary

The main purpose of this study is to evaluate the progression-free survival (PFS) in patients receiving S 95005 + bevacizumab (experimental arm) or capecitabine + bevacizumab (control arm) as first-line treatment for unresectable metastatic colorectal cancer in patients non-eligible for intensive therapy.

Condition or Disease Intervention/Treatment Phase
  • Drug: Trifluridine/tipiracil + bevacizumab
  • Drug: Capecitabine + bevacizumab
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
154 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
An Open-label, Randomised, Non-comparative Phase 2 Study Evaluating S 95005 (TAS-102) Plus Bevacizumab and Capecitabine Plus Bevacizumab in Patients With Previously Untreated Metastatic COlorectal Cancer Who Are Non-eligible for Intensive Therapy (TASCO1 Study).
Actual Study Start Date :
Apr 29, 2016
Actual Primary Completion Date :
Jan 15, 2018
Actual Study Completion Date :
Sep 1, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Trifluridine/tipiracil + bevacizumab

Trifluridine/tipiracil (S95005): film-coated tablets containing 15mg of trifluridine and 7.065mg of tipiracil hydrochloride, or 20mg of trifluridine and 9.42mg of tipiracil hydrochloride. Bevacizumab: concentrate for solution for IV infusion containing 25mg/ml of bevacizumab. Trifluridine/tipiracil was administered at 35 mg/m2/dose orally within 1 hour after completion of morning and evening meals, for 5 days on/2 days off, over 2 weeks, followed by a 14-day rest period, with bevacizumab administered intravenously at the dose of 5 mg/kg every 2 weeks at Day 1 and Day 15.This treatment cycle was repeated every 4 weeks.

Drug: Trifluridine/tipiracil + bevacizumab
Patients were treated withTrifluridine/tipiracil + bevacizumab regimen until they met a discontinuation criterion.

Active Comparator: Capecitabine + bevacizumab

Capecitabine was administered at 1250 mg/m² orally BID (bis in die)on Days 1-14 of each cycle, with bevacizumab (7.5 mg/kg, IV) administered on Day 1 of each cycle. This treatment cycle was repeated every 3 weeks

Drug: Capecitabine + bevacizumab
Patients were treated with capecitabine+ bevacizumab regimen until they met a discontinuation criterion.

Outcome Measures

Primary Outcome Measures

  1. Progression Free Survival (PFS) [Baseline and every 8 weeks (maximum follow-up duration: 17.9 months)]

    The progression free survival (PFS), defined as the time from the date of randomisation until the date of the investigator-assessed radiological disease progression or death due to any cause according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Progressive disease (PD) was defined at least a 20% increase in the sum of diameters of target lesions (taking as reference the smallest sum on study) and an absolute increase of at least 5 mm in the sum of lesions or the appearance of new lesions.

Secondary Outcome Measures

  1. Overall Response Rate (ORR) [Baseline and every 8 weeks (maximum follow-up duration: 17.9 months)]

    As per RECIST v1.1, Complete Response (CR) was disappearance of all target lesions; Partial Response (PR) was at least 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. The ORR was the proportion of patients who presented CR or PR with confirmation at subsequent time point or at least 4 weeks later.

  2. Duration of Response (DR) [Baseline and every 8 weeks (maximum follow-up duration: 16.6 months)]

    The DR was calculated among patients with CR or PR as the time (months) from the first documentation of response to the first documentation of objective tumor progression or death due to any cause, whichever occurred first.

  3. Disease Control Rate (DCR) [Baseline and every 8 weeks (maximum follow-up duration: 17.9 months)]

    DCR was the proportion of patients with confirmed CR, PR or stable disease (SD) as best overall response. SD defined as neither sufficient decrease to qualify for PR nor sufficient increase to qualify for PD.

  4. Overall Survival (OS) [Baseline up to death or study cut-off (maximum follow-up duration: 19.9 months)]

    The OS was defined as the time from the date of randomisation to the date of death. If death was not confirmed, or patient was alive at study cut-off date, survival time was censored at the date of last follow-up or at the study cut-off date, whichever was earlier.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Written informed consent obtained.

  • Has ECOG (Eastern Cooperative Oncology Group) performance status of 0, 1 or 2 at the time of the randomisation.

  • Has definitive histologically or cytologically confirmed adenocarcinoma of the colon or rectum.

  • RAS status must have been determined (mutant or wild).

  • Has at least one measurable metastatic lesion.

  • No previous systemic anticancer therapy for unresectable metastatic colorectal cancer.

  • Previous adjuvant (or neoadjuvant for patients with rectal cancer) chemotherapy is allowed only if if it has been completed more than 6 months before start of study treatment.

  • Patient is not a candidate for combination chemotherapy with irinotecan or oxaliplatin, or for curative resection of metastatic lesions.

  • Is able to take medication orally (i.e., no feeding tube).

  • Has adequate organ function.

  • Coagulation parameters in normal limit (or in therapeutic limit for patients treated with anticoagulant drugs).

  • Women of childbearing potential must have been tested negative in a serum pregnancy test. Female participants of childbearing potential and male participants with partners of childbearing potential must agree to use a highly effective method of birth control. Women and female partners using hormonal contraceptive must also use a barrier method.

Exclusion Criteria:
  • Is a pregnant or lactating female.

  • Has certain serious illness or serious medical condition(s) as described in the protocol.

  • Has had certain other recent treatment e.g. major surgery, field radiation, received investigational agent, within the specified time frames prior to randomisation.

  • Has previously received Trifluridine/tipiracil or history of allergic reactions attributed to compounds of similar composition to Trifluridine/tipiracil or any of its excipients.

  • Has rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption.

  • Has contra-indication to bevacizumab or capecitabine.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Chris O'Brien Lifehouse Oncology Camperdown Australia NSW 2050
2 Austin Hospital Olivia Newton-John Cancer & Wellness Centre Heidelberg Australia VIC 3084
3 Western Health, Sunshine Hospital Saint Albans Australia VIC 3021
4 The Queen Elizabeth Hospital Haematology and Oncology Unit Woodville Australia SA 5011
5 Grand Hôpital de Charleroi Oncologie-Hématologie Charleroi Belgium 6000
6 UZ Leuven Campus Gasthuisberg Digestieve Oncologie Leuven Belgium 3000
7 CHC Saint-Joseph Oncologie-Hématoimmunopathologie Liège Belgium 4000
8 Hospital do Câncer de Barretos - Fundação Pio XII Barretos Brazil 14784-400
9 Centro de Pesquisa Hospital de Caridade de Ijuí Ijui Brazil 98700-000
10 Instituto Nacional do Câncer - INCA Unidade de Pesquisa ClínicaInstituto Nacional do Câncer - INCA Unidade de Pesquisa Clínica Rio de Janeiro Brazil 20230-130
11 Hospital de Base, Centro Intergrado de Pesquisa Sao Jose do Rio Preto Brazil 15090-000
12 Instituto do Câncer do Estado de São Paulo - ICESP, Núcleo de Pesquisa Sao Paulo Brazil 01246-000
13 Rigshospitalet - Dpt of Oncology Copenhagen Denmark 2100
14 Odense Universitetshospital - Department of Oncology Odense Denmark 5000
15 CHU Jean Minjoz, Service d'oncologie médicale Besançon France 25030
16 Hôpital Saint Antoine, oncology department Paris France 75012
17 Centre René Gauducheau, Oncologie Médicale Saint-Herblain France 44805
18 Onkologische Schwerpunktpraxis Kurfürstendamm Berlin Germany 10707
19 Schwerpunktpraxis für Hämatologie und Onkologie Magdeburg Germany 39104
20 Städtisches Krankenhaus München Neuperlach, Klinik für Onkologie und Hämatologie Munich Germany 81737
21 Fondazione Poliambulanza Istituto Ospedaliero, Clinical Oncology Brescia Italy 25124
22 A.O.U. SanMartino-IST, Unità Operativa Oncologia Medica 1 Genova Italy 16132
23 A.O. Ospedale Niguarda Ca' Granda-Milano, Department of Onco-Haematology- Onoclogia Falck Milan Italy 20162
24 Seconda Università degli Studi di Napoli, U.O.C. di Oncologia Medica ed Ematologia Naples Italy 80131
25 .O.U. Pisana-Ospedale Santa Chiara, U.O. di Oncologia Medica 2 Pisa Italy 56126
26 AMC Academisch Medisch Centrum Medische Oncologie Amsterdam Netherlands 1105 AZ
27 Amphia Ziekenhuis, Interne Geneeskunde/Oncologie, Langendijk 75 Breda Netherlands 4819 EV
28 Catharina Ziekenhuis, Interne Geneeskunde/Oncologie Eindhoven Netherlands 5623 EJ
29 Martini Ziekenhuizen, Interne Geneeskunde/Oncologie, Van Swietenplein 1 Groningen Netherlands 9728 NT
30 Tergooi Hilversum, Medische Oncologie, Van Riebeeckweg 212 Hilversum Netherlands 1213 XZ
31 Zuyderland Medisch Centrum Interne Geneeskunde Sittard Netherlands 6162 BG
32 Sint Antonius Ziekenhuis Interne Geneeskunde/Oncologie Utrecht Netherlands 3543 CX
33 VieCurie Medisch Centrum, Interne Geneeskunde, Tegelseweg 210 Venlo Netherlands 5912 BL
34 Isala Klinieken, Medische oncologie, Dokter Van Heeweg 2 Zwolle Netherlands 8025 AB
35 Szpitale Pomorskie Sp. z o.o. Oddzial Onkologii i Radioterapii Gdynia Poland 81-519
36 SP ZOZ Szpital Uniwersytecki w Krakowie Oddzial Kliniczny Onkologii Krakow Poland 31-531
37 Centralny Szpital Kliniczny MSW Klinika Onkologii i Hematologii Warszawa Poland 02-507
38 NZOZ MAGODENT Oddzial Onkologii Klinicznej / Chemioterapii Warszawa Poland 04-125
39 Russian Cancer Research Center n.a. NN Blokhin Moscow Russian Federation 115478
40 Moscow City Oncology Hospital # 62, Chemotherapy Moscow Russian Federation 143423
41 Russian Cancer Research Center n.a. NN Blokhin, Department of Research for New Antitumour Medicines Moscow Russian Federation
42 Scientific Centre for Specialized Medical Care (oncological) St Petersburg Russian Federation 197758
43 Hospital Valle de Hebrón, Servicio de Oncología Barcelona Spain 08035
44 Hospital Universitario Reina Sofia, Deparatmento Oncología Médica Cordoba Spain 14004
45 Instituto Catalan De Oncología, Hospitalet de Llobregat Hospitalet de Llobregat Spain 08908
46 Hospital Universitario Gregorio Maranon Madrid Spain 28007
47 Hospital Ramón y Cajal, Oncología Médica Madrid Spain 28034
48 H. Universitario La Paz Oncología Médica Madrid Spain 28046
49 Hospital General Universitario, Oncología Médica Malaga Spain 29010
50 Complejo Hospitalario de Navarra, Oncología Médica Pamplona Spain 31008
51 The Beatson West of Scotland Cancer Centre GI cancers Glasgow United Kingdom G12 0YN
52 Leicester Royal Infirmary, The HOPE Clinical Trials Unit Leicester United Kingdom LE1 5WW
53 Hammersmith Hospital London United Kingdom W12 0HS
54 Imperial healthcare NHS Trust Charing Cross Hospital London United Kingdom W6 8RF
55 Christie Hospital NHS Foundation Trust, GI & Endocrine Manchester United Kingdom M20 4BX
56 Mount Vernon Hospital Department of Oncology Northwood United Kingdom HA6 2RN
57 Southampton General Hospital Southampton United Kingdom SO16 6YD

Sponsors and Collaborators

  • Institut de Recherches Internationales Servier
  • ADIR, a Servier Group company

Investigators

  • Principal Investigator: Eric Van Custem, Prof, Leuven Cancer Institute, University Hospitals Leuven

Study Documents (Full-Text)

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Institut de Recherches Internationales Servier
ClinicalTrials.gov Identifier:
NCT02743221
Other Study ID Numbers:
  • CL2-95005-002
  • 2015-004544-18
First Posted:
Apr 19, 2016
Last Update Posted:
Oct 5, 2021
Last Verified:
Oct 1, 2021
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Product Manufactured in and Exported from the U.S.:
Yes
Keywords provided by Institut de Recherches Internationales Servier
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail 154 patients were randomized among whom one was deemed ineligible after randomization.
Arm/Group Title Trifluridine/Tipiracil + Bevacizumab Capecitabine + Bevacizumab
Arm/Group Description Trifluridine/tipiracil (S95005): film-coated tablets containing 15mg of trifluridine and 7.065mg of tipiracil hydrochloride, or 20mg of trifluridine and 9.42mg of tipiracil hydrochloride. Bevacizumab: concentrate for solution for IV infusion containing 25mg/ml of bevacizumab. Trifluridine/tipiracil was administered at 35 mg/m2/dose orally within 1 hour after completion of morning and evening meals, for 5 days on/2 days off, over 2 weeks, followed by a 14-day rest period, with bevacizumab administered intravenously at the dose of 5 mg/kg every 2 weeks at Day 1 and Day 15.This treatment cycle was repeated every 4 weeks. Trifluridine/tipiracil + bevacizumab: Patients were treated withTrifluridine/tipiracil + bevacizumab regimen until they met a discontinuation criterion. Capecitabine was administered at 1250 mg/m² orally BID on Days 1-14 of each cycle, with bevacizumab (7.5 mg/kg, IV) administered on Day 1 of each cycle. This treatment cycle was repeated every 3 weeks Capecitabine + bevacizumab: Patients were treated with capecitabine+ bevacizumab regimen until they met a discontinuation criterion.
Period Title: Overall Study
STARTED 77 77
COMPLETED 21 17
NOT COMPLETED 56 60

Baseline Characteristics

Arm/Group Title Trifluridine/Tipiracil + Bevacizumab Capecitabine + Bevacizumab Total
Arm/Group Description Trifluridine/tipiracil (S95005): film-coated tablets containing 15mg of trifluridine and 7.065mg of tipiracil hydrochloride, or 20mg of trifluridine and 9.42mg of tipiracil hydrochloride. Bevacizumab: concentrate for solution for IV infusion containing 25mg/ml of bevacizumab. Trifluridine/tipiracil was administered at 35 mg/m2/dose orally within 1 hour after completion of morning and evening meals, for 5 days on/2 days off, over 2 weeks, followed by a 14-day rest period, with bevacizumab administered intravenously at the dose of 5 mg/kg every 2 weeks at Day 1 and Day 15.This treatment cycle was repeated every 4 weeks. Trifluridine/tipiracil + bevacizumab: Patients were treated withTrifluridine/tipiracil + bevacizumab regimen until they met a discontinuation criterion. Capecitabine was administered at 1250 mg/m² orally BID on Days 1-14 of each cycle, with bevacizumab (7.5 mg/kg, IV) administered on Day 1 of each cycle. This treatment cycle was repeated every 3 weeks Capecitabine + bevacizumab: Patients were treated with capecitabine+ bevacizumab regimen until they met a discontinuation criterion. Total of all reporting groups
Overall Participants 77 77 154
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
Between 18 and 65 years
20
26%
16
20.8%
36
23.4%
>=65 years
57
74%
61
79.2%
118
76.6%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
69.8
(10.2)
72.8
(11.0)
71.3
(10.7)
Sex: Female, Male (Count of Participants)
Female
37
48.1%
29
37.7%
66
42.9%
Male
40
51.9%
48
62.3%
88
57.1%
Race/Ethnicity, Customized (Count of Participants)
White
73
94.8%
72
93.5%
145
94.2%
Asian
1
1.3%
2
2.6%
3
1.9%
Other
1
1.3%
1
1.3%
2
1.3%
Not collected
2
2.6%
2
2.6%
4
2.6%

Outcome Measures

1. Primary Outcome
Title Progression Free Survival (PFS)
Description The progression free survival (PFS), defined as the time from the date of randomisation until the date of the investigator-assessed radiological disease progression or death due to any cause according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Progressive disease (PD) was defined at least a 20% increase in the sum of diameters of target lesions (taking as reference the smallest sum on study) and an absolute increase of at least 5 mm in the sum of lesions or the appearance of new lesions.
Time Frame Baseline and every 8 weeks (maximum follow-up duration: 17.9 months)

Outcome Measure Data

Analysis Population Description
Full Analysis Set (FAS): all randomised patients who have taken at least one dose of study treatment.
Arm/Group Title Trifluridine/Tipiracil + Bevacizumab Capecitabine + Bevacizumab
Arm/Group Description Trifluridine/tipiracil (S95005): film-coated tablets containing 15mg of trifluridine and 7.065mg of tipiracil hydrochloride, or 20mg of trifluridine and 9.42mg of tipiracil hydrochloride. Bevacizumab: concentrate for solution for IV infusion containing 25mg/ml of bevacizumab. Trifluridine/tipiracil was administered at 35 mg/m2/dose orally within 1 hour after completion of morning and evening meals, for 5 days on/2 days off, over 2 weeks, followed by a 14-day rest period, with bevacizumab administered intravenously at the dose of 5 mg/kg every 2 weeks at Day 1 and Day 15.This treatment cycle was repeated every 4 weeks. Trifluridine/tipiracil + bevacizumab: Patients were treated withTrifluridine/tipiracil + bevacizumab regimen until they met a discontinuation criterion. Capecitabine was administered at 1250 mg/m² orally BID on Days 1-14 of each cycle, with bevacizumab (7.5 mg/kg, IV) administered on Day 1 of each cycle. This treatment cycle was repeated every 3 weeks Capecitabine + bevacizumab: Patients were treated with capecitabine+ bevacizumab regimen until they met a discontinuation criterion.
Measure Participants 77 76
Median (95% Confidence Interval) [months]
9.2
7.8
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Trifluridine/Tipiracil + Bevacizumab, Capecitabine + Bevacizumab
Comments
Type of Statistical Test Other
Comments This was a non-comparative study.
Statistical Test of Hypothesis p-Value 0.09
Comments
Method Cox proportional hazard model
Comments Cox proportional hazard model with adjustment for the stratification factors (RAS status, performance status ECOG)
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.71
Confidence Interval (2-Sided) 95%
0.48 to 1.06
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Overall Response Rate (ORR)
Description As per RECIST v1.1, Complete Response (CR) was disappearance of all target lesions; Partial Response (PR) was at least 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. The ORR was the proportion of patients who presented CR or PR with confirmation at subsequent time point or at least 4 weeks later.
Time Frame Baseline and every 8 weeks (maximum follow-up duration: 17.9 months)

Outcome Measure Data

Analysis Population Description
FAS
Arm/Group Title Trifluridine/Tipiracil + Bevacizumab Capecitabine + Bevacizumab
Arm/Group Description Trifluridine/tipiracil (S95005): film-coated tablets containing 15mg of trifluridine and 7.065mg of tipiracil hydrochloride, or 20mg of trifluridine and 9.42mg of tipiracil hydrochloride. Bevacizumab: concentrate for solution for IV infusion containing 25mg/ml of bevacizumab. Trifluridine/tipiracil was administered at 35 mg/m2/dose orally within 1 hour after completion of morning and evening meals, for 5 days on/2 days off, over 2 weeks, followed by a 14-day rest period, with bevacizumab administered intravenously at the dose of 5 mg/kg every 2 weeks at Day 1 and Day 15.This treatment cycle was repeated every 4 weeks. Trifluridine/tipiracil + bevacizumab: Patients were treated withTrifluridine/tipiracil + bevacizumab regimen until they met a discontinuation criterion. Capecitabine was administered at 1250 mg/m² orally BID on Days 1-14 of each cycle, with bevacizumab (7.5 mg/kg, IV) administered on Day 1 of each cycle. This treatment cycle was repeated every 3 weeks Capecitabine + bevacizumab: Patients were treated with capecitabine+ bevacizumab regimen until they met a discontinuation criterion.
Measure Participants 77 76
Count of Participants [Participants]
26
33.8%
23
29.9%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Trifluridine/Tipiracil + Bevacizumab, Capecitabine + Bevacizumab
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.73
Comments
Method Fisher Exact
Comments
3. Secondary Outcome
Title Duration of Response (DR)
Description The DR was calculated among patients with CR or PR as the time (months) from the first documentation of response to the first documentation of objective tumor progression or death due to any cause, whichever occurred first.
Time Frame Baseline and every 8 weeks (maximum follow-up duration: 16.6 months)

Outcome Measure Data

Analysis Population Description
Tumour Response population: patients with measurable disease at baseline and with at least one tumour evaluation while on treatment.
Arm/Group Title Trifluridine/Tipiracil + Bevacizumab Capecitabine + Bevacizumab
Arm/Group Description Trifluridine/tipiracil (S95005): film-coated tablets containing 15mg of trifluridine and 7.065mg of tipiracil hydrochloride, or 20mg of trifluridine and 9.42mg of tipiracil hydrochloride. Bevacizumab: concentrate for solution for IV infusion containing 25mg/ml of bevacizumab. Trifluridine/tipiracil was administered at 35 mg/m2/dose orally within 1 hour after completion of morning and evening meals, for 5 days on/2 days off, over 2 weeks, followed by a 14-day rest period, with bevacizumab administered intravenously at the dose of 5 mg/kg every 2 weeks at Day 1 and Day 15.This treatment cycle was repeated every 4 weeks. Trifluridine/tipiracil + bevacizumab: Patients were treated withTrifluridine/tipiracil + bevacizumab regimen until they met a discontinuation criterion. Capecitabine was administered at 1250 mg/m² orally BID on Days 1-14 of each cycle, with bevacizumab (7.5 mg/kg, IV) administered on Day 1 of each cycle. This treatment cycle was repeated every 3 weeks Capecitabine + bevacizumab: Patients were treated with capecitabine+ bevacizumab regimen until they met a discontinuation criterion.
Measure Participants 74 73
Median (80% Confidence Interval) [months]
7.9
9.9
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Trifluridine/Tipiracil + Bevacizumab, Capecitabine + Bevacizumab
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.16
Confidence Interval (2-Sided) 95%
0.49 to 2.74
Parameter Dispersion Type:
Value:
Estimation Comments
4. Secondary Outcome
Title Disease Control Rate (DCR)
Description DCR was the proportion of patients with confirmed CR, PR or stable disease (SD) as best overall response. SD defined as neither sufficient decrease to qualify for PR nor sufficient increase to qualify for PD.
Time Frame Baseline and every 8 weeks (maximum follow-up duration: 17.9 months)

Outcome Measure Data

Analysis Population Description
FAS
Arm/Group Title Trifluridine/Tipiracil + Bevacizumab Capecitabine + Bevacizumab
Arm/Group Description Trifluridine/tipiracil (S95005): film-coated tablets containing 15mg of trifluridine and 7.065mg of tipiracil hydrochloride, or 20mg of trifluridine and 9.42mg of tipiracil hydrochloride. Bevacizumab: concentrate for solution for IV infusion containing 25mg/ml of bevacizumab. Trifluridine/tipiracil was administered at 35 mg/m2/dose orally within 1 hour after completion of morning and evening meals, for 5 days on/2 days off, over 2 weeks, followed by a 14-day rest period, with bevacizumab administered intravenously at the dose of 5 mg/kg every 2 weeks at Day 1 and Day 15.This treatment cycle was repeated every 4 weeks. Trifluridine/tipiracil + bevacizumab: Patients were treated withTrifluridine/tipiracil + bevacizumab regimen until they met a discontinuation criterion. Capecitabine was administered at 1250 mg/m² orally BID on Days 1-14 of each cycle, with bevacizumab (7.5 mg/kg, IV) administered on Day 1 of each cycle. This treatment cycle was repeated every 3 weeks Capecitabine + bevacizumab: Patients were treated with capecitabine+ bevacizumab regimen until they met a discontinuation criterion.
Measure Participants 77 76
Count of Participants [Participants]
66
85.7%
59
76.6%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Trifluridine/Tipiracil + Bevacizumab, Capecitabine + Bevacizumab
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.22
Comments
Method Fisher Exact
Comments
5. Secondary Outcome
Title Overall Survival (OS)
Description The OS was defined as the time from the date of randomisation to the date of death. If death was not confirmed, or patient was alive at study cut-off date, survival time was censored at the date of last follow-up or at the study cut-off date, whichever was earlier.
Time Frame Baseline up to death or study cut-off (maximum follow-up duration: 19.9 months)

Outcome Measure Data

Analysis Population Description
FAS
Arm/Group Title Trifluridine/Tipiracil + Bevacizumab Capecitabine + Bevacizumab
Arm/Group Description Trifluridine/tipiracil (S95005): film-coated tablets containing 15mg of trifluridine and 7.065mg of tipiracil hydrochloride, or 20mg of trifluridine and 9.42mg of tipiracil hydrochloride. Bevacizumab: concentrate for solution for IV infusion containing 25mg/ml of bevacizumab. Trifluridine/tipiracil was administered at 35 mg/m2/dose orally within 1 hour after completion of morning and evening meals, for 5 days on/2 days off, over 2 weeks, followed by a 14-day rest period, with bevacizumab administered intravenously at the dose of 5 mg/kg every 2 weeks at Day 1 and Day 15.This treatment cycle was repeated every 4 weeks. Trifluridine/tipiracil + bevacizumab: Patients were treated withTrifluridine/tipiracil + bevacizumab regimen until they met a discontinuation criterion. Capecitabine was administered at 1250 mg/m² orally BID on Days 1-14 of each cycle, with bevacizumab (7.5 mg/kg, IV) administered on Day 1 of each cycle. This treatment cycle was repeated every 3 weeks Capecitabine + bevacizumab: Patients were treated with capecitabine+ bevacizumab regimen until they met a discontinuation criterion.
Measure Participants 77 76
Median (80% Confidence Interval) [months]
18.0
16.2
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Trifluridine/Tipiracil + Bevacizumab, Capecitabine + Bevacizumab
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.04
Comments
Method Cox proportional hazard model
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.56
Confidence Interval (2-Sided) 95%
0.32 to 0.98
Parameter Dispersion Type:
Value:
Estimation Comments

Adverse Events

Time Frame All Adverse Events (AE) were collected from the informed consent signature up to the final visit regardless of seriousness or relationship to study drug (maximum exposure: 82 weeks).
Adverse Event Reporting Description Reported AEs are Treatment-Emergent AEs (TEAE) that are AEs that developed/worsened during the treatment period i.e. between the first treatment intake date and the last treatment intake date + 35 days. In the Capecitabine + bevacizumab group, the number of participants at Risk for TEAE (both serious and non-serious) was 76 which is different from Started patients in the Participant Flow module (=77). Indeed, 1 started patient in this group did not received any treatment dose
Arm/Group Title Trifluridine/Tipiracil + Bevacizumab Capecitabine + Bevacizumab
Arm/Group Description Trifluridine/tipiracil (S95005): film-coated tablets containing 15mg of trifluridine and 7.065mg of tipiracil hydrochloride, or 20mg of trifluridine and 9.42mg of tipiracil hydrochloride. Bevacizumab: concentrate for solution for IV infusion containing 25mg/ml of bevacizumab. Trifluridine/tipiracil was administered at 35 mg/m2/dose orally within 1 hour after completion of morning and evening meals, for 5 days on/2 days off, over 2 weeks, followed by a 14-day rest period, with bevacizumab administered intravenously at the dose of 5 mg/kg every 2 weeks at Day 1 and Day 15.This treatment cycle was repeated every 4 weeks. Trifluridine/tipiracil + bevacizumab: Patients were treated withTrifluridine/tipiracil + bevacizumab regimen until they met a discontinuation criterion. Capecitabine was administered at 1250 mg/m² orally BID on Days 1-14 of each cycle, with bevacizumab (7.5 mg/kg, IV) administered on Day 1 of each cycle. This treatment cycle was repeated every 3 weeks Capecitabine + bevacizumab: Patients were treated with capecitabine+ bevacizumab regimen until they met a discontinuation criterion.
All Cause Mortality
Trifluridine/Tipiracil + Bevacizumab Capecitabine + Bevacizumab
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 22/77 (28.6%) 33/76 (43.4%)
Serious Adverse Events
Trifluridine/Tipiracil + Bevacizumab Capecitabine + Bevacizumab
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 42/77 (54.5%) 44/76 (57.9%)
Blood and lymphatic system disorders
Anaemia 3/77 (3.9%) 4 0/76 (0%) 0
Febrile neutropenia 3/77 (3.9%) 3 3/76 (3.9%) 3
Haemorrhagic anaemia 1/77 (1.3%) 1 0/76 (0%) 0
Neutropenia 4/77 (5.2%) 5 0/76 (0%) 0
Cardiac disorders
Acute coronary syndrome 1/77 (1.3%) 1 0/76 (0%) 0
Atrial fibrillation 1/77 (1.3%) 1 1/76 (1.3%) 1
Atrioventricular block complete 0/77 (0%) 0 1/76 (1.3%) 1
Mitral valve incompetence 1/77 (1.3%) 1 0/76 (0%) 0
Myocardial infarction 2/77 (2.6%) 2 0/76 (0%) 0
Supraventricular tachycardia 0/77 (0%) 0 1/76 (1.3%) 1
Ventricular tachycardia 1/77 (1.3%) 1 0/76 (0%) 0
Endocrine disorders
Hypothyroidism 0/77 (0%) 0 1/76 (1.3%) 1
Gastrointestinal disorders
Ascites 1/77 (1.3%) 1 0/76 (0%) 0
Diarrhoea 2/77 (2.6%) 2 5/76 (6.6%) 5
Enterocutaneous fistula 1/77 (1.3%) 1 0/76 (0%) 0
Gastrointestinal angiodysplasia haemorrhagic 1/77 (1.3%) 1 0/76 (0%) 0
Haematemesis 1/77 (1.3%) 1 0/76 (0%) 0
Ileus paralytic 0/77 (0%) 0 1/76 (1.3%) 1
Intestinal obstruction 2/77 (2.6%) 2 1/76 (1.3%) 1
Intestinal perforation 1/77 (1.3%) 1 0/76 (0%) 0
Large intestinal obstruction 0/77 (0%) 0 1/76 (1.3%) 1
Large intestine perforation 1/77 (1.3%) 1 1/76 (1.3%) 1
Malignant bowel obstruction 0/77 (0%) 0 2/76 (2.6%) 2
Nausea 1/77 (1.3%) 1 1/76 (1.3%) 1
Pancreatitis 1/77 (1.3%) 1 0/76 (0%) 0
Proctalgia 1/77 (1.3%) 1 0/76 (0%) 0
Small intestinal obstruction 1/77 (1.3%) 1 1/76 (1.3%) 1
Umbilical hernia 1/77 (1.3%) 1 0/76 (0%) 0
Vomiting 2/77 (2.6%) 4 1/76 (1.3%) 1
General disorders
Death 0/77 (0%) 0 2/76 (2.6%) 2
General physical health deterioration 0/77 (0%) 0 2/76 (2.6%) 2
Mucosal dryness 0/77 (0%) 0 1/76 (1.3%) 1
Multiple organ dysfunction syndrome 0/77 (0%) 0 1/76 (1.3%) 1
Non-cardiac chest pain 0/77 (0%) 0 1/76 (1.3%) 1
Hepatobiliary disorders
Cholecystitis 1/77 (1.3%) 1 0/76 (0%) 0
Cholecystitis acute 1/77 (1.3%) 1 1/76 (1.3%) 1
Cholelithiasis 1/77 (1.3%) 1 0/76 (0%) 0
Hepatic failure 0/77 (0%) 0 1/76 (1.3%) 1
Hepatotoxicity 1/77 (1.3%) 1 0/76 (0%) 0
Infections and infestations
Abdominal abscess 1/77 (1.3%) 1 0/76 (0%) 0
Arthritis bacterial 1/77 (1.3%) 1 0/76 (0%) 0
Biliary sepsis 0/77 (0%) 0 1/76 (1.3%) 1
Catheter site infection 1/77 (1.3%) 1 0/76 (0%) 0
Clostridium difficile colitis 2/77 (2.6%) 2 0/76 (0%) 0
Device related sepsis 2/77 (2.6%) 2 0/76 (0%) 0
Escherichia urinary tract infection 1/77 (1.3%) 1 0/76 (0%) 0
Neutropenic sepsis 2/77 (2.6%) 2 0/76 (0%) 0
Peritonitis 2/77 (2.6%) 2 0/76 (0%) 0
Pneumonia 3/77 (3.9%) 3 1/76 (1.3%) 1
Pneumonia toxoplasmal 1/77 (1.3%) 1 0/76 (0%) 0
Septic shock 1/77 (1.3%) 1 1/76 (1.3%) 1
Wound infection 1/77 (1.3%) 1 0/76 (0%) 0
Injury, poisoning and procedural complications
Fall 1/77 (1.3%) 1 1/76 (1.3%) 1
Gastrointestinal stoma complication 0/77 (0%) 0 1/76 (1.3%) 1
Postoperative wound complication 1/77 (1.3%) 1 0/76 (0%) 0
Thoracic vertebral fracture 0/77 (0%) 0 1/76 (1.3%) 1
Investigations
Blood bilirubin increased 0/77 (0%) 0 2/76 (2.6%) 2
Blood calcium decreased 0/77 (0%) 0 1/76 (1.3%) 1
Blood creatine phosphokinase increased 0/77 (0%) 0 1/76 (1.3%) 1
Blood magnesium decreased 0/77 (0%) 0 1/76 (1.3%) 1
Blood phosphorus decreased 0/77 (0%) 0 1/76 (1.3%) 1
Blood potassium decreased 0/77 (0%) 0 1/76 (1.3%) 1
Neutrophil count decreased 0/77 (0%) 0 1/76 (1.3%) 1
Troponin T increased 0/77 (0%) 0 1/76 (1.3%) 1
White blood cell count decreased 0/77 (0%) 0 1/76 (1.3%) 1
Metabolism and nutrition disorders
Dehydration 3/77 (3.9%) 3 5/76 (6.6%) 5
Fluid overload 0/77 (0%) 0 1/76 (1.3%) 1
Hyperkalaemia 1/77 (1.3%) 1 0/76 (0%) 0
Hyponatraemia 0/77 (0%) 0 1/76 (1.3%) 1
Musculoskeletal and connective tissue disorders
Back pain 0/77 (0%) 0 1/76 (1.3%) 1
Muscular weakness 0/77 (0%) 0 1/76 (1.3%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer pain 1/77 (1.3%) 1 0/76 (0%) 0
Malignant neoplasm progression 8/77 (10.4%) 8 16/76 (21.1%) 16
Metastases to peritoneum 0/77 (0%) 0 1/76 (1.3%) 1
Metastases to spine 1/77 (1.3%) 1 0/76 (0%) 0
Skin cancer 0/77 (0%) 0 1/76 (1.3%) 1
Nervous system disorders
Aphasia 0/77 (0%) 0 1/76 (1.3%) 1
Cauda equina syndrome 1/77 (1.3%) 1 0/76 (0%) 0
Ischaemic stroke 1/77 (1.3%) 1 0/76 (0%) 0
Memory impairment 0/77 (0%) 0 1/76 (1.3%) 1
Seizure 0/77 (0%) 0 1/76 (1.3%) 1
Syncope 1/77 (1.3%) 3 2/76 (2.6%) 2
Psychiatric disorders
Depressed mood 0/77 (0%) 0 1/76 (1.3%) 1
Depression 1/77 (1.3%) 1 0/76 (0%) 0
Renal and urinary disorders
Acute kidney injury 2/77 (2.6%) 3 2/76 (2.6%) 2
Renal failure 0/77 (0%) 0 1/76 (1.3%) 1
Reproductive system and breast disorders
Female genital tract fistula 1/77 (1.3%) 1 0/76 (0%) 0
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress syndrome 1/77 (1.3%) 1 1/76 (1.3%) 1
Dyspnoea 1/77 (1.3%) 1 0/76 (0%) 0
Dyspnoea exertional 1/77 (1.3%) 1 0/76 (0%) 0
Hypoxia 1/77 (1.3%) 1 0/76 (0%) 0
Pleural effusion 0/77 (0%) 0 1/76 (1.3%) 1
Pneumonia aspiration 0/77 (0%) 0 1/76 (1.3%) 1
Pulmonary congestion 0/77 (0%) 0 1/76 (1.3%) 1
Pulmonary embolism 3/77 (3.9%) 3 3/76 (3.9%) 4
Pulmonary oedema 1/77 (1.3%) 1 1/76 (1.3%) 1
Skin and subcutaneous tissue disorders
Diabetic foot 0/77 (0%) 0 1/76 (1.3%) 1
Palmar-plantar erythrodysaesthesia syndrome 0/77 (0%) 0 1/76 (1.3%) 1
Rash erythematous 0/77 (0%) 0 1/76 (1.3%) 1
Stevens-Johnson syndrome 0/77 (0%) 0 1/76 (1.3%) 1
Vascular disorders
Deep vein thrombosis 0/77 (0%) 0 4/76 (5.3%) 4
Hypertension 3/77 (3.9%) 3 0/76 (0%) 0
Hypotension 1/77 (1.3%) 2 2/76 (2.6%) 2
Thrombophlebitis superficial 0/77 (0%) 0 1/76 (1.3%) 1
Other (Not Including Serious) Adverse Events
Trifluridine/Tipiracil + Bevacizumab Capecitabine + Bevacizumab
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 75/77 (97.4%) 69/76 (90.8%)
Blood and lymphatic system disorders
Anaemia 22/77 (28.6%) 31 5/76 (6.6%) 7
Anaemia of chronic disease 1/77 (1.3%) 1 1/76 (1.3%) 1
Anaemia of malignant disease 5/77 (6.5%) 5 1/76 (1.3%) 2
Febrile neutropenia 1/77 (1.3%) 1 0/76 (0%) 0
Haemolytic anaemia 2/77 (2.6%) 2 0/76 (0%) 0
Leukopenia 6/77 (7.8%) 9 2/76 (2.6%) 5
Neutropenia 40/77 (51.9%) 181 5/76 (6.6%) 5
Spontaneous haematoma 1/77 (1.3%) 1 1/76 (1.3%) 1
Thrombocytopenia 11/77 (14.3%) 22 4/76 (5.3%) 5
Thrombocytosis 4/77 (5.2%) 8 0/76 (0%) 0
Cardiac disorders
Angina pectoris 1/77 (1.3%) 1 0/76 (0%) 0
Aortic valve thickening 1/77 (1.3%) 1 0/76 (0%) 0
Arrhythmia 0/77 (0%) 0 1/76 (1.3%) 1
Atrial fibrillation 1/77 (1.3%) 1 0/76 (0%) 0
Bundle branch block right 0/77 (0%) 0 1/76 (1.3%) 1
Supraventricular extrasystoles 1/77 (1.3%) 1 0/76 (0%) 0
Tachycardia 0/77 (0%) 0 1/76 (1.3%) 1
Ear and labyrinth disorders
Ear pain 1/77 (1.3%) 1 1/76 (1.3%) 1
Vertigo 2/77 (2.6%) 2 0/76 (0%) 0
Eye disorders
Dry eye 1/77 (1.3%) 2 0/76 (0%) 0
Eye pain 0/77 (0%) 0 1/76 (1.3%) 1
Eye pruritus 0/77 (0%) 0 1/76 (1.3%) 1
Lacrimation increased 0/77 (0%) 0 4/76 (5.3%) 5
Vision blurred 1/77 (1.3%) 1 2/76 (2.6%) 2
Gastrointestinal disorders
Abdominal discomfort 1/77 (1.3%) 1 0/76 (0%) 0
Abdominal pain 9/77 (11.7%) 18 6/76 (7.9%) 7
Abdominal pain lower 1/77 (1.3%) 1 0/76 (0%) 0
Abdominal pain upper 2/77 (2.6%) 3 2/76 (2.6%) 3
Anal fissure 0/77 (0%) 0 1/76 (1.3%) 1
Anal inflammation 0/77 (0%) 0 1/76 (1.3%) 1
Aphthous ulcer 2/77 (2.6%) 2 1/76 (1.3%) 1
Chronic gastritis 1/77 (1.3%) 1 0/76 (0%) 0
Constipation 13/77 (16.9%) 21 15/76 (19.7%) 17
Diarrhoea 40/77 (51.9%) 91 31/76 (40.8%) 64
Dry mouth 2/77 (2.6%) 2 6/76 (7.9%) 7
Dyschezia 1/77 (1.3%) 1 0/76 (0%) 0
Dyspepsia 6/77 (7.8%) 7 2/76 (2.6%) 2
Dysphagia 1/77 (1.3%) 1 1/76 (1.3%) 1
Eructation 2/77 (2.6%) 3 1/76 (1.3%) 1
Gastrointestinal motility disorder 1/77 (1.3%) 1 0/76 (0%) 0
Gastrooesophageal reflux disease 0/77 (0%) 0 2/76 (2.6%) 2
Gingival bleeding 3/77 (3.9%) 4 1/76 (1.3%) 1
Haemorrhoids 1/77 (1.3%) 1 0/76 (0%) 0
Lip dry 0/77 (0%) 0 1/76 (1.3%) 1
Lip pain 1/77 (1.3%) 1 0/76 (0%) 0
Lip swelling 1/77 (1.3%) 1 0/76 (0%) 0
Mesenteric vein thrombosis 0/77 (0%) 0 1/76 (1.3%) 1
Mouth ulceration 2/77 (2.6%) 2 0/76 (0%) 0
Nausea 36/77 (46.8%) 84 13/76 (17.1%) 23
Oral mucosa erosion 1/77 (1.3%) 1 0/76 (0%) 0
Oral pain 0/77 (0%) 0 1/76 (1.3%) 1
Pancreatitis chronic 0/77 (0%) 0 1/76 (1.3%) 1
Periodontal disease 1/77 (1.3%) 1 0/76 (0%) 0
Proctalgia 3/77 (3.9%) 6 3/76 (3.9%) 3
Proctitis 0/77 (0%) 0 1/76 (1.3%) 1
Rectal discharge 1/77 (1.3%) 1 0/76 (0%) 0
Rectal haemorrhage 0/77 (0%) 0 2/76 (2.6%) 2
Stomatitis 13/77 (16.9%) 18 16/76 (21.1%) 29
Stomatitis haemorrhagic 0/77 (0%) 0 1/76 (1.3%) 1
Toothache 1/77 (1.3%) 1 0/76 (0%) 0
Vomiting 22/77 (28.6%) 44 8/76 (10.5%) 8
General disorders
Asthenia 14/77 (18.2%) 19 17/76 (22.4%) 22
Chest discomfort 1/77 (1.3%) 1 0/76 (0%) 0
Chills 1/77 (1.3%) 1 3/76 (3.9%) 3
Discomfort 1/77 (1.3%) 1 0/76 (0%) 0
Early satiety 1/77 (1.3%) 1 0/76 (0%) 0
Fatigue 28/77 (36.4%) 45 23/76 (30.3%) 35
Feeling hot 1/77 (1.3%) 1 0/76 (0%) 0
Impaired healing 1/77 (1.3%) 1 0/76 (0%) 0
Influenza like illness 3/77 (3.9%) 3 3/76 (3.9%) 3
Injection site haematoma 0/77 (0%) 0 1/76 (1.3%) 1
Local swelling 0/77 (0%) 0 1/76 (1.3%) 1
Malaise 1/77 (1.3%) 2 0/76 (0%) 0
Mucosal inflammation 0/77 (0%) 0 1/76 (1.3%) 1
Non-cardiac chest pain 0/77 (0%) 0 1/76 (1.3%) 1
Oedema peripheral 3/77 (3.9%) 4 3/76 (3.9%) 3
Pain 0/77 (0%) 0 1/76 (1.3%) 1
Puncture site pain 1/77 (1.3%) 1 0/76 (0%) 0
Pyrexia 5/77 (6.5%) 5 4/76 (5.3%) 5
Tenderness 0/77 (0%) 0 1/76 (1.3%) 1
Xerosis 0/77 (0%) 0 1/76 (1.3%) 1
Hepatobiliary disorders
Cholecystitis chronic 0/77 (0%) 0 1/76 (1.3%) 1
Hepatomegaly 0/77 (0%) 0 1/76 (1.3%) 1
Hyperbilirubinaemia 1/77 (1.3%) 1 5/76 (6.6%) 7
Infections and infestations
Bronchitis 1/77 (1.3%) 1 0/76 (0%) 0
Conjunctivitis 1/77 (1.3%) 2 3/76 (3.9%) 3
Cystitis 0/77 (0%) 0 2/76 (2.6%) 2
Escherichia urinary tract infection 1/77 (1.3%) 1 0/76 (0%) 0
Folliculitis 0/77 (0%) 0 1/76 (1.3%) 1
Furuncle 1/77 (1.3%) 1 0/76 (0%) 0
Gastroenteritis 2/77 (2.6%) 2 0/76 (0%) 0
Gastrointestinal viral infection 1/77 (1.3%) 1 0/76 (0%) 0
Gingivitis 1/77 (1.3%) 1 0/76 (0%) 0
Hepatic cyst infection 0/77 (0%) 0 1/76 (1.3%) 1
Influenza 1/77 (1.3%) 1 1/76 (1.3%) 1
Labyrinthitis 1/77 (1.3%) 1 0/76 (0%) 0
Lower respiratory tract infection bacterial 0/77 (0%) 0 1/76 (1.3%) 1
Lung infection 1/77 (1.3%) 2 1/76 (1.3%) 1
Oral candidiasis 1/77 (1.3%) 1 3/76 (3.9%) 4
Oral fungal infection 1/77 (1.3%) 1 0/76 (0%) 0
Oral herpes 1/77 (1.3%) 1 4/76 (5.3%) 4
Oral infection 1/77 (1.3%) 1 0/76 (0%) 0
Periumbilical abscess 0/77 (0%) 0 1/76 (1.3%) 1
Pneumonia 0/77 (0%) 0 1/76 (1.3%) 1
Pneumonia bacterial 1/77 (1.3%) 1 1/76 (1.3%) 1
Rhinitis 4/77 (5.2%) 4 1/76 (1.3%) 1
Skin candida 0/77 (0%) 0 1/76 (1.3%) 1
Tooth abscess 0/77 (0%) 0 1/76 (1.3%) 1
Upper respiratory tract infection 7/77 (9.1%) 8 2/76 (2.6%) 2
Urinary tract infection 7/77 (9.1%) 8 5/76 (6.6%) 6
Urinary tract infection bacterial 1/77 (1.3%) 1 2/76 (2.6%) 3
Viral upper respiratory tract infection 8/77 (10.4%) 9 5/76 (6.6%) 5
Vulvovaginal candidiasis 1/77 (1.3%) 1 0/76 (0%) 0
Injury, poisoning and procedural complications
Abdominal wall wound 1/77 (1.3%) 1 0/76 (0%) 0
Accidental overdose 0/77 (0%) 0 2/76 (2.6%) 5
Clavicle fracture 1/77 (1.3%) 1 0/76 (0%) 0
Contusion 1/77 (1.3%) 1 0/76 (0%) 0
Fall 5/77 (6.5%) 5 4/76 (5.3%) 6
Hand fracture 0/77 (0%) 0 1/76 (1.3%) 1
Infusion related reaction 1/77 (1.3%) 1 0/76 (0%) 0
Muscle strain 1/77 (1.3%) 1 0/76 (0%) 0
Procedural pain 1/77 (1.3%) 1 0/76 (0%) 0
Skin wound 0/77 (0%) 0 1/76 (1.3%) 1
Stoma site haemorrhage 1/77 (1.3%) 1 1/76 (1.3%) 1
Stoma site irritation 1/77 (1.3%) 1 0/76 (0%) 0
Stoma site pain 2/77 (2.6%) 2 0/76 (0%) 0
Traumatic haematoma 1/77 (1.3%) 1 1/76 (1.3%) 1
Wound 0/77 (0%) 0 2/76 (2.6%) 2
Wound complication 1/77 (1.3%) 1 0/76 (0%) 0
Investigations
Activated partial thromboplastin time prolonged 1/77 (1.3%) 1 1/76 (1.3%) 1
Alanine aminotransferase increased 9/77 (11.7%) 11 2/76 (2.6%) 2
Aspartate aminotransferase increased 7/77 (9.1%) 8 2/76 (2.6%) 2
Bilirubin conjugated increased 1/77 (1.3%) 2 1/76 (1.3%) 1
Blood albumin decreased 1/77 (1.3%) 1 0/76 (0%) 0
Blood alkaline phosphatase increased 3/77 (3.9%) 3 2/76 (2.6%) 2
Blood bilirubin increased 6/77 (7.8%) 18 8/76 (10.5%) 13
Blood bilirubin unconjugated increased 0/77 (0%) 0 1/76 (1.3%) 1
Blood cholesterol increased 1/77 (1.3%) 1 0/76 (0%) 0
Blood creatinine increased 3/77 (3.9%) 5 1/76 (1.3%) 1
Blood glucose increased 1/77 (1.3%) 1 0/76 (0%) 0
Blood lactate dehydrogenase decreased 1/77 (1.3%) 1 0/76 (0%) 0
Blood lactate dehydrogenase increased 1/77 (1.3%) 5 4/76 (5.3%) 5
Blood phosphorus increased 1/77 (1.3%) 1 0/76 (0%) 0
Blood potassium decreased 0/77 (0%) 0 1/76 (1.3%) 1
Blood potassium increased 0/77 (0%) 0 1/76 (1.3%) 1
Blood pressure increased 2/77 (2.6%) 3 0/76 (0%) 0
Blood urea increased 0/77 (0%) 0 1/76 (1.3%) 1
Blood urine present 0/77 (0%) 0 1/76 (1.3%) 1
Carcinoembryonic antigen increased 0/77 (0%) 0 1/76 (1.3%) 1
Creatinine renal clearance decreased 1/77 (1.3%) 1 1/76 (1.3%) 1
Eosinophil count decreased 2/77 (2.6%) 2 0/76 (0%) 0
Gamma-glutamyltransferase increased 6/77 (7.8%) 6 2/76 (2.6%) 3
Glomerular filtration rate decreased 1/77 (1.3%) 1 0/76 (0%) 0
Heart rate irregular 0/77 (0%) 0 1/76 (1.3%) 1
International normalised ratio increased 1/77 (1.3%) 1 2/76 (2.6%) 2
Lymphocyte count decreased 4/77 (5.2%) 7 1/76 (1.3%) 2
Monocyte count decreased 2/77 (2.6%) 2 0/76 (0%) 0
Neutrophil count decreased 18/77 (23.4%) 90 1/76 (1.3%) 1
Neutrophil count increased 1/77 (1.3%) 1 0/76 (0%) 0
Platelet count decreased 7/77 (9.1%) 22 3/76 (3.9%) 5
Platelet count increased 2/77 (2.6%) 3 0/76 (0%) 0
Weight decreased 9/77 (11.7%) 12 6/76 (7.9%) 7
Weight increased 0/77 (0%) 0 1/76 (1.3%) 1
White blood cell count decreased 15/77 (19.5%) 37 1/76 (1.3%) 1
White blood cell count increased 1/77 (1.3%) 1 0/76 (0%) 0
Metabolism and nutrition disorders
Decreased appetite 29/77 (37.7%) 46 15/76 (19.7%) 23
Gout 1/77 (1.3%) 1 0/76 (0%) 0
Hypercalcaemia 2/77 (2.6%) 2 0/76 (0%) 0
Hyperglycaemia 3/77 (3.9%) 6 2/76 (2.6%) 2
Hyperkalaemia 4/77 (5.2%) 5 0/76 (0%) 0
Hyperphosphataemia 1/77 (1.3%) 1 0/76 (0%) 0
Hypertriglyceridaemia 1/77 (1.3%) 1 0/76 (0%) 0
Hypoalbuminaemia 4/77 (5.2%) 4 2/76 (2.6%) 2
Hypocalcaemia 2/77 (2.6%) 4 1/76 (1.3%) 1
Hypochloraemia 1/77 (1.3%) 1 0/76 (0%) 0
Hypoglycaemia 1/77 (1.3%) 1 0/76 (0%) 0
Hypokalaemia 0/77 (0%) 0 1/76 (1.3%) 1
Hypomagnesaemia 3/77 (3.9%) 3 1/76 (1.3%) 1
Hyponatraemia 3/77 (3.9%) 3 0/76 (0%) 0
Hypophosphataemia 1/77 (1.3%) 1 1/76 (1.3%) 1
Metabolic acidosis 1/77 (1.3%) 1 0/76 (0%) 0
Musculoskeletal and connective tissue disorders
Arthralgia 6/77 (7.8%) 8 3/76 (3.9%) 3
Back pain 6/77 (7.8%) 6 7/76 (9.2%) 7
Bursitis 1/77 (1.3%) 1 0/76 (0%) 0
Coccydynia 0/77 (0%) 0 1/76 (1.3%) 1
Intervertebral disc compression 0/77 (0%) 0 1/76 (1.3%) 1
Joint swelling 1/77 (1.3%) 1 0/76 (0%) 0
Mobility decreased 1/77 (1.3%) 1 0/76 (0%) 0
Muscle spasms 0/77 (0%) 0 1/76 (1.3%) 1
Muscular weakness 1/77 (1.3%) 1 0/76 (0%) 0
Musculoskeletal chest pain 1/77 (1.3%) 1 1/76 (1.3%) 1
Musculoskeletal pain 2/77 (2.6%) 2 1/76 (1.3%) 1
Myalgia 1/77 (1.3%) 2 4/76 (5.3%) 5
Neck pain 2/77 (2.6%) 2 1/76 (1.3%) 1
Osteoarthritis 1/77 (1.3%) 1 0/76 (0%) 0
Pain in extremity 4/77 (5.2%) 4 1/76 (1.3%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer pain 0/77 (0%) 0 1/76 (1.3%) 1
Malignant neoplasm progression 9/77 (11.7%) 9 3/76 (3.9%) 3
Nervous system disorders
Amnesia 0/77 (0%) 0 1/76 (1.3%) 1
Aphonia 0/77 (0%) 0 2/76 (2.6%) 2
Balance disorder 0/77 (0%) 0 1/76 (1.3%) 1
Dizziness 5/77 (6.5%) 7 8/76 (10.5%) 10
Dizziness exertional 1/77 (1.3%) 1 1/76 (1.3%) 1
Dizziness postural 1/77 (1.3%) 1 1/76 (1.3%) 1
Dysarthria 0/77 (0%) 0 1/76 (1.3%) 1
Dysgeusia 7/77 (9.1%) 8 8/76 (10.5%) 8
Essential tremor 1/77 (1.3%) 1 0/76 (0%) 0
Headache 7/77 (9.1%) 13 4/76 (5.3%) 4
Hyperaesthesia 0/77 (0%) 0 1/76 (1.3%) 1
Hypoaesthesia 0/77 (0%) 0 1/76 (1.3%) 2
Memory impairment 1/77 (1.3%) 1 1/76 (1.3%) 1
Neuralgia 1/77 (1.3%) 2 0/76 (0%) 0
Neuropathy peripheral 0/77 (0%) 0 3/76 (3.9%) 3
Neurotoxicity 0/77 (0%) 0 1/76 (1.3%) 1
Orthostatic intolerance 0/77 (0%) 0 1/76 (1.3%) 1
Paraesthesia 1/77 (1.3%) 1 2/76 (2.6%) 2
Peripheral sensory neuropathy 2/77 (2.6%) 2 1/76 (1.3%) 1
Presyncope 1/77 (1.3%) 1 2/76 (2.6%) 3
Restless legs syndrome 1/77 (1.3%) 1 1/76 (1.3%) 1
Sciatica 1/77 (1.3%) 1 0/76 (0%) 0
Somnolence 0/77 (0%) 0 1/76 (1.3%) 1
Tremor 1/77 (1.3%) 1 0/76 (0%) 0
Psychiatric disorders
Anxiety 0/77 (0%) 0 2/76 (2.6%) 2
Confusional state 1/77 (1.3%) 1 1/76 (1.3%) 2
Depression 1/77 (1.3%) 1 0/76 (0%) 0
Disorientation 0/77 (0%) 0 1/76 (1.3%) 1
Insomnia 6/77 (7.8%) 6 1/76 (1.3%) 1
Mood altered 1/77 (1.3%) 1 0/76 (0%) 0
Restlessness 1/77 (1.3%) 1 0/76 (0%) 0
Stress 1/77 (1.3%) 1 0/76 (0%) 0
Renal and urinary disorders
Anuria 1/77 (1.3%) 1 0/76 (0%) 0
Dysuria 0/77 (0%) 0 3/76 (3.9%) 3
Glycosuria 0/77 (0%) 0 1/76 (1.3%) 2
Haematuria 1/77 (1.3%) 1 2/76 (2.6%) 2
Lower urinary tract symptoms 1/77 (1.3%) 1 0/76 (0%) 0
Micturition urgency 0/77 (0%) 0 1/76 (1.3%) 1
Nocturia 0/77 (0%) 0 1/76 (1.3%) 1
Pollakiuria 0/77 (0%) 0 1/76 (1.3%) 1
Proteinuria 5/77 (6.5%) 6 4/76 (5.3%) 5
Urinary incontinence 0/77 (0%) 0 1/76 (1.3%) 1
Urinary retention 0/77 (0%) 0 1/76 (1.3%) 1
Reproductive system and breast disorders
Benign prostatic hyperplasia 0/77 (0%) 0 1/76 (1.3%) 1
Oedema genital 1/77 (1.3%) 1 0/76 (0%) 0
Prostatitis 0/77 (0%) 0 1/76 (1.3%) 1
Respiratory, thoracic and mediastinal disorders
Catarrh 1/77 (1.3%) 1 0/76 (0%) 0
Chronic obstructive pulmonary disease 0/77 (0%) 0 1/76 (1.3%) 1
Cough 2/77 (2.6%) 2 6/76 (7.9%) 6
Dysphonia 4/77 (5.2%) 5 1/76 (1.3%) 1
Dyspnoea 5/77 (6.5%) 5 8/76 (10.5%) 11
Dyspnoea exertional 2/77 (2.6%) 2 2/76 (2.6%) 2
Epistaxis 4/77 (5.2%) 6 4/76 (5.3%) 6
Hiccups 1/77 (1.3%) 1 1/76 (1.3%) 1
Nasal congestion 1/77 (1.3%) 1 0/76 (0%) 0
Nasal dryness 1/77 (1.3%) 1 0/76 (0%) 0
Nasal inflammation 1/77 (1.3%) 1 0/76 (0%) 0
Oropharyngeal pain 1/77 (1.3%) 1 1/76 (1.3%) 1
Pneumonia aspiration 0/77 (0%) 0 1/76 (1.3%) 1
Productive cough 1/77 (1.3%) 1 3/76 (3.9%) 3
Pulmonary mass 0/77 (0%) 0 1/76 (1.3%) 1
Pulmonary pain 0/77 (0%) 0 1/76 (1.3%) 1
Rhinalgia 1/77 (1.3%) 1 0/76 (0%) 0
Rhinorrhoea 0/77 (0%) 0 3/76 (3.9%) 3
Sneezing 1/77 (1.3%) 1 0/76 (0%) 0
Skin and subcutaneous tissue disorders
Alopecia 17/77 (22.1%) 17 0/76 (0%) 0
Drug eruption 0/77 (0%) 0 1/76 (1.3%) 1
Dry skin 4/77 (5.2%) 4 4/76 (5.3%) 4
Erythema 0/77 (0%) 0 2/76 (2.6%) 2
Hyperhidrosis 0/77 (0%) 0 2/76 (2.6%) 2
Nail discolouration 0/77 (0%) 0 1/76 (1.3%) 1
Nail disorder 0/77 (0%) 0 1/76 (1.3%) 1
Night sweats 1/77 (1.3%) 1 0/76 (0%) 0
Onychalgia 0/77 (0%) 0 1/76 (1.3%) 1
Onychomadesis 0/77 (0%) 0 1/76 (1.3%) 1
Palmar-plantar erythrodysaesthesia syndrome 3/77 (3.9%) 4 39/76 (51.3%) 49
Pruritus 2/77 (2.6%) 3 1/76 (1.3%) 1
Rash 1/77 (1.3%) 1 1/76 (1.3%) 1
Rash erythematous 0/77 (0%) 0 2/76 (2.6%) 2
Skin discolouration 0/77 (0%) 0 1/76 (1.3%) 2
Skin fissures 1/77 (1.3%) 1 0/76 (0%) 0
Skin hyperpigmentation 0/77 (0%) 0 2/76 (2.6%) 2
Vascular disorders
Deep vein thrombosis 0/77 (0%) 0 1/76 (1.3%) 1
Hot flush 0/77 (0%) 0 1/76 (1.3%) 1
Hypertension 9/77 (11.7%) 10 10/76 (13.2%) 12
Hypotension 4/77 (5.2%) 5 1/76 (1.3%) 1

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Dr Patrick Therasse
Organization Institut de Recherches Internationales Servier (I.R.I.S.)
Phone +33 1 55 72 43 47
Email patrick.therasse@servier.com
Responsible Party:
Institut de Recherches Internationales Servier
ClinicalTrials.gov Identifier:
NCT02743221
Other Study ID Numbers:
  • CL2-95005-002
  • 2015-004544-18
First Posted:
Apr 19, 2016
Last Update Posted:
Oct 5, 2021
Last Verified:
Oct 1, 2021