Phase 2b Study of Cetuximab With Platinum-Based Chemo as First Line Treatment of Recurrent or Advanced NSCLC
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.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Study Design
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:
Drug: Paclitaxel
Paclitaxel 200 mg/m2 Day 1 every 21 days
Other Names:
Drug: Carboplatin
Carboplatin AUC 6 Day 1 every 21 days
Other Names:
|
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:
Drug: Carboplatin
Carboplatin AUC 6 Day 1 every 21 days
Other Names:
Drug: Gemcitabine
Gemcitabine 1,000 mg/m2 Days 1 and 8 every 21 days
Other Names:
Drug: Cisplatin
Cisplatin 75 mg/m2 Day I every 21 days
Other Names:
|
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:
Drug: Carboplatin
Carboplatin AUC 6 Day 1 every 21 days
Other Names:
Drug: Cisplatin
Cisplatin 75 mg/m2 Day I every 21 days
Other Names:
|
Outcome Measures
Primary Outcome Measures
- 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-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.]
- 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
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.- AC01L08
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
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
|
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%
|
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
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 | |
mwalker@acorncro.com |
- AC01L08