Phase 2b Study of Cetuximab With Platinum-Based Chemo as First Line Treatment of Recurrent or Advanced NSCLC

Sponsor
Accelerated Community Oncology Research Network (Other)
Overall Status
Completed
CT.gov ID
NCT00828841
Collaborator
(none)
601
84
3
44
7.2
0.2

Study Details

Study Description

Brief Summary

This study is testing the investigational drug, cetuximab, in combination with different chemotherapy drugs for lung cancer. The aim of the study is to determine which of the drug combinations looks most promising and should be tested further. The study will also look at what side effects may occur.

Study Design

Study Type:
Interventional
Actual Enrollment :
601 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Multi-Center Randomized Phase 2b Study of Cetuximab (Erbitux) in Combination With Platinum-Based Chemotherapy as First Line Treatment of Patients With Recurrent or Advanced Non-Small Cell Lung Cancer (NSCLC)
Study Start Date :
Dec 1, 2008
Actual Primary Completion Date :
Jul 1, 2012
Actual Study Completion Date :
Aug 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Paclitaxel, Carboplatin, Cetuximab (Arm A)

Patients with squamous or non-squamous histologies will receive carboplatin and paclitaxel for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion.

Drug: Cetuximab
Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks.
Other Names:
  • Erbitux
  • Drug: Paclitaxel
    Paclitaxel 200 mg/m2 Day 1 every 21 days
    Other Names:
  • Taxol
  • Drug: Carboplatin
    Carboplatin AUC 6 Day 1 every 21 days
    Other Names:
  • Paraplatin
  • Active Comparator: Platinum, Gemcitabine, Cetuximab (Arm B)

    Patients with squamous or non-squamous histologies will receive gemcitabine with either carboplatin or cisplatin for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. The choice of platinum-based chemotherapy is also at the investigator's discretion.

    Drug: Cetuximab
    Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks.
    Other Names:
  • Erbitux
  • Drug: Carboplatin
    Carboplatin AUC 6 Day 1 every 21 days
    Other Names:
  • Paraplatin
  • Drug: Gemcitabine
    Gemcitabine 1,000 mg/m2 Days 1 and 8 every 21 days
    Other Names:
  • Gemzar
  • Drug: Cisplatin
    Cisplatin 75 mg/m2 Day I every 21 days
    Other Names:
  • Platinol
  • Active Comparator: Platinum, Pemetrexed, Cetuximab (Arm C)

    Patients with squamous histology will receive pemetrexed and either carboplatin or cisplatin for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. The choice of platinum-based chemotherapy is also at the investigator's discretion. Patients with non-squamous histology are not eligible for this arm.

    Drug: Cetuximab
    Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks.
    Other Names:
  • Erbitux
  • Drug: Carboplatin
    Carboplatin AUC 6 Day 1 every 21 days
    Other Names:
  • Paraplatin
  • Drug: Cisplatin
    Cisplatin 75 mg/m2 Day I every 21 days
    Other Names:
  • Platinol
  • Outcome Measures

    Primary Outcome Measures

    1. Overall Survival by Treatment Arm [Survival was measured from the date of randomization to date of death due to any cause, assessed up to 36 months. Subjects who were alive at the date of last contact were censored at the date of last contact.]

    Secondary Outcome Measures

    1. 1-year Survival by Treatment Arm [Survival was measured from the date of randomization to date of death due to any cause, assessed up to 36 months. Subjects who were alive at the date of last contact were censored at the date of last contact.]

    2. Overall Survival by Histology [Survival was measured from the date of randomization to date of death due to any cause, assessed up to 36 months. Subjects who were alive at the date of last contact were censored at the date of last contact.]

    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 before study-related activities

    • Histologically or cytologically confirmed Stage IIIb with cytologically documented malignant pleural or pericardial effusion, Stage IV, or recurrent non-smal cell lung cancer (NSCLC) after resection or radiation for earlier stage disease

    • Measurable or evaluable disease (per modified Response Evaluation Criteria in Solid Tumors [RECIST] guidelines)

    • Male or female ≥ 18 years of age

    • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1

    • White blood count ≥ 3 x 10(9)/L with neutrophils ≥ 1.5 x 10(9)/L, platelet count ≥ 100 x 10(9)/L, and hemoglobin ≥ 9.5 g/dL

    • Total bilirubin ≤ 1.5 x upper limit of normal (ULN)

    • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 x ULN or ≤ 5 x ULN in patients with liver mets

    • Serum creatinine ≤ 1.25 x ULN

    • Recovery from prior surgery or radiation to Grade 1 or better toxicity

    • Women of childbearing potential (WOCBP) and fertile men with partners of childbearing potential must be using an adequate method of contraception to avoid pregnancy throughout the study and for up to 4 wks after the study in such a manner that the risk of pregnancy is minimized

    • WOCBP must have a negative serum or urine pregnancy test within 72 hrs prior to the start of study medication or in accordance with local regulations, whichever is of shorter duration

    Exclusion Criteria:
    • WOCBP who are unwilling or unable to use an acceptable method of birth control to avoid pregnancy for the entire study period and for up to 4 weeks after the study

    • Women who are pregnant or breastfeeding

    • Women with a positive pregnancy test during screening or prior to study drug administration

    • Sexually active fertile men not using effective birth control if their partners are women of child-bearing potential

    • Prior chemo for advanced NSCLC; neoadjuvant or post-operative adjuvant chemo is allowed if completed at least 12 months before study entry

    • Previous exposure to epidermal growth factor receptor (EGFR)-targeted therapy. Prior treatment with monoclonal antibodies targeting receptors other than the EGFR, such as bevacizumab, is allowed if completed > 30 days prior to randomization

    • Treatment with any investigational agent(s) within 4 weeks prior to study entry

    • Concurrent anti-cancer therapy (chemotherapy, hormonal therapy, biologic or targeted therapy) other than protocol therapy

    • Carcinoid, atypical carcinoid or small cell lung cancer

    • Symptomatic or uncontrolled mets in the central nervous system

    • Prior invasive malignancy requiring ongoing therapy within the past year

    • Active infection (infection requiring intravenous [IV] antibiotics), including active tuberculosis, known and declared HIV

    • Myocardial infarction within 6 months prior to study entry, uncontrolled congestive heart failure; or any current Grade 3 or 4 cardiovascular disorder despite treatment

    • Known allergic/hypersensitivity reaction to any of the components of study treatments

    • Peripheral neuropathy ≥ Grade 2, as assessed by Common Terminology Criteria for Adverse Events, version 3.0

    • History of significant neurologic or psychiatric disorders including but not limited to dementia, seizures, and bipolar disorder

    • Medical or psychological condition that would not permit the patient to complete the study or sign informed consent

    • Known drug abuse

    Patients of all races and ethnic groups are eligible for this trial.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Anniston Alabama United States
    2 Jonesboro Arkansas United States
    3 Anaheim California United States
    4 Azusa California United States
    5 Burbank California United States
    6 Campbell California United States
    7 Greenbrae California United States
    8 Hawthorne California United States
    9 Mission Hills California United States
    10 Orange California United States
    11 Oxnard California United States
    12 St. Helena California United States
    13 Fort Collins Colorado United States
    14 Norwich Connecticut United States
    15 Torrington Connecticut United States
    16 Trumbull Connecticut United States
    17 Fort Lauderdale Florida United States
    18 Lake Worth Florida United States
    19 Orange City Florida United States
    20 Pembroke Pines Florida United States
    21 St. Petersburg Florida United States
    22 Titusville Florida United States
    23 Weston Florida United States
    24 Augusta Georgia United States
    25 Columbus Georgia United States
    26 Lawrenceville Georgia United States
    27 Marietta Georgia United States
    28 Valdosta Georgia United States
    29 Elmhurst Illinois United States
    30 Harvey Illinois United States
    31 Joliet Illinois United States
    32 Quincy Illinois United States
    33 Skokie Illinois United States
    34 South Bend Indiana United States
    35 Family Medicine of Vincennes Vincennes Indiana United States
    36 Arnes Iowa United States
    37 Bettendorf Iowa United States
    38 Mason City Iowa United States
    39 Waterloo Iowa United States
    40 Hazard Kentucky United States
    41 Louisville Kentucky United States
    42 Lafayette Louisiana United States
    43 Shreveport Louisiana United States
    44 Baltimore Maryland United States
    45 Towson Maryland United States
    46 Springfield Massachusetts United States
    47 Worchester Massachusetts United States
    48 Jefferson City Missouri United States
    49 St. Joseph Missouri United States
    50 St. Louis Missouri United States
    51 Billings Montana United States
    52 Grand Island Nebraska United States
    53 Omaha Nebraska United States
    54 Portsmouth New Hampshire United States
    55 Bellville New Jersey United States
    56 Cherry Hill New Jersey United States
    57 Elizabeth New Jersey United States
    58 Hackensack New Jersey United States
    59 Bronx New York United States
    60 East Setauket New York United States
    61 Fresh Meadows New York United States
    62 Fayetteville North Carolina United States
    63 Gastonia North Carolina United States
    64 Goldsboro North Carolina United States
    65 Columbus Ohio United States
    66 Dayton Ohio United States
    67 Middletown Ohio United States
    68 Sandusky Ohio United States
    69 Bend Oregon United States
    70 Bethlehem Pennsylvania United States
    71 Reading Pennsylvania United States
    72 Sumter South Carolina United States
    73 Sioux Falls South Dakota United States
    74 Bristol Tennessee United States
    75 Chattanooga Tennessee United States
    76 Memphis Tennessee United States
    77 Beaumont Texas United States
    78 Corpus Christi Texas United States
    79 Lubbock Texas United States
    80 Bennington Vermont United States
    81 Kirkland Washington United States
    82 Tacoma Washington United States
    83 Huntington West Virginia United States
    84 Wauwatosa Wisconsin United States

    Sponsors and Collaborators

    • Accelerated Community Oncology Research Network

    Investigators

    • Study Chair: Lee Schwartzberg, MD, FACP, Accelerated Community Oncology Research Network

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Accelerated Community Oncology Research Network
    ClinicalTrials.gov Identifier:
    NCT00828841
    Other Study ID Numbers:
    • AC01L08
    First Posted:
    Jan 26, 2009
    Last Update Posted:
    Nov 6, 2013
    Last Verified:
    Oct 1, 2013

    Study Results

    Participant Flow

    Recruitment Details The study was open to enrollment at 118 oncology clinics from November 2008 to May 2011.
    Pre-assignment Detail Consent was obtained from all subjects. Subjects were stratified by histology (non-squamous vs. squamous), followed by disease stage (IIIb vs. IV). Subjects in the non-squamous stratum were randomized to 1 of 3 treatment arms (Arm A, B, or C); subjects in the squamous stratum were randomized to only 1 of 2 of these treatment arms (Arm A or B).
    Arm/Group Title Paclitaxel, Carboplatin, Cetuximab (Arm A) Platinum, Gemcitabine, Cetuximab (Arm B) Platinum, Pemetrexed, Cetuximab (Arm C)
    Arm/Group Description Patients with squamous or non-squamous histologies will receive carboplatin and paclitaxel for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. Paclitaxel : Paclitaxel 200 mg/m2 Day 1 every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks. Patients with squamous or non-squamous histologies will receive gemcitabine with either carboplatin or cisplatin for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. The choice of platinum-based chemotherapy is also at the investigator's discretion. Gemcitabine : Gemcitabine 1,000 mg/m2 Days 1 and 8 every 21 days Cisplatin : Cisplatin 75 mg/m2 Day I every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks. Patients with squamous histology will receive pemetrexed and either carboplatin or cisplatin for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. The choice of platinum-based chemotherapy is also at the investigator's discretion. Patients with non-squamous histology are not eligible for this arm. Cisplatin : Cisplatin 75 mg/m2 Day I every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks.
    Period Title: Overall Study
    STARTED 235 236 130
    COMPLETED 231 232 126
    NOT COMPLETED 4 4 4

    Baseline Characteristics

    Arm/Group Title Paclitaxel, Carboplatin, Cetuximab (Arm A) Platinum, Gemcitabine, Cetuximab (Arm B) Platinum, Pemetrexed, Cetuximab (Arm C) Total
    Arm/Group Description Patients with squamous or non-squamous histologies will receive carboplatin and paclitaxel for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. Paclitaxel : Paclitaxel 200 mg/m2 Day 1 every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks. Patients with squamous or non-squamous histologies will receive gemcitabine with either carboplatin or cisplatin for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. The choice of platinum-based chemotherapy is also at the investigator's discretion. Gemcitabine : Gemcitabine 1,000 mg/m2 Days 1 and 8 every 21 days Cisplatin : Cisplatin 75 mg/m2 Day I every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks. Patients with squamous histology will receive pemetrexed and either carboplatin or cisplatin for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. The choice of platinum-based chemotherapy is also at the investigator's discretion. Patients with non-squamous histology are not eligible for this arm. Cisplatin : Cisplatin 75 mg/m2 Day I every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks. Total of all reporting groups
    Overall Participants 235 236 130 601
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    65.3
    (8.9)
    64.9
    (9.5)
    65.6
    (9.4)
    65.2
    (9.2)
    Sex: Female, Male (Count of Participants)
    Female
    97
    41.3%
    90
    38.1%
    64
    49.2%
    251
    41.8%
    Male
    138
    58.7%
    146
    61.9%
    66
    50.8%
    350
    58.2%
    Region of Enrollment (participants) [Number]
    United States
    235
    100%
    236
    100%
    130
    100%
    601
    100%

    Outcome Measures

    1. Primary Outcome
    Title Overall Survival by Treatment Arm
    Description
    Time Frame Survival was measured from the date of randomization to date of death due to any cause, assessed up to 36 months. Subjects who were alive at the date of last contact were censored at the date of last contact.

    Outcome Measure Data

    Analysis Population Description
    Two subjects in Arm A were censored due to negative event intervals.
    Arm/Group Title Paclitaxel, Carboplatin, Cetuximab (Arm A) Platinum, Gemcitabine, Cetuximab (Arm B) Platinum, Pemetrexed, Cetuximab (Arm C)
    Arm/Group Description Patients with squamous or non-squamous histologies will receive carboplatin and paclitaxel for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. Paclitaxel : Paclitaxel 200 mg/m2 Day 1 every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks. Patients with squamous or non-squamous histologies will receive gemcitabine with either carboplatin or cisplatin for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. The choice of platinum-based chemotherapy is also at the investigator's discretion. Gemcitabine : Gemcitabine 1,000 mg/m2 Days 1 and 8 every 21 days Cisplatin : Cisplatin 75 mg/m2 Day I every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks. Patients with squamous histology will receive pemetrexed and either carboplatin or cisplatin for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. The choice of platinum-based chemotherapy is also at the investigator's discretion. Patients with non-squamous histology are not eligible for this arm. Cisplatin : Cisplatin 75 mg/m2 Day I every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks.
    Measure Participants 233 236 130
    Median (95% Confidence Interval) [Months]
    9.5
    8.3
    10.6
    2. Secondary Outcome
    Title 1-year Survival by Treatment Arm
    Description
    Time Frame Survival was measured from the date of randomization to date of death due to any cause, assessed up to 36 months. Subjects who were alive at the date of last contact were censored at the date of last contact.

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Paclitaxel, Carboplatin, Cetuximab (Arm A) Platinum, Gemcitabine, Cetuximab (Arm B) Platinum, Pemetrexed, Cetuximab (Arm C)
    Arm/Group Description Patients with squamous or non-squamous histologies will receive carboplatin and paclitaxel for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. Paclitaxel : Paclitaxel 200 mg/m2 Day 1 every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks. Patients with squamous or non-squamous histologies will receive gemcitabine with either carboplatin or cisplatin for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. The choice of platinum-based chemotherapy is also at the investigator's discretion. Gemcitabine : Gemcitabine 1,000 mg/m2 Days 1 and 8 every 21 days Cisplatin : Cisplatin 75 mg/m2 Day I every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks. Patients with squamous histology will receive pemetrexed and either carboplatin or cisplatin for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. The choice of platinum-based chemotherapy is also at the investigator's discretion. Patients with non-squamous histology are not eligible for this arm. Cisplatin : Cisplatin 75 mg/m2 Day I every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks.
    Measure Participants 233 236 130
    Number (95% Confidence Interval) [percentage of participants]
    39.7
    16.9%
    37.2
    15.8%
    47.3
    36.4%
    3. Secondary Outcome
    Title Overall Survival by Histology
    Description
    Time Frame Survival was measured from the date of randomization to date of death due to any cause, assessed up to 36 months. Subjects who were alive at the date of last contact were censored at the date of last contact.

    Outcome Measure Data

    Analysis Population Description
    Subjects were stratified by histology prior to randomization to a treatment arm.
    Arm/Group Title Squamous Cell Histology Non-squamous Cell Histology
    Arm/Group Description Subjects who were identified as having squamous cell histology, prior to randomization to a treatment arm. Subjects who were identified as having non-squamous cell histology, prior to randomization to a treatment arm.
    Measure Participants 200 399
    Median (95% Confidence Interval) [Months]
    8.7
    9.9

    Adverse Events

    Time Frame Adverse events collection began at the time the patient signed the informed consent and continued throughout the study until 30 days after the last dose.
    Adverse Event Reporting Description Systematic Assessment - subjects were assessed for adverse events by a member of the research team every 1-2 weeks.
    Arm/Group Title Paclitaxel, Carboplatin, Cetuximab (Arm A) Platinum, Gemcitabine, Cetuximab (Arm B) Platinum, Pemetrexed, Cetuximab (Arm C)
    Arm/Group Description Patients with squamous or non-squamous histologies will receive carboplatin and paclitaxel for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. Paclitaxel : Paclitaxel 200 mg/m2 Day 1 every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks. Patients with squamous or non-squamous histologies will receive gemcitabine with either carboplatin or cisplatin for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. The choice of platinum-based chemotherapy is also at the investigator's discretion. Gemcitabine : Gemcitabine 1,000 mg/m2 Days 1 and 8 every 21 days Cisplatin : Cisplatin 75 mg/m2 Day I every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks. Patients with squamous histology will receive pemetrexed and either carboplatin or cisplatin for a minimum of four and a maximum of six 21-day cycles, plus cetuximab, and then enter a maintenance phase with single-agent cetuximab. Cetuximab will be given on Day 1, and weekly during chemotherapy, followed by biweekly administration during the maintenance period. The choice of delivering four, five or six cycles of chemotherapy is at the investigator's discretion. The choice of platinum-based chemotherapy is also at the investigator's discretion. Patients with non-squamous histology are not eligible for this arm. Cisplatin : Cisplatin 75 mg/m2 Day I every 21 days Carboplatin : Carboplatin AUC 6 Day 1 every 21 days Cetuximab : Cetuximab will be administered at a loading dose of 400 mg/m2 on Day 1, Cycle 1 and at a dose of 250 mg/m2 weekly during chemotherapy. During the maintenance period, cetuximab will be dosed at 500 mg/m2 every two weeks.
    All Cause Mortality
    Paclitaxel, Carboplatin, Cetuximab (Arm A) Platinum, Gemcitabine, Cetuximab (Arm B) Platinum, Pemetrexed, Cetuximab (Arm C)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Paclitaxel, Carboplatin, Cetuximab (Arm A) Platinum, Gemcitabine, Cetuximab (Arm B) Platinum, Pemetrexed, Cetuximab (Arm C)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 109/235 (46.4%) 128/236 (54.2%) 68/130 (52.3%)
    Blood and lymphatic system disorders
    Anemia 2/235 (0.9%) 19/236 (8.1%) 6/130 (4.6%)
    Febrile Neutropenia 6/235 (2.6%) 4/236 (1.7%) 2/130 (1.5%)
    Leukocytosis 0/235 (0%) 0/236 (0%) 2/130 (1.5%)
    Leukopenia 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Neutropenia 6/235 (2.6%) 4/236 (1.7%) 1/130 (0.8%)
    Pancytopenia 1/235 (0.4%) 5/236 (2.1%) 1/130 (0.8%)
    Thrombocytopenia 3/235 (1.3%) 15/236 (6.4%) 3/130 (2.3%)
    Cardiac disorders
    Acute Myocardial Infarction 0/235 (0%) 3/236 (1.3%) 0/130 (0%)
    Atrial Fibrillation 3/235 (1.3%) 4/236 (1.7%) 0/130 (0%)
    Atrial Flutter 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Cardiac Arrest 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Cardiac Failure Congestive 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Cardiac Tamponade 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Cardio-Respiratory Arrest 0/235 (0%) 2/236 (0.8%) 1/130 (0.8%)
    Left Ventricular Dysfunction 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Myocardial Infarction 3/235 (1.3%) 3/236 (1.3%) 0/130 (0%)
    Myocardial Ischemia 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Pericardial Effusion 0/235 (0%) 3/236 (1.3%) 2/130 (1.5%)
    Restrictive Cardiomyopathy 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Supraventricular Tachycardia 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Tachycardia 3/235 (1.3%) 0/236 (0%) 1/130 (0.8%)
    Ventricular Dysfunction 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Ear and labyrinth disorders
    Vertigo 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Eye disorders
    Ulcerative Keratitis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Gastrointestinal disorders
    Abdominal Discomfort 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Abdominal Pain 2/235 (0.9%) 5/236 (2.1%) 1/130 (0.8%)
    Abdominal Pain Upper 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Colitis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Constipation 0/235 (0%) 1/236 (0.4%) 2/130 (1.5%)
    Diarrhea 4/235 (1.7%) 2/236 (0.8%) 1/130 (0.8%)
    Dysphagia 1/235 (0.4%) 2/236 (0.8%) 0/130 (0%)
    Enterocutaneous Fistula 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Esophageal Pain 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Gastric Ulcer Hemorrhage 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Gastric Volvulus 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Gastritis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Gastrointestinal Hemorrhage 2/235 (0.9%) 3/236 (1.3%) 2/130 (1.5%)
    Intestinal Obstruction 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Nausea 2/235 (0.9%) 3/236 (1.3%) 4/130 (3.1%)
    Rectal Hemorrhage 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Upper Gastrointestinal Hemorrhage 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Volvulus 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Vomiting 3/235 (1.3%) 3/236 (1.3%) 3/130 (2.3%)
    General disorders
    Adverse Reation 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Asthenia 3/235 (1.3%) 2/236 (0.8%) 1/130 (0.8%)
    Chest Pain 6/235 (2.6%) 5/236 (2.1%) 1/130 (0.8%)
    Chills 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Death 5/235 (2.1%) 3/236 (1.3%) 2/130 (1.5%)
    Disease Progression 5/235 (2.1%) 7/236 (3%) 6/130 (4.6%)
    Fatigue 0/235 (0%) 3/236 (1.3%) 1/130 (0.8%)
    General Physical Health Deterioration 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Generalized Edema 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Multi-Organ Failure 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Pain 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Peripheral Edema 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Pyrexia 3/235 (1.3%) 2/236 (0.8%) 1/130 (0.8%)
    Spinal Pain 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Ulcer Hemorrhage 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Hepatobiliary disorders
    Cholecystitis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Cholelithiasis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Immune system disorders
    Anaphylactic Reaction 2/235 (0.9%) 6/236 (2.5%) 0/130 (0%)
    Cytokine Release Syndrome 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Drug Hypersensitivity 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Hypersensitivity 4/235 (1.7%) 2/236 (0.8%) 2/130 (1.5%)
    Lung Infection 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Infections and infestations
    Bacteremia 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Bronchitis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Bronchopneumonia 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Catheter Site Infection 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Cellulitis 0/235 (0%) 2/236 (0.8%) 2/130 (1.5%)
    Clostridial Infection 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Clostridium Difficile Colitis 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Diverticulitis 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Fungemia 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Gastroenteritis 0/235 (0%) 0/236 (0%) 2/130 (1.5%)
    Gastroenteritis Viral 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Infection 3/235 (1.3%) 0/236 (0%) 0/130 (0%)
    Infectious Pleural Effusion 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Neutropenic Sepsis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Pneumonia 15/235 (6.4%) 9/236 (3.8%) 2/130 (1.5%)
    Respiratory Tract Infection 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Sepsis 3/235 (1.3%) 0/236 (0%) 4/130 (3.1%)
    Staphylococcal Infection 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Urinart Tract Infection 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Urosepsis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Injury, poisoning and procedural complications
    Accidental Exposure 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Ankle Fracture 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Humerus Fracture 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Infusion Related Reaction 8/235 (3.4%) 2/236 (0.8%) 3/130 (2.3%)
    Medication Error 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Pneumothorax Traumatic 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Radiation Pneumonitis 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Recall Phenomenon 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Splenic Hematoma 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Subdural Hematoma 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Thoracic Vertebral Fracture 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Toxicity to Various Agents 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Investigations
    Blood Creatinine Increased 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Blood/Bone Marrow Hemoglobin 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Eastern Cooperative Oncology Group Performance Status 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Ejection Fraction Decreased 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hemoglobin 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Lipase Increased 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Neutrophil Count 1/235 (0.4%) 1/236 (0.4%) 2/130 (1.5%)
    Neutrophil Count Decreased 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Platelet Count Decreased 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Transaminases Increased 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Troponin Increased 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    White Blood Cell Count 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    White Blood Cell Increased 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Metabolism and nutrition disorders
    Decreased Appetite 2/235 (0.9%) 2/236 (0.8%) 1/130 (0.8%)
    Dehydration 9/235 (3.8%) 8/236 (3.4%) 7/130 (5.4%)
    Failure To Thrive 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Hypercalcemia 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Hyperglycemia 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Hypocalcemia 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Hypoglycemia 4/235 (1.7%) 0/236 (0%) 1/130 (0.8%)
    Hypokalemia 3/235 (1.3%) 0/236 (0%) 0/130 (0%)
    Hypomagnesemia 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Hyponatremia 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Back Pain 0/235 (0%) 2/236 (0.8%) 3/130 (2.3%)
    Muscular Weakness 1/235 (0.4%) 1/236 (0.4%) 2/130 (1.5%)
    Musculoskeletal Chest Pain 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Myalgia 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Pain In Extremity 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Large Cell Carcinoma Of The Respiratory Tract 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Metastases To Bone 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Metastasis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Neoplasm Malignant 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Non-Small Cell Lung Cancer Metastatic 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Pericardial Effusion Malignant 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Tumor Embolism 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Nervous system disorders
    Brain Edema 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Central Nervous System Hemorrhage 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Central Pain Syndrome 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Cerebellar Infarction 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Cerebral Ischemia 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Cerebrovascular Accident 3/235 (1.3%) 3/236 (1.3%) 1/130 (0.8%)
    Convulsion 2/235 (0.9%) 0/236 (0%) 1/130 (0.8%)
    Dizziness 0/235 (0%) 2/236 (0.8%) 1/130 (0.8%)
    Grand Mal Convulsion 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hemiparesis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Peripheral Sensory Neuropathy 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Spinal Cord Compression 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Syncope 2/235 (0.9%) 3/236 (1.3%) 3/130 (2.3%)
    Transient Ischemic Attack 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Psychiatric disorders
    Confusional State 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Depression 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Mental Status Changes 1/235 (0.4%) 3/236 (1.3%) 0/130 (0%)
    Renal and urinary disorders
    Dysuria 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hematuria 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Renal Failure 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Renal Failure Acute 3/235 (1.3%) 2/236 (0.8%) 1/130 (0.8%)
    Urinary Retention 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Respiratory, thoracic and mediastinal disorders
    Bronchial Obstruction 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Chronic Obstructive Pulmonary Disease 4/235 (1.7%) 2/236 (0.8%) 1/130 (0.8%)
    Cough 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Dyspnea 5/235 (2.1%) 10/236 (4.2%) 6/130 (4.6%)
    Dyspnea Exertional 2/235 (0.9%) 1/236 (0.4%) 0/130 (0%)
    Hemoptysis 1/235 (0.4%) 3/236 (1.3%) 0/130 (0%)
    Hypoxia 4/235 (1.7%) 1/236 (0.4%) 1/130 (0.8%)
    Lung Infiltration 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Pleural Effusion 4/235 (1.7%) 9/236 (3.8%) 5/130 (3.8%)
    Pleuritic Pain 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Pneumomediastinum 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Pneumonitis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Pneumothorax 5/235 (2.1%) 4/236 (1.7%) 0/130 (0%)
    Pulmonary Embolism 10/235 (4.3%) 14/236 (5.9%) 3/130 (2.3%)
    Pulmonary Hemorrhage 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Respiratory Depression 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Respiratory Failure 5/235 (2.1%) 1/236 (0.4%) 2/130 (1.5%)
    Skin and subcutaneous tissue disorders
    Subcutaneous Emphysema 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Surgical and medical procedures
    Leg Amputation 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Vascular disorders
    Arterial Thrombosis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Deep Vein Thrombosis 4/235 (1.7%) 9/236 (3.8%) 1/130 (0.8%)
    Hypotension 2/235 (0.9%) 5/236 (2.1%) 2/130 (1.5%)
    Superior Vena Cava Syndrome 1/235 (0.4%) 0/236 (0%) 2/130 (1.5%)
    Thrombophlebitis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Thrombophlebitis Superficial 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Thrombosis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Vasculitis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Venous Valve Ruptured 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Other (Not Including Serious) Adverse Events
    Paclitaxel, Carboplatin, Cetuximab (Arm A) Platinum, Gemcitabine, Cetuximab (Arm B) Platinum, Pemetrexed, Cetuximab (Arm C)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 221/235 (94%) 215/236 (91.1%) 119/130 (91.5%)
    Blood and lymphatic system disorders
    Anemia 83/235 (35.3%) 105/236 (44.5%) 52/130 (40%)
    Bone Marrow Failure 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Febrile Neutropenia 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Hemorrhage Diathesis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Iron Deficiency Anemia 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Leukocytosis 3/235 (1.3%) 1/236 (0.4%) 1/130 (0.8%)
    Leukopenia 20/235 (8.5%) 20/236 (8.5%) 13/130 (10%)
    Lymphadenopathy 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Lymphatic Disorder 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Lymphopenia 19/235 (8.1%) 18/236 (7.6%) 20/130 (15.4%)
    Neutropenia 79/235 (33.6%) 91/236 (38.6%) 42/130 (32.3%)
    Pancytopenia 2/235 (0.9%) 10/236 (4.2%) 3/130 (2.3%)
    Thrombocytopenia 61/235 (26%) 122/236 (51.7%) 49/130 (37.7%)
    Thrombocytosis 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    White Blood Cell Disorder 3/235 (1.3%) 4/236 (1.7%) 0/130 (0%)
    Cardiac disorders
    Angina Pectoris 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Arrhythmia 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Atrial Fibrillation 1/235 (0.4%) 4/236 (1.7%) 0/130 (0%)
    Cardiac Valve Disease 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Left Ventricular Dysfunction 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Myocardial Infarction 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Palpitations 2/235 (0.9%) 2/236 (0.8%) 4/130 (3.1%)
    Pericardial Effusion 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Sinus Tachycardia 3/235 (1.3%) 3/236 (1.3%) 0/130 (0%)
    Tachycardia 9/235 (3.8%) 11/236 (4.7%) 3/130 (2.3%)
    Ventricular Arrhythmia 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Congenital, familial and genetic disorders
    Trichomegaly 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Ear and labyrinth disorders
    Cerumen Impaction 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Deafness 3/235 (1.3%) 1/236 (0.4%) 0/130 (0%)
    Ear Discomfort 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Ear Disorder 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Ear Pain 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Hyperacusis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Hypoacusis 2/235 (0.9%) 2/236 (0.8%) 0/130 (0%)
    Inner Ear Disorder 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Middle Ear Effusion 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Tinnitus 4/235 (1.7%) 6/236 (2.5%) 2/130 (1.5%)
    Vertigo 3/235 (1.3%) 4/236 (1.7%) 1/130 (0.8%)
    Endocrine disorders
    Adrenal Insufficiency 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Adrenal Mass 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Cushingoid 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Hypothyroidism 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Eye disorders
    Blepharitis 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Blepharospasm 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Blindness 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Cataract 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Conjunctival Hemorrhage 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Conjunctivitis 4/235 (1.7%) 3/236 (1.3%) 5/130 (3.8%)
    Dark Circles Under Eyes 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Diplopia 1/235 (0.4%) 3/236 (1.3%) 0/130 (0%)
    Dry Eye 2/235 (0.9%) 2/236 (0.8%) 2/130 (1.5%)
    Eye Inflammation 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Eye Irritation 1/235 (0.4%) 2/236 (0.8%) 2/130 (1.5%)
    Eye Pruritus 0/235 (0%) 0/236 (0%) 2/130 (1.5%)
    Eye Ptosis 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Eye Swelling 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Keratitis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Lacrimation Increased 3/235 (1.3%) 8/236 (3.4%) 8/130 (6.2%)
    Optic Nerve Sheath Hemorrhage 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Periorbital Edema 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Photopsia 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Retinal Vein Occlusion 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Vision Blurred 7/235 (3%) 7/236 (3%) 3/130 (2.3%)
    Visual Impairment 3/235 (1.3%) 2/236 (0.8%) 3/130 (2.3%)
    Xerophthalmia 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Gastrointestinal disorders
    Abdominal Discomfort 0/235 (0%) 3/236 (1.3%) 2/130 (1.5%)
    Abdominal Distension 0/235 (0%) 1/236 (0.4%) 2/130 (1.5%)
    Abdominal Pain 19/235 (8.1%) 18/236 (7.6%) 7/130 (5.4%)
    Abdominal Pain Lower 2/235 (0.9%) 5/236 (2.1%) 1/130 (0.8%)
    Abdominal Pain Upper 7/235 (3%) 6/236 (2.5%) 4/130 (3.1%)
    Anal Fissure 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Ascites 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Cheilitis 0/235 (0%) 2/236 (0.8%) 1/130 (0.8%)
    Constipation 79/235 (33.6%) 75/236 (31.8%) 39/130 (30%)
    Diarrhea 70/235 (29.8%) 47/236 (19.9%) 25/130 (19.2%)
    Dry Mouth 4/235 (1.7%) 4/236 (1.7%) 3/130 (2.3%)
    Duodenitis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Dyspepsia 14/235 (6%) 11/236 (4.7%) 8/130 (6.2%)
    Dysphagia 7/235 (3%) 8/236 (3.4%) 11/130 (8.5%)
    Esophagitis 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Fecal Incontinence 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Feces Discolored 0/235 (0%) 2/236 (0.8%) 1/130 (0.8%)
    Feces Hard 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Flatulence 1/235 (0.4%) 5/236 (2.1%) 4/130 (3.1%)
    Gastric Ulcer 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Gastritis 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Gastritis Hemorrhagic 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Gastroesophageal Reflux Disease 6/235 (2.6%) 5/236 (2.1%) 3/130 (2.3%)
    Gastrointestinal Hemorrhage 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Gastrointestinal Pain 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Gingival Bleeding 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Gingival Pain 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Glossodynia 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Hematemesis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Hematochezia 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Hemorrhoidal Hemorrhage 0/235 (0%) 4/236 (1.7%) 0/130 (0%)
    Hemorrhoids 2/235 (0.9%) 8/236 (3.4%) 4/130 (3.1%)
    Inguinal Hernia 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Intestinal Mass 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Lip Dry 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Lip Hemorrhage 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Mouth Hemorrhage 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Nausea 98/235 (41.7%) 84/236 (35.6%) 61/130 (46.9%)
    Oral Discomfort 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Oral Mucosal Erythema 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Oral Pain 3/235 (1.3%) 2/236 (0.8%) 1/130 (0.8%)
    Paresthesia Oral 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Perianal Erythema 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Proctalgia 2/235 (0.9%) 1/236 (0.4%) 1/130 (0.8%)
    Rectal Hemorrhage 2/235 (0.9%) 4/236 (1.7%) 2/130 (1.5%)
    Reflux Gastritis 1/235 (0.4%) 2/236 (0.8%) 1/130 (0.8%)
    Retching 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Saliva Altered 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Salivary Hypersecretion 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Stomatitis 24/235 (10.2%) 20/236 (8.5%) 14/130 (10.8%)
    Tongue Disorder 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Toothache 0/235 (0%) 2/236 (0.8%) 1/130 (0.8%)
    Vomiting 41/235 (17.4%) 47/236 (19.9%) 27/130 (20.8%)
    General disorders
    Adverse Drug Reaction 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Asthenia 24/235 (10.2%) 13/236 (5.5%) 9/130 (6.9%)
    Catheter Site Discharge 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Catheter Site Erythema 0/235 (0%) 2/236 (0.8%) 1/130 (0.8%)
    Catheter Site Pain 2/235 (0.9%) 3/236 (1.3%) 1/130 (0.8%)
    Chest Discomfort 3/235 (1.3%) 3/236 (1.3%) 1/130 (0.8%)
    Chest Pain 13/235 (5.5%) 18/236 (7.6%) 10/130 (7.7%)
    Chills 9/235 (3.8%) 14/236 (5.9%) 4/130 (3.1%)
    Cyst 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Device Infusion Issue 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Device Malfunction 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Device Occlusion 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Disease Progression 1/235 (0.4%) 0/236 (0%) 2/130 (1.5%)
    Drug Hypersensitivity 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Early Satiety 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Edema 4/235 (1.7%) 2/236 (0.8%) 4/130 (3.1%)
    Effusion 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Extravasation 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Face Edema 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Fatigue 131/235 (55.7%) 131/236 (55.5%) 76/130 (58.5%)
    Feeling Hot 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Feeling Jittery 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Gait Disturbance 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    General Physical Health Deterioration 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    General Symptom 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hernia 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hypersensitivity 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hypothermia 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Implant Site Scar 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Inflammatory Pain 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Influenza Like Illness 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Infusion Site Extravasation 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Injection Site Reaction 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Local Swelling 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Localized Edema 1/235 (0.4%) 3/236 (1.3%) 1/130 (0.8%)
    Malaise 1/235 (0.4%) 1/236 (0.4%) 2/130 (1.5%)
    Mass 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Mucosal Inflammation 25/235 (10.6%) 12/236 (5.1%) 21/130 (16.2%)
    Myalgia 2/235 (0.9%) 0/236 (0%) 1/130 (0.8%)
    Non-Cardiac Chest Pain 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Pain 23/235 (9.8%) 16/236 (6.8%) 5/130 (3.8%)
    Performance Status Decreased 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Peripheral Edema 26/235 (11.1%) 34/236 (14.4%) 12/130 (9.2%)
    Pyrexia 23/235 (9.8%) 23/236 (9.7%) 10/130 (7.7%)
    Sensation of Pressure 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Soft Tissue Inflammation 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Swelling 0/235 (0%) 0/236 (0%) 2/130 (1.5%)
    Temperature Intolerance 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Tenderness 2/235 (0.9%) 2/236 (0.8%) 0/130 (0%)
    Thirst 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Xerosis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Hepatobiliary disorders
    Hepatic Function Abnormal 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hyperbiliubinemia 2/235 (0.9%) 2/236 (0.8%) 0/130 (0%)
    Non-Alcoholic Steatohepatitis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Immune system disorders
    Anaphylactic Reaction 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Drug Hypersensitivity 6/235 (2.6%) 3/236 (1.3%) 1/130 (0.8%)
    Hypersensitivity 10/235 (4.3%) 4/236 (1.7%) 2/130 (1.5%)
    Infections and infestations
    Abscess Neck 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Bacterial Sepsis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Bronchitis 1/235 (0.4%) 5/236 (2.1%) 2/130 (1.5%)
    Candidiasis 3/235 (1.3%) 3/236 (1.3%) 6/130 (4.6%)
    Carbuncle 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Catheter Site Infection 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Cellulitis 2/235 (0.9%) 3/236 (1.3%) 3/130 (2.3%)
    Conjunctivitis Infective 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Cystitis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Device Related Infection 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Diverticulitis 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Ear Infection 0/235 (0%) 0/236 (0%) 2/130 (1.5%)
    Esophageal Candidiasis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Eye Infection 0/235 (0%) 0/236 (0%) 2/130 (1.5%)
    Folliculitis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Fungal Infection 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Fungal Skin Infection 2/235 (0.9%) 2/236 (0.8%) 1/130 (0.8%)
    Furuncle 2/235 (0.9%) 0/236 (0%) 2/130 (1.5%)
    Gastroenteritis 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Gastrointestinal Infection 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Herpes Zoster 2/235 (0.9%) 3/236 (1.3%) 0/130 (0%)
    Hordeolum 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Infection 0/235 (0%) 3/236 (1.3%) 1/130 (0.8%)
    Influenza 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Laryngitis 1/235 (0.4%) 1/236 (0.4%) 1/130 (0.8%)
    Localized Infection 4/235 (1.7%) 6/236 (2.5%) 1/130 (0.8%)
    Lower Respiratory Tract Infection 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Lung Infection 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Lyme Disease 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Mastoiditis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Nail Bed Infection 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Nail Bed Inflammation 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Nail Infection 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Nasopharyngitis 1/235 (0.4%) 4/236 (1.7%) 1/130 (0.8%)
    Onychomycosis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Oral Candidiasis 4/235 (1.7%) 5/236 (2.1%) 3/130 (2.3%)
    Oral Herpes 1/235 (0.4%) 0/236 (0%) 2/130 (1.5%)
    Oral Infection 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Otitis Externa 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Otitis Media 2/235 (0.9%) 0/236 (0%) 1/130 (0.8%)
    Paronychia 11/235 (4.7%) 3/236 (1.3%) 7/130 (5.4%)
    Parotitis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Perineal Abscess 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Pharyngitis Bacterial 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Pneumonia 9/235 (3.8%) 3/236 (1.3%) 6/130 (4.6%)
    Respiratory Tract Infection 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Rhinitis 2/235 (0.9%) 0/236 (0%) 1/130 (0.8%)
    Scrotal Infection 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Sinusitis 3/235 (1.3%) 1/236 (0.4%) 0/130 (0%)
    Skin Candida 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Skin Infection 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Staphylococcal Bacteremia 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Staphylococcal Infection 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Staphylococcal Sepsis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Subcutaneous Abscess 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Tinea Cruris 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Tinea Pedis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Tooth Infection 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Upper Aerodigestive Tract Infection 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Upper Respiratory Tract Infection 7/235 (3%) 6/236 (2.5%) 4/130 (3.1%)
    Urinary Tract Infection 9/235 (3.8%) 9/236 (3.8%) 7/130 (5.4%)
    Vaginal Infection 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Viral Infection 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Vulvitis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Vulvovaginal Mycotic Infection 2/235 (0.9%) 2/236 (0.8%) 0/130 (0%)
    Injury, poisoning and procedural complications
    Ankle Fracture 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Aortic Injury 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Arthropod Bite 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Chemical Injury 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Contusion 6/235 (2.6%) 4/236 (1.7%) 4/130 (3.1%)
    Excoriation 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Fall 3/235 (1.3%) 1/236 (0.4%) 0/130 (0%)
    Hip Fracture 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Infusion Related Reaction 12/235 (5.1%) 13/236 (5.5%) 4/130 (3.1%)
    Joint Injury 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Laceration 3/235 (1.3%) 2/236 (0.8%) 2/130 (1.5%)
    Muscle Strain 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Procedural Pain 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Radiation Mucositis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Radiation Skin Injury 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Recall Phenomenon 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Rib Fracture 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Scratch 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Subdural Hematoma 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Sunburn 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Toxicity To Various Agents 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Upper Limb Fracture 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Venous Injury 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Wound 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Investigations
    Activated Partial Thromboplastin Time Prolonged 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Alanine Aminotransferase 1/235 (0.4%) 3/236 (1.3%) 3/130 (2.3%)
    Alanine Aminotransferase Decreased 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Alanine Aminotransferase Increased 10/235 (4.3%) 7/236 (3%) 7/130 (5.4%)
    Amylase Increased 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Aspartate Aminotransferase 2/235 (0.9%) 2/236 (0.8%) 2/130 (1.5%)
    Aspartate Aminotransferase Increased 8/235 (3.4%) 10/236 (4.2%) 7/130 (5.4%)
    Biopsy Endometrium 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Blood Albumin 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Blood Albumin Decreased 5/235 (2.1%) 4/236 (1.7%) 1/130 (0.8%)
    Blood Alkaline Phosphatase 7/235 (3%) 6/236 (2.5%) 4/130 (3.1%)
    Blood Alkaline Phosphatase Decreased 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Blood Alkaline Phosphatase Increased 18/235 (7.7%) 14/236 (5.9%) 6/130 (4.6%)
    Blood Bicarbonate Abnormal 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Blood Bicarbonate Decreased 2/235 (0.9%) 0/236 (0%) 1/130 (0.8%)
    Blood Bilirubin Decreased 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Blood Bilirubin Increased 0/235 (0%) 2/236 (0.8%) 1/130 (0.8%)
    Blood Calcium Decreased 2/235 (0.9%) 3/236 (1.3%) 1/130 (0.8%)
    Blood Chloride Decreased 2/235 (0.9%) 1/236 (0.4%) 0/130 (0%)
    Blood Cholesterol Increased 0/235 (0%) 0/236 (0%) 2/130 (1.5%)
    Blood Creatinine 0/235 (0%) 1/236 (0.4%) 3/130 (2.3%)
    Blood Creatinine Decreased 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Blood Creatinine Increased 3/235 (1.3%) 4/236 (1.7%) 3/130 (2.3%)
    Blood Electrolytes Decreased 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Blood Glucose 1/235 (0.4%) 1/236 (0.4%) 1/130 (0.8%)
    Blood Glucose Decreased 2/235 (0.9%) 1/236 (0.4%) 0/130 (0%)
    Blood Glucose Increased 5/235 (2.1%) 4/236 (1.7%) 1/130 (0.8%)
    Blood Lactate Dehydrogenase Increased 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Blood Magnesium 0/235 (0%) 2/236 (0.8%) 1/130 (0.8%)
    Blood Magnesium Decreased 18/235 (7.7%) 10/236 (4.2%) 9/130 (6.9%)
    Blood Phosphorus Decreased 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Blood Potassium 1/235 (0.4%) 1/236 (0.4%) 1/130 (0.8%)
    Blood Potassium Decreased 0/235 (0%) 5/236 (2.1%) 1/130 (0.8%)
    Blood Potassium Increased 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Blood Pressure Decreased 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Blood Pressure Increased 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Blood Sodium 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Blood Sodium Decreased 1/235 (0.4%) 2/236 (0.8%) 1/130 (0.8%)
    Blood Sodium Increased 3/235 (1.3%) 0/236 (0%) 0/130 (0%)
    Blood Urea Decreased 5/235 (2.1%) 2/236 (0.8%) 0/130 (0%)
    Blood Urea Increased 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Blood Uric Acid Increased 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Blood/Bone Marrow Hemoglobin 0/235 (0%) 1/236 (0.4%) 2/130 (1.5%)
    Breath Sounds Abnormal 2/235 (0.9%) 1/236 (0.4%) 0/130 (0%)
    Chest X-Ray Abnormal 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Coagulation Factor Decreased 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Eastern Cooperative Oncology Group Performance Status 44/235 (18.7%) 39/236 (16.5%) 31/130 (23.8%)
    Eastern Cooperative Oncology Group Performance Status Worsened 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Ejection Fraction Decreased 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Gamma-Glutamyltransferase 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Glomerular Filtration Rate Decreased 0/235 (0%) 0/236 (0%) 2/130 (1.5%)
    Heart Rate Irregular 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Hematocrit 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Hematocrit Decreased 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Hematology Test Abnormal 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hemoglobin 16/235 (6.8%) 17/236 (7.2%) 12/130 (9.2%)
    Hemoglobin Decreased 11/235 (4.7%) 21/236 (8.9%) 7/130 (5.4%)
    Hepatic Enzyme Increased 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Hyperlipidemia 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Hypertriglyceridemia 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    International Normalized Ratio Decreased 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    International Normalized Ratio Increased 3/235 (1.3%) 3/236 (1.3%) 0/130 (0%)
    Lymphocyte Count 4/235 (1.7%) 3/236 (1.3%) 1/130 (0.8%)
    Lymphocyte Count Decreased 2/235 (0.9%) 1/236 (0.4%) 0/130 (0%)
    Metabolic Function Test 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Neutrophil Count 14/235 (6%) 17/236 (7.2%) 10/130 (7.7%)
    Neutrophil Count Decreased 12/235 (5.1%) 11/236 (4.7%) 2/130 (1.5%)
    Occult Blood Positive 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Oxygen Saturation Decreased 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Platelet Count 7/235 (3%) 15/236 (6.4%) 8/130 (6.2%)
    Platelet Count Decreased 7/235 (3%) 22/236 (9.3%) 7/130 (5.4%)
    Red Blood Cell Count Decreased 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Staphylococcus Test Positive 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Stool Ph Decreased 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Transaminases Increased 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Troponin I Increased 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Urine Color Abnormal 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Urine Output Decreased 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Vitamin B12 Deficiency 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Weight 1/235 (0.4%) 1/236 (0.4%) 1/130 (0.8%)
    Weight Decreased 119/235 (50.6%) 100/236 (42.4%) 56/130 (43.1%)
    Weight Increased 26/235 (11.1%) 23/236 (9.7%) 13/130 (10%)
    Weight Normal 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    White Blood Cell Count 14/235 (6%) 16/236 (6.8%) 16/130 (12.3%)
    White Blood Cell Count Decreased 2/235 (0.9%) 6/236 (2.5%) 0/130 (0%)
    White Blood Cell Count Increased 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Metabolism and nutrition disorders
    Cachexia 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Decreased Appetite 74/235 (31.5%) 63/236 (26.7%) 44/130 (33.8%)
    Dehydration 29/235 (12.3%) 19/236 (8.1%) 12/130 (9.2%)
    Diabetes Mellitus 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Electrolyte Imbalance 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Failure To Thrive 1/235 (0.4%) 3/236 (1.3%) 0/130 (0%)
    Glucose Tolerance Impaired 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Gout 1/235 (0.4%) 1/236 (0.4%) 1/130 (0.8%)
    Hypercalcemia 1/235 (0.4%) 7/236 (3%) 3/130 (2.3%)
    Hypercholesterolemia 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Hyperglycemia 23/235 (9.8%) 15/236 (6.4%) 16/130 (12.3%)
    Hyperkalemia 5/235 (2.1%) 5/236 (2.1%) 4/130 (3.1%)
    Hypermagnesemia 1/235 (0.4%) 2/236 (0.8%) 5/130 (3.8%)
    Hypernatremia 0/235 (0%) 2/236 (0.8%) 3/130 (2.3%)
    Hypoalbuminemia 13/235 (5.5%) 18/236 (7.6%) 9/130 (6.9%)
    Hypocalcemia 12/235 (5.1%) 16/236 (6.8%) 13/130 (10%)
    Hypoglycemia 1/235 (0.4%) 4/236 (1.7%) 3/130 (2.3%)
    Hypokalemia 34/235 (14.5%) 24/236 (10.2%) 22/130 (16.9%)
    Hypomagnesemia 80/235 (34%) 64/236 (27.1%) 37/130 (28.5%)
    Hyponatremia 17/235 (7.2%) 18/236 (7.6%) 16/130 (12.3%)
    Hypophosphatemia 0/235 (0%) 2/236 (0.8%) 1/130 (0.8%)
    Hypovolemia 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Lactic Acidosis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Magnesium Metabolism Disorder 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Malnutrition 2/235 (0.9%) 1/236 (0.4%) 0/130 (0%)
    Weight Fluctuation 3/235 (1.3%) 5/236 (2.1%) 2/130 (1.5%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 31/235 (13.2%) 15/236 (6.4%) 4/130 (3.1%)
    Arthritis 3/235 (1.3%) 0/236 (0%) 0/130 (0%)
    Back Pain 24/235 (10.2%) 25/236 (10.6%) 21/130 (16.2%)
    Bone Pain 17/235 (7.2%) 7/236 (3%) 3/130 (2.3%)
    Bursitis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Chest Wall Cyst 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Costochondritis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Fibromyalgia 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Flank Pain 4/235 (1.7%) 2/236 (0.8%) 3/130 (2.3%)
    Groin Pain 2/235 (0.9%) 1/236 (0.4%) 0/130 (0%)
    Intervertebral Disc Protusion 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Joint Stiffness 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Joint Swelling 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Limb Discomfort 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Muscle Spasms 3/235 (1.3%) 2/236 (0.8%) 3/130 (2.3%)
    Muscle Twitching 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Muscular Weakness 9/235 (3.8%) 12/236 (5.1%) 13/130 (10%)
    Musculoskeletal Chest Pain 9/235 (3.8%) 11/236 (4.7%) 9/130 (6.9%)
    Musculoskeletal Discomfort 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Musculoskeletal Disorder 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Musculoskeletal Pain 15/235 (6.4%) 9/236 (3.8%) 3/130 (2.3%)
    Myalgia 16/235 (6.8%) 5/236 (2.1%) 3/130 (2.3%)
    Myopathy 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Neck Pain 1/235 (0.4%) 5/236 (2.1%) 4/130 (3.1%)
    Osteopenia 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Osteoporosis 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Pain In Extremity 25/235 (10.6%) 16/236 (6.8%) 10/130 (7.7%)
    Pathological Fracture 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Periarthritis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Scleroderma 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Lipoma 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Metastasis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Metastatic Pain 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Skin Papilloma 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Tumor Pain 2/235 (0.9%) 1/236 (0.4%) 0/130 (0%)
    Nervous system disorders
    7th Nerve Paralysis 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Ataxia 0/235 (0%) 2/236 (0.8%) 1/130 (0.8%)
    Balance Disorder 1/235 (0.4%) 2/236 (0.8%) 1/130 (0.8%)
    Burning Sensation 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Central Nervous System Hemorrhage 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Cognitive Disorder 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Convulsion 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Dizziness 26/235 (11.1%) 32/236 (13.6%) 22/130 (16.9%)
    Dysgeusia 21/235 (8.9%) 24/236 (10.2%) 3/130 (2.3%)
    Dyskinesia 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Facial Paresis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Headache 26/235 (11.1%) 25/236 (10.6%) 19/130 (14.6%)
    Hemiparesis 0/235 (0%) 1/236 (0.4%) 2/130 (1.5%)
    Hyperreflexia 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hypersomnia 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hypoesthesia 8/235 (3.4%) 4/236 (1.7%) 8/130 (6.2%)
    Loss Of Consciousness 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Memory Impairment 5/235 (2.1%) 2/236 (0.8%) 3/130 (2.3%)
    Migraine 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Muscle Contractions Involuntary 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Nervousness 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Neuralgia 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Neuropathy Peripheral 54/235 (23%) 11/236 (4.7%) 4/130 (3.1%)
    Paresthesia 7/235 (3%) 2/236 (0.8%) 8/130 (6.2%)
    Peripheral Motor Neuropathy 3/235 (1.3%) 1/236 (0.4%) 2/130 (1.5%)
    Peripheral Sensorimotor Neuropathy 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Peripheral Sensory Neuropathy 36/235 (15.3%) 6/236 (2.5%) 4/130 (3.1%)
    Peroneal Nerve Palsy 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Phantom Pain 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Post Herpetic Neuralgia 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Presyncope 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Restless Legs Syndrome 2/235 (0.9%) 3/236 (1.3%) 0/130 (0%)
    Sensory Loss 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Sinus Headache 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Slow Speech 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Somnolence 0/235 (0%) 2/236 (0.8%) 1/130 (0.8%)
    Syncope 5/235 (2.1%) 4/236 (1.7%) 2/130 (1.5%)
    Tension Headache 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Tremor 2/235 (0.9%) 11/236 (4.7%) 4/130 (3.1%)
    Trigeminal Neuralgia 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Psychiatric disorders
    Abnormal Dreams 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Agitation 1/235 (0.4%) 3/236 (1.3%) 2/130 (1.5%)
    Anxiety 17/235 (7.2%) 17/236 (7.2%) 9/130 (6.9%)
    Confusional State 14/235 (6%) 7/236 (3%) 4/130 (3.1%)
    Depression 17/235 (7.2%) 11/236 (4.7%) 9/130 (6.9%)
    Euphoric Mood 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Hallucination 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Insomnia 31/235 (13.2%) 32/236 (13.6%) 16/130 (12.3%)
    Major Depression 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Mental Status Changes 3/235 (1.3%) 0/236 (0%) 0/130 (0%)
    Mood Altered 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Personality Change 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Restlessness 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Sleep Disorder 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Tearfulness 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Renal and urinary disorders
    Anuria 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Bladder Pain 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Dysuria 3/235 (1.3%) 7/236 (3%) 2/130 (1.5%)
    Hematuria 3/235 (1.3%) 3/236 (1.3%) 0/130 (0%)
    Incontinence 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Micturition Urgency 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Nocturia 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Pollakiuria 2/235 (0.9%) 0/236 (0%) 3/130 (2.3%)
    Polyuria 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Proteinuria 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Renal Failure 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Renal Failure Chronic 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Renal Impairment 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Urinary Bladder Hemorrhage 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Urinary Incontinence 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Urinary Retention 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Urine Flow Decreased 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Reproductive system and breast disorders
    Benign Prostatic Hyperplasia 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Breast Mass 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Breast Pain 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Dysfunctional Uterine Bleeding 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Epididymitis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Erectile Dysfunction 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Genital Burning Sensation 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Pelvic Pain 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Penile Swelling 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Vaginal Hemorrhage 0/235 (0%) 1/236 (0.4%) 2/130 (1.5%)
    Vulvovaginal Erythema 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Respiratory, thoracic and mediastinal disorders
    Asthma 0/235 (0%) 0/236 (0%) 2/130 (1.5%)
    Bronchospasm 1/235 (0.4%) 1/236 (0.4%) 1/130 (0.8%)
    Chronic Obstructive Pulmonary Disease 6/235 (2.6%) 1/236 (0.4%) 2/130 (1.5%)
    Cough 41/235 (17.4%) 52/236 (22%) 22/130 (16.9%)
    Dysphonia 5/235 (2.1%) 2/236 (0.8%) 1/130 (0.8%)
    Dyspnea 62/235 (26.4%) 74/236 (31.4%) 36/130 (27.7%)
    Dyspnea Exertional 8/235 (3.4%) 13/236 (5.5%) 6/130 (4.6%)
    Epistaxis 28/235 (11.9%) 33/236 (14%) 16/130 (12.3%)
    Hemoptysis 9/235 (3.8%) 13/236 (5.5%) 4/130 (3.1%)
    Hiccups 2/235 (0.9%) 5/236 (2.1%) 0/130 (0%)
    Hydropneumothorax 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Hypoxia 7/235 (3%) 4/236 (1.7%) 3/130 (2.3%)
    Increased Upper Airway Secretion 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Lung Infiltration 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Nasal Congestion 1/235 (0.4%) 4/236 (1.7%) 0/130 (0%)
    Nasal Discharge Discoloration 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Nasal Discomfort 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Nasal Dryness 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Oropharyngeal Pain 7/235 (3%) 6/236 (2.5%) 3/130 (2.3%)
    Painful Respiration 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Paranasal Sinus Discomfort 1/235 (0.4%) 1/236 (0.4%) 1/130 (0.8%)
    Paranasal Sinus Hypersecretion 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Pleural Effusion 2/235 (0.9%) 5/236 (2.1%) 4/130 (3.1%)
    Pleural Fibrosis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Pleuritic Pain 0/235 (0%) 3/236 (1.3%) 1/130 (0.8%)
    Pneumothorax 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Productive Cough 6/235 (2.6%) 6/236 (2.5%) 3/130 (2.3%)
    Pulmonary Congestion 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Pulmonary Embolism 3/235 (1.3%) 2/236 (0.8%) 3/130 (2.3%)
    Pulmonary Hemorrhage 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Rales 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Respiratory Depression 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Respiratory Disorder 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Respiratory Distress 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Respiratory Tract Congestion 1/235 (0.4%) 2/236 (0.8%) 0/130 (0%)
    Rhinitis Allergic 5/235 (2.1%) 0/236 (0%) 1/130 (0.8%)
    Rhinorrhea 10/235 (4.3%) 6/236 (2.5%) 5/130 (3.8%)
    Rhonchi 2/235 (0.9%) 1/236 (0.4%) 1/130 (0.8%)
    Sinus Congestion 1/235 (0.4%) 3/236 (1.3%) 0/130 (0%)
    Sputum Discolored 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Stridor 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Upper Respiratory Tract Congestion 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Upper-Airway Cough Syndrome 1/235 (0.4%) 2/236 (0.8%) 1/130 (0.8%)
    Wheezing 4/235 (1.7%) 6/236 (2.5%) 3/130 (2.3%)
    Skin and subcutaneous tissue disorders
    Acne 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Alopecia 53/235 (22.6%) 27/236 (11.4%) 6/130 (4.6%)
    Anhidrosis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Blister 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Decubitus Ulcer 5/235 (2.1%) 4/236 (1.7%) 1/130 (0.8%)
    Dermal Cyst 0/235 (0%) 2/236 (0.8%) 0/130 (0%)
    Dermatitis 5/235 (2.1%) 1/236 (0.4%) 4/130 (3.1%)
    Dermatitis Acneiform 68/235 (28.9%) 55/236 (23.3%) 32/130 (24.6%)
    Dry Skin 27/235 (11.5%) 31/236 (13.1%) 13/130 (10%)
    Ecchymosis 4/235 (1.7%) 1/236 (0.4%) 0/130 (0%)
    Erythema 3/235 (1.3%) 3/236 (1.3%) 5/130 (3.8%)
    Exfoliative Rash 5/235 (2.1%) 2/236 (0.8%) 4/130 (3.1%)
    Hair Disorder 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hair Growth Abnormal 0/235 (0%) 1/236 (0.4%) 2/130 (1.5%)
    Hirsutism 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hyperhidrosis 3/235 (1.3%) 2/236 (0.8%) 2/130 (1.5%)
    Ingrowing Nail 2/235 (0.9%) 0/236 (0%) 0/130 (0%)
    Lip Ulceration 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Madarosis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Nail Discoloration 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Nail Disorder 8/235 (3.4%) 5/236 (2.1%) 2/130 (1.5%)
    Night Sweats 7/235 (3%) 6/236 (2.5%) 3/130 (2.3%)
    Onychalgia 1/235 (0.4%) 2/236 (0.8%) 1/130 (0.8%)
    Pain Of Skin 3/235 (1.3%) 1/236 (0.4%) 1/130 (0.8%)
    Palmar-Plantar Erythrodysesthesia Syndrome 6/235 (2.6%) 3/236 (1.3%) 3/130 (2.3%)
    Penile Ulceration 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Petechiae 1/235 (0.4%) 8/236 (3.4%) 1/130 (0.8%)
    Photosensitivity Reaction 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Pruritus 17/235 (7.2%) 22/236 (9.3%) 2/130 (1.5%)
    Pruritus Generalized 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Psoriasis 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Rash 88/235 (37.4%) 100/236 (42.4%) 51/130 (39.2%)
    Rash Erythematous 1/235 (0.4%) 0/236 (0%) 2/130 (1.5%)
    Rash Macular 2/235 (0.9%) 1/236 (0.4%) 1/130 (0.8%)
    Rash Maculo-Papular 2/235 (0.9%) 1/236 (0.4%) 0/130 (0%)
    Rash Papular 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Rash Pruritic 1/235 (0.4%) 1/236 (0.4%) 0/130 (0%)
    Scab 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Skin Atrophy 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Skin Depigmentation 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Skin Discoloration 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Skin Disorder 2/235 (0.9%) 0/236 (0%) 3/130 (2.3%)
    Skin Exfoliation 3/235 (1.3%) 2/236 (0.8%) 1/130 (0.8%)
    Skin Fissures 1/235 (0.4%) 4/236 (1.7%) 1/130 (0.8%)
    Skin Hyperpigmentation 5/235 (2.1%) 1/236 (0.4%) 1/130 (0.8%)
    Skin Irritation 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Skin Lesion 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Skin Necrosis 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Skin Ulcer 3/235 (1.3%) 0/236 (0%) 1/130 (0.8%)
    Subcutaneous Abscess 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Subcutaneous Emphysema 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Swelling Face 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Urticaria 2/235 (0.9%) 2/236 (0.8%) 0/130 (0%)
    Social circumstances
    Tobacco User 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Surgical and medical procedures
    Abscess Drainage 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Atrial Septal Defect Repair 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Catheter Placement 1/235 (0.4%) 2/236 (0.8%) 0/130 (0%)
    Central Venous Catheterization 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Cholelithotomy 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Colony Stimulating Factor Therapy 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Medical Device Change 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Nail Operation 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Pleurodesis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Sinus Operation 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Skin Lesion Excision 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Therapy Regimen Changed 1/235 (0.4%) 0/236 (0%) 1/130 (0.8%)
    Vascular disorders
    Arteriosclerosis 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Deep Vein Thrombosis 7/235 (3%) 6/236 (2.5%) 2/130 (1.5%)
    Embolism 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Flushing 4/235 (1.7%) 7/236 (3%) 2/130 (1.5%)
    Hematoma 3/235 (1.3%) 0/236 (0%) 0/130 (0%)
    Hemorrhage 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Hot Flush 1/235 (0.4%) 1/236 (0.4%) 3/130 (2.3%)
    Hypertension 5/235 (2.1%) 3/236 (1.3%) 7/130 (5.4%)
    Hypotension 29/235 (12.3%) 14/236 (5.9%) 10/130 (7.7%)
    Intermittent Claudication 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Ischemia 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Jugular Vein Thrombosis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Kawasaki's Disease 0/235 (0%) 0/236 (0%) 1/130 (0.8%)
    Lymphedema 1/235 (0.4%) 0/236 (0%) 0/130 (0%)
    Orthostatic Hypotension 3/235 (1.3%) 1/236 (0.4%) 2/130 (1.5%)
    Pallor 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Peripheral Embolism 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Phlebitis Superficial 0/235 (0%) 1/236 (0.4%) 1/130 (0.8%)
    Raynaud's Phenomenon 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Thrombophlebitis 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Thrombophlebitis Superficial 0/235 (0%) 1/236 (0.4%) 0/130 (0%)
    Thrombosis 0/235 (0%) 2/236 (0.8%) 1/130 (0.8%)
    Venous Insufficiency 0/235 (0%) 0/236 (0%) 1/130 (0.8%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    The study funder will be provided with a copy of any results communication at least 30 days prior to its submission to a scientific journal or presentation at a scientific meeting to allow review of the publication for confidential information. If confidential information is being disclosed, it may be required to be redacted. Upon request by the study funder, the PI may be asked to withhold disclosure for an additional 90 days to allow the study funder to seek patent protection.

    Results Point of Contact

    Name/Title Vice President of Scientific Affairs
    Organization Accelerated Community Oncology Research Network, Inc.
    Phone
    Email mwalker@acorncro.com
    Responsible Party:
    Accelerated Community Oncology Research Network
    ClinicalTrials.gov Identifier:
    NCT00828841
    Other Study ID Numbers:
    • AC01L08
    First Posted:
    Jan 26, 2009
    Last Update Posted:
    Nov 6, 2013
    Last Verified:
    Oct 1, 2013