Study of Dasatinib and Docetaxel in Metastatic Hormone Refractory Prostate Cancer
Study Details
Study Description
Brief Summary
The purpose of this study is to find the recommended doses of dasatinib and docetaxel given in combination to men with metastatic hormone refractory prostate cancer and to assess the pharmacokinetic interactions between the 2 drugs.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 1/Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Dasatinib, 50 mg + Docetaxel, 60 mg/m^2 Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 60 mg/m^2. |
Drug: Dasatinib
Tablets, Oral, 50, 70, 100, or 120 mg once daily; treatment may continue until disease progression
Other Names:
Drug: Docetaxel
Infusion, 60 or 75 mg/m^2, administered every 3 weeks.
|
Active Comparator: Dasatinib, 50 mg + Doxetaxel, 75 mg/m^2 Participants received dasatinib, 50 mg administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Drug: Dasatinib
Tablets, Oral, 50, 70, 100, or 120 mg once daily; treatment may continue until disease progression
Other Names:
Drug: Docetaxel
Infusion, 60 or 75 mg/m^2, administered every 3 weeks.
|
Active Comparator: Dasatinib, 70 mg + Docetaxel, 75 mg/m^2 Participants received dasatinib, 70 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Drug: Dasatinib
Tablets, Oral, 50, 70, 100, or 120 mg once daily; treatment may continue until disease progression
Other Names:
Drug: Docetaxel
Infusion, 60 or 75 mg/m^2, administered every 3 weeks.
|
Active Comparator: Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Drug: Dasatinib
Tablets, Oral, 50, 70, 100, or 120 mg once daily; treatment may continue until disease progression
Other Names:
Drug: Docetaxel
Infusion, 60 or 75 mg/m^2, administered every 3 weeks.
|
Active Comparator: Dasatinib, 120 mg + Docetaxel, 75 mg/m^2 Participants received dasatinib, 120 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Drug: Dasatinib
Tablets, Oral, 50, 70, 100, or 120 mg once daily; treatment may continue until disease progression
Other Names:
Drug: Docetaxel
Infusion, 60 or 75 mg/m^2, administered every 3 weeks.
|
Outcome Measures
Primary Outcome Measures
- Maximum Tolerated Dose (MTD) of Dasatinib Administered With Docetaxel [From Day 3 of first 21-day cycle to Cycle 2 , Day 21 (or Study Day 42)]
MTD was defined by dose-limiting toxicity (DLT) criteria. DLT was defined as grade 4 neutropenia causing treatment interruption for >14 days, febrile neutropenia, grade 4 thrombocytopenia, grade 3 thrombocytopenia with a bleeding episode requiring platelet transfusion, nausea and/or vomiting despite medical intervention/prophylaxis causing treatment interruption for >14 days, grade 3-4 asthenia/fatigue, any other grade >=3 nonhematologic toxicity except alopecia or transient arthralgia/myalgia (unless unresponsive to intervention), or interruption of study drug for >14 days due to toxicity. When defined, the MTD would serve as recommended Phase 2 dose of each drug in the combination of oral dasatinib and intravenous docetaxel.
- Recommended Phase 2 Dose of Dasatinib Administered With Docetaxel, 75 mg/m^2 [From Day 3 of first 21-day cycle to Cycle 2 , Day 21 (or Study Day 42)]
Because no dose-limiting toxicities occurred, the recommended dose of dasatinib used in Phase 2 was based on findings from ongoing studies in chronic myelogenous leukemia and experience from the previous Phase 2 study of single-agent dasatinib in chronic refractory prostate cancer. The recommended Phase 2 dose of docetaxel (75 mg/m^2) was based on the docetaxel package insert.
Secondary Outcome Measures
- Percentage of Participants With a Prostate Specific Antigen (PSA) Response [At pretreatment visit, and on Day 1 of Cycles 2 through 12, then every other cycle, where investigator deems appropriate, and at end of treatment (up to 51.6 months)]
PSA response rate is defined as a decrease of >=50% in PSA levels from baseline, sustained for at least 6 weeks and confirmed by at least 2 measurements
- Duration of Prostate Specific Antigen (PSA) Response [At pretreatment visit, and on Day 1 of Cycles 2 through 12, then every other cycle, where investigator deems appropriate, and at end of treatment]
Duration of response is computed for participants with confirmed PSA response. It is measured in months from the time of the first of 2 consecutive measurements meeting the criteria for confirmed PSA response to the date of the first of 3 consecutive measurements that confirm PSA progression, the date of disease progression, or the date of death. Participants who neither progressed (PSA or disease) nor died were censored on the date of their last PSA assessment. PSA response is defined as a decrease of >=50% in PSA levels from baseline, sustained for at least 6 weeks and confirmed by at least 2 measurements. PSA progression is defined as 3 consecutive increases in PSA from baseline or nadir, each measurement at least 1 week apart. The final confirming PSA measurement had to be ≥5ng/mL higher than baseline or nadir and also represent at least a 50% increase from baseline or nadir (ie, the value is ≥1.5*baseline or nadir PSA).
- Number of Months of Progression-free Survival (PFS) [Patients with an event: time from first dose to disease progression or death, whichever occurs first. Patients without an event: time to last on-study PSA measurement, tumor assessment, or radionuclide bone scan assessment, whichever occurs last]
PFS defined as time in months from the first dosing date to the date of disease progression or the date of death. Patients who neither progressed nor died were censored on the date of their last on-study prostate specific antigen (PSA) measurement, tumor assessment, or radionuclide bone scan assessment (whichever occurred last). Disease progression defined as either of the following: progression on radionuclide bone scan, death, or at least 2 of the following: tumor progression, as defined by modified Response Evaluation Criteria in Solid Tumors; PSA progression; or investigator-defined clinical progression based on physical examination, history, symptoms, and performance status.
- Percentage of Participants With an Objective Tumor Response by Response Evaluation Criteria in Solid Tumors (RECIST) [Pretreatment visit then every 6 weeks thereafter (up to 51.6 months)]
Objective response rate is defined as the percentage of participants who have achieved best responses of confirmed Complete Response (CR) or Partial Response (PR) where confirmed requires repeat evaluations for a minimum of 4 weeks after the criteria for response are first met. RECIST: CR=disappearance of clinical and radiologic evidence of target lesions; PR=a 30% or greater decrease in the sum of the longest diameter (LD) of all lesions in reference to the baseline sum LD.
- Number of Participants by Best On-study Tumor Response by Response Evaluation Criteria in Solid Tumors (RECIST) [Pretreatment visit then every 6 weeks thereafter (up to 51.6 months)]
RECIST for target lesions: Complete Response (CR)=disappearance of clinical and radiologic evidence of target lesions. Partial Response (PR)=a 30% or greater decrease in the sum of the longest diameter (LD) of all lesions in reference to the baseline sum LD. Stable disease (SD)=neither sufficient increase to qualify for Progressive Disease (PD) nor sufficient shrinkage to qualify for PR. PD=a 20% or greater increase in the sum of LD of all target lesions, taking as reference the smallest sum LD recorded at or following baseline; unequivocal progression of nonmeasurable disease/lesions as evaluated by CT scan or MRI (not as evaluated by radionuclide bone scan) and/or new lesions are present. To qualify as SD, patients had to exhibit SD for a minimum of 18 weeks. Those with evaluations noted as SD prior to 18 weeks and discontinued were reported as no change.
- Number of Participants by Best On-study Bone Scan Assessment From Baseline [From Day 1 of therapy to last bone scan assessment (up to 51.6 months)]
Stable=no new lesions appeared at any 6-week assessment or new pain was not developed in an area that was previously visualized for a minimum of 18 weeks; no change=stable disease prior to 18 weeks and then discontinued treatment; progression=2 or more new areas of focal uptake or new adverse clinical symptoms in an area previously visualized; improved=disappearance of at least 1 lesion, no new lesions appearing since the most recent prior assessment, and new pain not developing in an area that was previously visualized.
- Percentage of Participants With Improvement on Bone Scan [From Day 1 of therapy to last bone scan assessment (up to 51.6 months)]
Improvement=disappearance of at least 1 lesion, no new lesions appearing since the most recent prior assessment, and new pain not developing in an area that was previously visualized
- Baseline Scores and Changes in Pain Intensity From Baseline on the Brief Pain Inventory Short Form (BPI-sf) Scores Through Cycle 6 [At pretreatment visit and on Day 1 of Cycles 2 through 6, then Day 1 of every other cycle, at end of treatment, and at follow-up visit]
The BPI-sf assessed intensity of pain in the last 24 hours as well as impact of pain on daily functions. Patients rated the severity of their pain at its worst, least, and average in the last 24 hours using an 11-point rating scale with endpoints of no pain (0 points) and pain as bad as you can imagine (11 points). They were asked to rate their present pain and pain at the time they completed the BPI-sf. Using an 11-point rating scale with endpoints of does not interfere (0 points) and completely interferes (11 points), the BPI-sf similarly assessed to what extent pain interfered with mood, walking, general activity, work, relations with others, sleep, and enjoyment of life. The BPI-sf also asked patients to mark the location of their pain on a body drawing and included other questions about pain treatment and the extent of pain relief. The BPI-sf was collected in the Phase 2 portion of the study only. For on-treatment visits, the BPI-sf was completed prior to the docetaxel infusion.
- Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Drug-related SAEs, Drug-related Adverse Events (AEs), Drug-related AEs Leading to Discontinuation, and Drug-related Grade 3 or 4 AEs in the Overall Population [From first dose Day 1 through at least 30 days after last dose of either dasatinib or docetaxel, whichever was later (up to approximately 49 months)]
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Drug-related=having certain, probable, possible, or missing relationship to study drug. Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening or disabling, Grade 5=Leading to death.
- Number of Participants With Death as Outcome, Drug-related Serious Adverse Events (SAEs), Drug-related Adverse Events (AEs), Drug-related AEs Leading to Discontinuation, and Drug-related Grade 3 or 4 AEs in the Phase 2 Cohort [From first dose Day 1 through at least 30 days after last dose of either dasatinib or docetaxel, whichever was later (up to approximately 49 months)]
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Drug-related=having certain, probable, possible, or missing relationship to study drug. Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening or disabling, Grade 5=Leading to death.
- Area Under the Concentration-time Curve (AUC) From 0 to 10 Hours Postdose (AUC [0-10])and AUC in 1 Dosing Interval, From Time 0 to 24 Hours (AUC[Tau])of Dasatinib Coadministered With Docetaxel [Cycle 1, Day 14 at 0, 0.5 , 1, 2, 3, 4, 7, 10, and 24 hours postdose]
- Maximum Observed Plasma Concentration (Cmax) of Dasatinib and of Docetaxel [Docetaxel: Cycle 1, Day 1 at 0, 0.5, 1, 1.25, 1.5, 2, 3, 4, 7, 10, 24, and 48 hours postdose; dasatanib: Cycle 1, Day 14 at 0, .5, 1, 2, 3, 4, 7, 10, and 24 hours postdose]
- Area Under the Concentration-time Curve (AUC) From Time 0 to Infinity (AUC[Inf]) of Docetaxel [Cycle 1, Day 1 at 0, 0.5, 1, 1.25, 1.5, 2, 3, 4, 7, 10, 24, and 48 hours postdose]
- Number of Participants Meeting the Criteria for On-study Abnormal Results Grade 3-4 of Clinical Laboratory Tests [From Day 2 of Cycle 1 to up to 30 days after last dose of study drug (up to approximately 49 months)]
ULN=upper limit of normal. Graded by Common Toxicity Criteria: 1 (least severe) to 4 (life threatening ). Absolute neutrophil count (*10^9/L), Grade 3, <1.0-0.5; Grade 4, <0.5. Hemoglobin (mmol/L), Grade 3, <4.9-4.0; Grade 4, <4.0. Platelets (*10^9/L), Grade 3, <50.0-25.0; Grade 4, <25.0. Leukocytes (*10^9/L) Grade 3, <2.0-1.0; Grade 4, <1.0. ALP, ALT, and AST (*ULN), Grade 3, >5.0-20.0; Grade 4, >20.0. Total bilirubin (*ULN), Grade 3, >3.0-10.0; Grade 4, >10.0. Creatinine (*ULN), Grade 3, >3.0-6.0; Grade 4, >6.0. Hypercalcemia (mmol/L), Grade 3, >3.1-3.4; Grade 4, >3.4. Hypocalcemia mmol/L), Grade 3, <1.75-1.5; Grade 4, <1.5. Hyperkalemia (mmol/L), Grade 3, >6.0-7.0; Grade 4, >7.0. Hypokalemia (mmol/L), Grade 3, <3.0-2.5; Grade 4, <2.5. Hypernatremia (mmol/L), Grade 3, >155-160; Grade 4, >160. Hyponatremia (mmol/L), Grade 3, <130-120; Grade 4, <120. Phosphorus (mmol/L), Grade 3, <0.6-0.3; Grade 4, <0.3. Prothrombin time (seconds), Grade 3, >2.0; Grade 4, not defined.
Eligibility Criteria
Criteria
Key Inclusion Criteria:
-
Histologically or cytologically confirmed adenocarcinoma of the prostate that was clinically refractory to hormone therapy
-
Eastern Cooperative Oncology Group performance status of 0 - 2
-
Evidence of progressive metastatic disease at time of enrollment
-
Measurable disease on either computer tomography scan or magnetic resonance imaging or positive bone scan with any level of serum prostate specific antigen (PSA) ≥5 ng/ml. Patients with PSA ≥5 ng/ml only and no other radiographic evidence of metastatic prostate cancer were not eligible
-
Evidence of progressive disease since the most recent change in therapy. Progressive disease was defined as any one of the following:
-
Objective disease progression: Objective evidence of increase in radiographic lesions or the appearance of 1 or more new lesions
-
Bone scan progression: Appearance of either of the following: 2 or more new lesions on bone scan attributable to prostate cancer or 1 new lesion on bone scan attributable to prostate cancer in conjunction with a rising PSA
-
PSA progression: 2 consecutively rising PSA levels (≥5 ng/mL) separated by 2 weeks with a testosterone concentration of ≤50 ng/dL at 2 week intervals
-
Serum testosterone levels ≤50 ng/dL, determined within 2 weeks prior to starting treatment
-
Maintaining castrate status: patients who had not undergone surgical orchiectomy must have continued on medical therapies, such as gonadotropin-releasing hormone analogs, to maintain castrate levels of serum testosterone. Those receiving an antiandrogen as part of their first-line hormonal therapy must have shown progression of disease off of the antiandrogen prior to enrollment (6 weeks withdrawal for bicalutamide; 4 weeks for flutamide)
Key Exclusion Criteria:
-
Sexually active fertile men not using effective birth control if their partners were women of child-bearing potential
-
Known brain metastases
-
Clinically-significant cardiovascular disease, including myocardial infarction or ventricular tachyarrhythmia within 6 months; prolonged heart rate-corrected QT interval (QTc) >450 msec; ejection fraction <40%, or major conduction abnormality (unless a cardiac pacemaker was present)
-
Pleural or pericardial effusion, due to concerns that the combination of docetaxel and dasatinib could worsen these events
-
Uncontrolled intercurrent illness including, ongoing or active infection, cardiac arrhythmia, or psychiatric illness/social situations that limit compliance with study requirements
-
Participants were permitted to continue on a daily multivitamin but all other herbal, alternative, and food supplements must have been discontinued before enrollment into the study
-
Ketoconazole must have been discontinued 4 weeks prior to enrollment
-
Patients were not permitted to receive radioactive bone targeting agents, such as Strontium or Samarian ,while on study treatment
-
The following restrictions on prior therapy for metastatic disease applied:
-
One chemotherapy regimen was permitted as long as docetaxel resistance or intolerance was not demonstrated. Docetaxel resistance was defined as objective disease progression or confirmed PSA progression during docetaxel therapy or within 3 months of treatment completion. Docetaxel intolerance was defined as toxicity requiring docetaxel interruption >4 weeks or dose modification below approved doses
-
No more than 1 prior course of palliative radiotherapy
-
Up to 1 prior treatment with a nonchemotherapeutic agent was permitted as treatment for metastatic prostate cancer
-
No prior radioisotope therapy with Strontium-89, Samarium, or similar agents
-
No limitation on prior hormonal therapy
-
QTc prolonging agents strongly associated with Torsade de Pointes arrhythmia
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Chicago | Chicago | Illinois | United States | 60637 |
2 | Springfield Clinic | Springfield | Illinois | United States | 62703 |
3 | Hematology-Oncology Associates Of Rockland | Nyack | New York | United States | 10960 |
4 | Duke University | Durham | North Carolina | United States | 27710 |
5 | The University Of Texas Md Anderson Cancer Center | Houston | Texas | United States | 77030-4009 |
Sponsors and Collaborators
- Bristol-Myers Squibb
Investigators
- Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- CA180-086
Study Results
Participant Flow
Recruitment Details | |
---|---|
Pre-assignment Detail | A total of 49 participants were enrolled in the study, and 46 entered the treatment period and received at least 1 dose of dasatinib. |
Arm/Group Title | Dasatinib, 50 mg + Docetaxel, 60 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 70 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 120 mg + Docetaxel, 75 mg/m^2 |
---|---|---|---|---|---|
Arm/Group Description | Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 60 mg/m^2. | Participants received dasatinib, 50 mg administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. | Participants received dasatinib, 70 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. | Participants received dasatinib, 120 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Period Title: Phase 1 (18.1 Months) | |||||
STARTED | 3 | 3 | 3 | 4 | 3 |
COMPLETED | 0 | 0 | 0 | 4 | 0 |
NOT COMPLETED | 3 | 3 | 3 | 0 | 3 |
Period Title: Phase 1 (18.1 Months) | |||||
STARTED | 0 | 0 | 0 | 34 | 0 |
COMPLETED | 0 | 0 | 0 | 0 | 0 |
NOT COMPLETED | 0 | 0 | 0 | 34 | 0 |
Baseline Characteristics
Arm/Group Title | Dasatinib, 50 mg + Docetaxel, 60 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 70 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 120 mg + Docetaxel, 75 mg/m^2 | Total |
---|---|---|---|---|---|---|
Arm/Group Description | Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 60 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 70 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 120 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Total of all reporting groups |
Overall Participants | 3 | 3 | 3 | 34 | 3 | 46 |
Age, Customized (Number) [Number] | ||||||
<65 years |
0
(3.51)
0%
|
1
(5.03)
33.3%
|
1
(11.02)
33.3%
|
19
(8.43)
55.9%
|
2
(13.23)
66.7%
|
23
50%
|
>=65 years |
3
100%
|
2
66.7%
|
2
66.7%
|
15
44.1%
|
1
33.3%
|
23
50%
|
Sex: Female, Male (Count of Participants) | ||||||
Female |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Male |
3
100%
|
3
100%
|
3
100%
|
34
100%
|
3
100%
|
46
100%
|
Race/Ethnicity, Customized (Number) [Number] | ||||||
Black or African American |
0
0%
|
0
0%
|
0
0%
|
4
11.8%
|
0
0%
|
4
8.7%
|
White |
3
100%
|
3
100%
|
3
100%
|
29
85.3%
|
3
100%
|
41
89.1%
|
Other |
0
0%
|
0
0%
|
0
0%
|
1
2.9%
|
0
0%
|
1
2.2%
|
Race/Ethnicity, Customized (Number) [Number] | ||||||
Hispanic/Latino |
0
0%
|
0
0%
|
0
0%
|
1
2.9%
|
0
0%
|
1
2.2%
|
Not Hispanic/Latino |
3
100%
|
3
100%
|
3
100%
|
33
97.1%
|
3
100%
|
45
97.8%
|
Outcome Measures
Title | Percentage of Participants With a Prostate Specific Antigen (PSA) Response |
---|---|
Description | PSA response rate is defined as a decrease of >=50% in PSA levels from baseline, sustained for at least 6 weeks and confirmed by at least 2 measurements |
Time Frame | At pretreatment visit, and on Day 1 of Cycles 2 through 12, then every other cycle, where investigator deems appropriate, and at end of treatment (up to 51.6 months) |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received dasatinib, 100 mg + docetaxel, 75 mg/m^2 |
Arm/Group Title | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 |
---|---|
Arm/Group Description | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Measure Participants | 34 |
Number (95% Confidence Interval) [Percentage of participants] |
64.7
2156.7%
|
Title | Maximum Tolerated Dose (MTD) of Dasatinib Administered With Docetaxel |
---|---|
Description | MTD was defined by dose-limiting toxicity (DLT) criteria. DLT was defined as grade 4 neutropenia causing treatment interruption for >14 days, febrile neutropenia, grade 4 thrombocytopenia, grade 3 thrombocytopenia with a bleeding episode requiring platelet transfusion, nausea and/or vomiting despite medical intervention/prophylaxis causing treatment interruption for >14 days, grade 3-4 asthenia/fatigue, any other grade >=3 nonhematologic toxicity except alopecia or transient arthralgia/myalgia (unless unresponsive to intervention), or interruption of study drug for >14 days due to toxicity. When defined, the MTD would serve as recommended Phase 2 dose of each drug in the combination of oral dasatinib and intravenous docetaxel. |
Time Frame | From Day 3 of first 21-day cycle to Cycle 2 , Day 21 (or Study Day 42) |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received at least 1 dose of dasatinib in Phase 1 |
Arm/Group Title | All Treated (Phase 1) |
---|---|
Arm/Group Description | Participants received dasatinib as 50, 70, 100, or 120 mg administered orally once daily with docetaxel, administered every 3 weeks as an infusion at 60 or 75 mg/m^2. A standard 3+3 design was used, in which 3-6 patients were exposed to a dose level combination. Using a dose escalation scheme, the first 3-6 patients received the lower dose level combination. Escalation to the next dose level combination for another set of 3-6 patients was initiated if no dose-limiting toxicities (DLTs) were observed. If 2 or more DLTs were observed for a dose level combination, the MTD was defined as the previous dose level combination. |
Measure Participants | 16 |
Number [mg] |
NA
|
Title | Duration of Prostate Specific Antigen (PSA) Response |
---|---|
Description | Duration of response is computed for participants with confirmed PSA response. It is measured in months from the time of the first of 2 consecutive measurements meeting the criteria for confirmed PSA response to the date of the first of 3 consecutive measurements that confirm PSA progression, the date of disease progression, or the date of death. Participants who neither progressed (PSA or disease) nor died were censored on the date of their last PSA assessment. PSA response is defined as a decrease of >=50% in PSA levels from baseline, sustained for at least 6 weeks and confirmed by at least 2 measurements. PSA progression is defined as 3 consecutive increases in PSA from baseline or nadir, each measurement at least 1 week apart. The final confirming PSA measurement had to be ≥5ng/mL higher than baseline or nadir and also represent at least a 50% increase from baseline or nadir (ie, the value is ≥1.5*baseline or nadir PSA). |
Time Frame | At pretreatment visit, and on Day 1 of Cycles 2 through 12, then every other cycle, where investigator deems appropriate, and at end of treatment |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received dasatinib, 100 mg + docetaxel, 75 mg/m^2 and who had a PSA response |
Arm/Group Title | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 |
---|---|
Arm/Group Description | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Measure Participants | 22 |
Median (95% Confidence Interval) [Months] |
9.5
|
Title | Number of Months of Progression-free Survival (PFS) |
---|---|
Description | PFS defined as time in months from the first dosing date to the date of disease progression or the date of death. Patients who neither progressed nor died were censored on the date of their last on-study prostate specific antigen (PSA) measurement, tumor assessment, or radionuclide bone scan assessment (whichever occurred last). Disease progression defined as either of the following: progression on radionuclide bone scan, death, or at least 2 of the following: tumor progression, as defined by modified Response Evaluation Criteria in Solid Tumors; PSA progression; or investigator-defined clinical progression based on physical examination, history, symptoms, and performance status. |
Time Frame | Patients with an event: time from first dose to disease progression or death, whichever occurs first. Patients without an event: time to last on-study PSA measurement, tumor assessment, or radionuclide bone scan assessment, whichever occurs last |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received dasatinib, 100 mg + docetaxel, 75 mg/m^2 |
Arm/Group Title | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 |
---|---|
Arm/Group Description | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Measure Participants | 34 |
Median (95% Confidence Interval) [Months] |
11.5
|
Title | Percentage of Participants With an Objective Tumor Response by Response Evaluation Criteria in Solid Tumors (RECIST) |
---|---|
Description | Objective response rate is defined as the percentage of participants who have achieved best responses of confirmed Complete Response (CR) or Partial Response (PR) where confirmed requires repeat evaluations for a minimum of 4 weeks after the criteria for response are first met. RECIST: CR=disappearance of clinical and radiologic evidence of target lesions; PR=a 30% or greater decrease in the sum of the longest diameter (LD) of all lesions in reference to the baseline sum LD. |
Time Frame | Pretreatment visit then every 6 weeks thereafter (up to 51.6 months) |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received dasatinib, 100 mg + docetaxel, 75 mg/m^2 |
Arm/Group Title | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 |
---|---|
Arm/Group Description | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Measure Participants | 34 |
Number (95% Confidence Interval) [Percentage of participants] |
44.1
1470%
|
Title | Number of Participants by Best On-study Tumor Response by Response Evaluation Criteria in Solid Tumors (RECIST) |
---|---|
Description | RECIST for target lesions: Complete Response (CR)=disappearance of clinical and radiologic evidence of target lesions. Partial Response (PR)=a 30% or greater decrease in the sum of the longest diameter (LD) of all lesions in reference to the baseline sum LD. Stable disease (SD)=neither sufficient increase to qualify for Progressive Disease (PD) nor sufficient shrinkage to qualify for PR. PD=a 20% or greater increase in the sum of LD of all target lesions, taking as reference the smallest sum LD recorded at or following baseline; unequivocal progression of nonmeasurable disease/lesions as evaluated by CT scan or MRI (not as evaluated by radionuclide bone scan) and/or new lesions are present. To qualify as SD, patients had to exhibit SD for a minimum of 18 weeks. Those with evaluations noted as SD prior to 18 weeks and discontinued were reported as no change. |
Time Frame | Pretreatment visit then every 6 weeks thereafter (up to 51.6 months) |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received dasatinib, 100 mg + docetaxel, 75 mg/m^2 |
Arm/Group Title | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 |
---|---|
Arm/Group Description | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Measure Participants | 34 |
Complete response |
0
0%
|
Partial response |
15
500%
|
Stable disease |
1
33.3%
|
No change |
3
100%
|
Progressive disease |
2
66.7%
|
Not evaluable |
13
433.3%
|
Title | Recommended Phase 2 Dose of Dasatinib Administered With Docetaxel, 75 mg/m^2 |
---|---|
Description | Because no dose-limiting toxicities occurred, the recommended dose of dasatinib used in Phase 2 was based on findings from ongoing studies in chronic myelogenous leukemia and experience from the previous Phase 2 study of single-agent dasatinib in chronic refractory prostate cancer. The recommended Phase 2 dose of docetaxel (75 mg/m^2) was based on the docetaxel package insert. |
Time Frame | From Day 3 of first 21-day cycle to Cycle 2 , Day 21 (or Study Day 42) |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received at least 1 dose of dasatinib in Phase 1 |
Arm/Group Title | All Treated (Phase 1) |
---|---|
Arm/Group Description | Participants received dasatinib as 50, 70, 100, or 120 mg administered orally once daily with docetaxel, administered every 3 weeks as an infusion at 60 or 75 mg/m^2. A standard 3+3 design was used, in which 3-6 patients were exposed to a dose level combination. Using a dose escalation scheme, the first 3-6 patients received the lower dose level combination. Escalation to the next dose level combination for another set of 3-6 patients was initiated if no dose-limiting toxicities (DLTs) were observed. If, for a dose level combination, 2 or more DLTs were observed, the maximum tolerated dose was defined as the previous dose level combination. |
Measure Participants | 16 |
Number [mg] |
100
|
Title | Number of Participants by Best On-study Bone Scan Assessment From Baseline |
---|---|
Description | Stable=no new lesions appeared at any 6-week assessment or new pain was not developed in an area that was previously visualized for a minimum of 18 weeks; no change=stable disease prior to 18 weeks and then discontinued treatment; progression=2 or more new areas of focal uptake or new adverse clinical symptoms in an area previously visualized; improved=disappearance of at least 1 lesion, no new lesions appearing since the most recent prior assessment, and new pain not developing in an area that was previously visualized. |
Time Frame | From Day 1 of therapy to last bone scan assessment (up to 51.6 months) |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received dasatinib, 100 mg + docetaxel, 75 mg/m^2 |
Arm/Group Title | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 |
---|---|
Arm/Group Description | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Measure Participants | 34 |
Improved |
8
266.7%
|
Stable |
17
566.7%
|
No change |
7
233.3%
|
Progression |
1
33.3%
|
Not evaluable |
1
33.3%
|
Title | Percentage of Participants With Improvement on Bone Scan |
---|---|
Description | Improvement=disappearance of at least 1 lesion, no new lesions appearing since the most recent prior assessment, and new pain not developing in an area that was previously visualized |
Time Frame | From Day 1 of therapy to last bone scan assessment (up to 51.6 months) |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received dasatinib, 100 mg + docetaxel, 75 mg/m^2 |
Arm/Group Title | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 |
---|---|
Arm/Group Description | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Measure Participants | 34 |
Number (95% Confidence Interval) [Percentage of participants] |
23.5
783.3%
|
Title | Baseline Scores and Changes in Pain Intensity From Baseline on the Brief Pain Inventory Short Form (BPI-sf) Scores Through Cycle 6 |
---|---|
Description | The BPI-sf assessed intensity of pain in the last 24 hours as well as impact of pain on daily functions. Patients rated the severity of their pain at its worst, least, and average in the last 24 hours using an 11-point rating scale with endpoints of no pain (0 points) and pain as bad as you can imagine (11 points). They were asked to rate their present pain and pain at the time they completed the BPI-sf. Using an 11-point rating scale with endpoints of does not interfere (0 points) and completely interferes (11 points), the BPI-sf similarly assessed to what extent pain interfered with mood, walking, general activity, work, relations with others, sleep, and enjoyment of life. The BPI-sf also asked patients to mark the location of their pain on a body drawing and included other questions about pain treatment and the extent of pain relief. The BPI-sf was collected in the Phase 2 portion of the study only. For on-treatment visits, the BPI-sf was completed prior to the docetaxel infusion. |
Time Frame | At pretreatment visit and on Day 1 of Cycles 2 through 6, then Day 1 of every other cycle, at end of treatment, and at follow-up visit |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received dasatinib, 100 mg + docetaxel, 75 mg/m^2, in the Phase 2 portion of the study and completed the BPI-sf at baseline. n=evaluable participants in that cycle. |
Arm/Group Title | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 (Phase 2 ) |
---|---|
Arm/Group Description | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Measure Participants | 18 |
Baseline: Average of pain (n=18) |
1.0
|
Baseline: Average of pain interference (n=18) |
1.0
|
Cycle 2: Average of pain (n=11) |
-0.8
|
Cycle 2: Average of pain interference (n=11) |
0.0
|
Cycle 3: Average of pain (n=7) |
-0.5
|
Cycle 3: Average of pain interference (n=7) |
-0.0
|
Cycle 4: Average of pain (n=10) |
-1.0
|
Cycle 4: Average of pain interference (n=10) |
-0.1
|
Cycle 5: Average of pain (n=5) |
-0.8
|
Cycle 5: Average of pain interference (n=5) |
0.0
|
Cycle 6: Average of pain (n=9) |
-0.8
|
Cycle 6: Average of pain interference (n=9) |
0.0
|
Title | Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Drug-related SAEs, Drug-related Adverse Events (AEs), Drug-related AEs Leading to Discontinuation, and Drug-related Grade 3 or 4 AEs in the Overall Population |
---|---|
Description | AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Drug-related=having certain, probable, possible, or missing relationship to study drug. Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening or disabling, Grade 5=Leading to death. |
Time Frame | From first dose Day 1 through at least 30 days after last dose of either dasatinib or docetaxel, whichever was later (up to approximately 49 months) |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least 1 dose of dasatinib |
Arm/Group Title | All Treated |
---|---|
Arm/Group Description | Participants received dasatinib, 50, 70, 100, or 120 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 60 or 75 mg/m^2. |
Measure Participants | 46 |
Deaths |
3
100%
|
SAEs |
17
566.7%
|
Drug-related SAEs |
8
266.7%
|
Drug-related AEs |
45
1500%
|
Drug-related AEs leading to discontinuation |
7
233.3%
|
Drug-related Grade 3 or 4 AEs |
13
433.3%
|
Title | Number of Participants With Death as Outcome, Drug-related Serious Adverse Events (SAEs), Drug-related Adverse Events (AEs), Drug-related AEs Leading to Discontinuation, and Drug-related Grade 3 or 4 AEs in the Phase 2 Cohort |
---|---|
Description | AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Drug-related=having certain, probable, possible, or missing relationship to study drug. Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening or disabling, Grade 5=Leading to death. |
Time Frame | From first dose Day 1 through at least 30 days after last dose of either dasatinib or docetaxel, whichever was later (up to approximately 49 months) |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received dasatinib, 100 mg + docetaxel, 75 mg/m^2 |
Arm/Group Title | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 |
---|---|
Arm/Group Description | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. |
Measure Participants | 34 |
Deaths |
2
66.7%
|
Drug-related SAEs |
7
233.3%
|
Drug-related AEs |
33
1100%
|
Drug-related AEs leading to discontinuation |
6
200%
|
Drug-related Grade 3 or 4 AEs |
12
400%
|
Title | Area Under the Concentration-time Curve (AUC) From 0 to 10 Hours Postdose (AUC [0-10])and AUC in 1 Dosing Interval, From Time 0 to 24 Hours (AUC[Tau])of Dasatinib Coadministered With Docetaxel |
---|---|
Description | |
Time Frame | Cycle 1, Day 14 at 0, 0.5 , 1, 2, 3, 4, 7, 10, and 24 hours postdose |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received at least 1 dose of dasatinib; n=number of patients who were evaluable |
Arm/Group Title | Dasatinib, 50 mg + Docetaxel, 60 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 70 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 120 mg + Docetaxel, 75 mg/m^2 |
---|---|---|---|---|---|
Arm/Group Description | Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 60 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 70 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. | Participants received dasatinib, 120 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. |
Measure Participants | 3 | 3 | 3 | 34 | 3 |
AUC(0-10) (n=3, 1, 3, 28, 3) |
173.13
(54)
|
71.75
(NA)
|
149.79
(26)
|
277.07
(54)
|
461.82
(35)
|
AUC(tau) (n=3, 1, 3, 21, 3) |
205.43
(57)
|
82.20
(NA)
|
200.63
(25)
|
389.66
(48)
|
556.47
(36)
|
Title | Maximum Observed Plasma Concentration (Cmax) of Dasatinib and of Docetaxel |
---|---|
Description | |
Time Frame | Docetaxel: Cycle 1, Day 1 at 0, 0.5, 1, 1.25, 1.5, 2, 3, 4, 7, 10, 24, and 48 hours postdose; dasatanib: Cycle 1, Day 14 at 0, .5, 1, 2, 3, 4, 7, 10, and 24 hours postdose |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received at least 1 dose of dasatinib; n=number of patients who were evaluable |
Arm/Group Title | Dasatinib, 50 mg + Docetaxel, 60 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 70 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 120 mg + Docetaxel, 75 mg/m^2 |
---|---|---|---|---|---|
Arm/Group Description | Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 60 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 70 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 120 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. |
Measure Participants | 3 | 3 | 3 | 34 | 3 |
Dasatinib (n=3, 1, 3, 29, 3) |
42.70
(68)
|
21.99
(NA)
|
30.00
(17)
|
83.91
(74)
|
164.99
(26)
|
Docetaxel (n=3, 3, 3, 34, 3) |
2226.25
(46)
|
1763.34
(25)
|
1748.43
(20)
|
2125.49
(33)
|
2412.41
(14)
|
Title | Area Under the Concentration-time Curve (AUC) From Time 0 to Infinity (AUC[Inf]) of Docetaxel |
---|---|
Description | |
Time Frame | Cycle 1, Day 1 at 0, 0.5, 1, 1.25, 1.5, 2, 3, 4, 7, 10, 24, and 48 hours postdose |
Outcome Measure Data
Analysis Population Description |
---|
All patients who received at least 1 dose of dasatinib |
Arm/Group Title | Dasatinib, 50 mg + Docetaxel, 60 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 70 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 120 mg + Docetaxel, 75 mg/m^2 |
---|---|---|---|---|---|
Arm/Group Description | Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 60 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 70 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. | Participants received dasatinib, 120 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. |
Measure Participants | 3 | 3 | 3 | 34 | 3 |
Geometric Mean (Geometric Coefficient of Variation) [ng.h/mL] |
3085.59
(54)
|
2064.49
(24)
|
2113.37
(23)
|
2663.83
(33)
|
3283.27
(19)
|
Title | Number of Participants Meeting the Criteria for On-study Abnormal Results Grade 3-4 of Clinical Laboratory Tests |
---|---|
Description | ULN=upper limit of normal. Graded by Common Toxicity Criteria: 1 (least severe) to 4 (life threatening ). Absolute neutrophil count (*10^9/L), Grade 3, <1.0-0.5; Grade 4, <0.5. Hemoglobin (mmol/L), Grade 3, <4.9-4.0; Grade 4, <4.0. Platelets (*10^9/L), Grade 3, <50.0-25.0; Grade 4, <25.0. Leukocytes (*10^9/L) Grade 3, <2.0-1.0; Grade 4, <1.0. ALP, ALT, and AST (*ULN), Grade 3, >5.0-20.0; Grade 4, >20.0. Total bilirubin (*ULN), Grade 3, >3.0-10.0; Grade 4, >10.0. Creatinine (*ULN), Grade 3, >3.0-6.0; Grade 4, >6.0. Hypercalcemia (mmol/L), Grade 3, >3.1-3.4; Grade 4, >3.4. Hypocalcemia mmol/L), Grade 3, <1.75-1.5; Grade 4, <1.5. Hyperkalemia (mmol/L), Grade 3, >6.0-7.0; Grade 4, >7.0. Hypokalemia (mmol/L), Grade 3, <3.0-2.5; Grade 4, <2.5. Hypernatremia (mmol/L), Grade 3, >155-160; Grade 4, >160. Hyponatremia (mmol/L), Grade 3, <130-120; Grade 4, <120. Phosphorus (mmol/L), Grade 3, <0.6-0.3; Grade 4, <0.3. Prothrombin time (seconds), Grade 3, >2.0; Grade 4, not defined. |
Time Frame | From Day 2 of Cycle 1 to up to 30 days after last dose of study drug (up to approximately 49 months) |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least 1 dose of study drug |
Arm/Group Title | Dasatinib, 50 mg + Docetaxel, 60 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 70 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 120 mg + Docetaxel, 75 mg/m^2 |
---|---|---|---|---|---|
Arm/Group Description | Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 60 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 70 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. | Participants received dasatinib, 120 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. Provided no dose-limiting toxicities occurred, at least 3 participants received treatment in each arm. |
Measure Participants | 3 | 3 | 3 | 34 | 3 |
Absolute neutrophil count |
0
0%
|
0
0%
|
0
0%
|
1
2.9%
|
0
0%
|
Hemoglobin |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Platelet count |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Leukocytes |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Alanine aminotransferase (ALT) |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Aspartate aminotransferase (AST) |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Alkaline phosphatase (ALP) |
1
33.3%
|
1
33.3%
|
0
0%
|
1
2.9%
|
0
0%
|
Total bilirubin |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Hypercalcemia |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Hypocalcemia |
0
0%
|
0
0%
|
0
0%
|
1
2.9%
|
0
0%
|
Creatinine |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Hyperkalemia |
0
0%
|
0
0%
|
0
0%
|
1
2.9%
|
0
0%
|
Hypokalemia |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
Hypernatremia |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Hyponatremia |
0
0%
|
0
0%
|
0
0%
|
2
5.9%
|
0
0%
|
Phosphorus, inorganic |
0
0%
|
1
33.3%
|
0
0%
|
1
2.9%
|
0
0%
|
Prothrombin time |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Adverse Events
Time Frame | From 1st dose, Day 1 to up to 30 days after last dose of study drug (approximately 49 months + 30 days) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Adverse Event Reporting Description | ||||||||||
Arm/Group Title | Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 120 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 60 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 70 mg + Docetaxel, 75 mg/m^2 | |||||
Arm/Group Description | Participants received dasatinib, 100 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. | Participants received dasatinib, 120 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. | Participants received dasatinib, 50 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 60 mg/m^2. | Participants received dasatinib, 50 mg administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. | Participants received dasatinib, 70 mg, administered orally once daily. Docetaxel was administered every 3 weeks as an infusion at 75 mg/m^2. | |||||
All Cause Mortality |
||||||||||
Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 120 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 60 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 70 mg + Docetaxel, 75 mg/m^2 | ||||||
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) | |||||
Serious Adverse Events |
||||||||||
Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 120 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 60 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 70 mg + Docetaxel, 75 mg/m^2 | ||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 14/34 (41.2%) | 1/3 (33.3%) | 1/3 (33.3%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Blood and lymphatic system disorders | ||||||||||
Leukopenia | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Neutropenia | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Anaemia | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Febrile neutropenia | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Cardiac disorders | ||||||||||
Atrial fibrillation | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Cardiac failure congestive | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Diastolic dysfunction | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Gastrointestinal disorders | ||||||||||
Constipation | 0/34 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
Abdominal pain | 0/34 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
General disorders | ||||||||||
Mucosal inflammation | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Fatigue | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Pyrexia | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Asthenia | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Immune system disorders | ||||||||||
Drug hypersensitivity | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Infections and infestations | ||||||||||
Bronchitis | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Cellulitis | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Subcutaneous abscess | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Pneumonia | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Sepsis | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Gastroenteritis viral | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Infection | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Metabolism and nutrition disorders | ||||||||||
Dehydration | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Musculoskeletal and connective tissue disorders | ||||||||||
Bone pain | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Spinal column stenosis | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Musculoskeletal pain | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||||||
Neoplasm malignant | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Nervous system disorders | ||||||||||
Syncope | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Spinal cord compression | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Cerebral ischaemia | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Psychiatric disorders | ||||||||||
Confusional state | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Renal and urinary disorders | ||||||||||
Renal failure acute | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Respiratory, thoracic and mediastinal disorders | ||||||||||
Pneumonitis | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Chronic obstructive pulmonary disease | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Aspiration | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Pleural effusion | 4/34 (11.8%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Pulmonary embolism | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Vascular disorders | ||||||||||
Hypotension | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Other (Not Including Serious) Adverse Events |
||||||||||
Dasatinib, 100 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 120 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 60 mg/m^2 | Dasatinib, 50 mg + Docetaxel, 75 mg/m^2 | Dasatinib, 70 mg + Docetaxel, 75 mg/m^2 | ||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 34/34 (100%) | 3/3 (100%) | 3/3 (100%) | 3/3 (100%) | 3/3 (100%) | |||||
Blood and lymphatic system disorders | ||||||||||
Leukopenia | 0/34 (0%) | 0/3 (0%) | 1/3 (33.3%) | 1/3 (33.3%) | 1/3 (33.3%) | |||||
Granulocytopenia | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Anaemia | 10/34 (29.4%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 1/3 (33.3%) | |||||
Cardiac disorders | ||||||||||
Atrial fibrillation | 2/34 (5.9%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
Tachycardia | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Angina pectoris | 0/34 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Ear and labyrinth disorders | ||||||||||
Tinnitus | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Eye disorders | ||||||||||
Dry eye | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Eye pain | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Lacrimation increased | 4/34 (11.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Vision blurred | 2/34 (5.9%) | 1/3 (33.3%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
Gastrointestinal disorders | ||||||||||
Vomiting | 9/34 (26.5%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Oral pain | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Constipation | 9/34 (26.5%) | 2/3 (66.7%) | 2/3 (66.7%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Abdominal pain lower | 0/34 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Nausea | 20/34 (58.8%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 1/3 (33.3%) | |||||
Dyspepsia | 5/34 (14.7%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Mouth ulceration | 0/34 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
Stomatitis | 3/34 (8.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Ascites | 3/34 (8.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Diarrhoea | 25/34 (73.5%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
Gastrooesophageal reflux disease | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Rectal haemorrhage | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
General disorders | ||||||||||
Face oedema | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Pain | 6/34 (17.6%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Fatigue | 27/34 (79.4%) | 1/3 (33.3%) | 3/3 (100%) | 1/3 (33.3%) | 3/3 (100%) | |||||
Pyrexia | 6/34 (17.6%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Asthenia | 5/34 (14.7%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
Oedema | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Chest pain | 3/34 (8.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Chills | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Influenza like illness | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Injection site reaction | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Oedema peripheral | 14/34 (41.2%) | 1/3 (33.3%) | 1/3 (33.3%) | 1/3 (33.3%) | 1/3 (33.3%) | |||||
Immune system disorders | ||||||||||
Hypersensitivity | 4/34 (11.8%) | 0/3 (0%) | 2/3 (66.7%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Infections and infestations | ||||||||||
Bronchitis | 0/34 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Sinusitis | 4/34 (11.8%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Urinary tract infection | 6/34 (17.6%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
Localised infection | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Rhinitis | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Tinea cruris | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Infection | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Upper respiratory tract infection | 3/34 (8.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Injury, poisoning and procedural complications | ||||||||||
Laceration | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Contusion | 4/34 (11.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Fall | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Rib fracture | 3/34 (8.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Investigations | ||||||||||
Blood lactate dehydrogenase increased | 1/34 (2.9%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Weight decreased | 5/34 (14.7%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Alanine aminotransferase increased | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Blood uric acid increased | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Aspartate aminotransferase increased | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 1/3 (33.3%) | |||||
Cardiac murmur | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Haemoglobin decreased | 3/34 (8.8%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
Blood creatinine increased | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Blood urea increased | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Electrocardiogram QT prolonged | 0/34 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Weight increased | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Activated partial thromboplastin time shortened | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Metabolism and nutrition disorders | ||||||||||
Hypoalbuminaemia | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Hypocalcaemia | 1/34 (2.9%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Hypokalaemia | 4/34 (11.8%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Hyperglycaemia | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 1/3 (33.3%) | |||||
Hyponatraemia | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Decreased appetite | 17/34 (50%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
Hypophosphataemia | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Dehydration | 3/34 (8.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Musculoskeletal and connective tissue disorders | ||||||||||
Back pain | 5/34 (14.7%) | 2/3 (66.7%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Bone pain | 4/34 (11.8%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Neck pain | 3/34 (8.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Pain in extremity | 6/34 (17.6%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Muscular weakness | 3/34 (8.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Arthralgia | 9/34 (26.5%) | 2/3 (66.7%) | 1/3 (33.3%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Musculoskeletal chest pain | 2/34 (5.9%) | 2/3 (66.7%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Myalgia | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Flank pain | 0/34 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Musculoskeletal pain | 2/34 (5.9%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||||||
Seborrhoeic keratosis | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Nervous system disorders | ||||||||||
Headache | 6/34 (17.6%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Hypoaesthesia | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Neuropathy peripheral | 6/34 (17.6%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Dysgeusia | 17/34 (50%) | 2/3 (66.7%) | 2/3 (66.7%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Dizziness | 3/34 (8.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 2/3 (66.7%) | |||||
Peripheral sensory neuropathy | 4/34 (11.8%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Psychiatric disorders | ||||||||||
Insomnia | 6/34 (17.6%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Depression | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Anxiety | 4/34 (11.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Renal and urinary disorders | ||||||||||
Incontinence | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Urinary hesitation | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Urinary retention | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Urethral pain | 0/34 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Urinary bladder haemorrhage | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Pollakiuria | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Proteinuria | 1/34 (2.9%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Urinary incontinence | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Respiratory, thoracic and mediastinal disorders | ||||||||||
Dyspnoea | 16/34 (47.1%) | 1/3 (33.3%) | 1/3 (33.3%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Epistaxis | 3/34 (8.8%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Apnoea | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Pneumonitis | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Chronic obstructive pulmonary disease | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Cough | 7/34 (20.6%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Productive cough | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Pleural effusion | 8/34 (23.5%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Skin and subcutaneous tissue disorders | ||||||||||
Nail disorder | 8/34 (23.5%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Dry skin | 8/34 (23.5%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Ecchymosis | 2/34 (5.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Erythema | 2/34 (5.9%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
Rash | 5/34 (14.7%) | 2/3 (66.7%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Alopecia | 25/34 (73.5%) | 1/3 (33.3%) | 0/3 (0%) | 1/3 (33.3%) | 0/3 (0%) | |||||
Vascular disorders | ||||||||||
Thrombosis | 0/34 (0%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) | |||||
Hot flush | 5/34 (14.7%) | 1/3 (33.3%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
Hypertension | 1/34 (2.9%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | |||||
Flushing | 2/34 (5.9%) | 1/3 (33.3%) | 1/3 (33.3%) | 0/3 (0%) | 0/3 (0%) | |||||
Hypotension | 1/34 (2.9%) | 0/3 (0%) | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
Results Point of Contact
Name/Title | Bristol-Myers Squibb Study Director |
---|---|
Organization | Bristol-Myers Squibb |
Phone | |
Clinical.Trials@bms.com |
- CA180-086