Dose-Escalation Study of LY573636-sodium and Liposomal Doxorubicin in Patients With Advanced Solid Tumors

Sponsor
Eli Lilly and Company (Industry)
Overall Status
Completed
CT.gov ID
NCT01214668
Collaborator
(none)
31
5
1
37
6.2
0.2

Study Details

Study Description

Brief Summary

The goal of this study is to determine the dose of LY573636-sodium (hereafter referred to as LY573636) that can be administered safely in combination with liposomal doxorubicin in patients with advanced cancer who have failed a prior treatment.

The study consists of a dose escalation phase to the maximum tolerated dose (MTD) and a dose confirmation phase in patients with platinum resistant epithelial ovarian, fallopian tube or primary peritoneal cancer who have never been treated with doxorubicin.

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
31 participants
Intervention Model:
Sequential Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1b, Multicenter, Dose-Escalation Study of LY573636-sodium in Combination With Liposomal Doxorubicin in Patients With Advanced Solid Tumors
Study Start Date :
Jan 1, 2009
Actual Primary Completion Date :
Feb 1, 2012
Actual Study Completion Date :
Feb 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Experimental: LY573636 + Liposomal Doxorubicin

Drug: LY573636-sodium
Individualized dose is dependent on participant's height, weight, gender and is adjusted to target a specific exposure range corrected for a participant's laboratory parameters. Intravenous dosing is done on Day 1 of a 28-day cycle. Participants may continue on study drug until disease progression, unacceptable toxicity, cumulative dose of 550 milligrams per square meter (mg/m²) of liposomal doxorubicin or doxorubicin is reached, or other withdrawal criterion is met.
Other Names:
  • Tasisulam-sodium
  • Drug: Liposomal Doxorubicin
    40 mg/m² on Day 1, given intravenously of each 28-day cycle Participants may continue on study drug until disease progression, unacceptable toxicity, cumulative dose of 550 mg/m² of liposomal doxorubicin or doxorubicin is reached, or other withdrawal criterion are met.

    Outcome Measures

    Primary Outcome Measures

    1. Recommended Phase 2 Dose [Predose up to 28 days postdose in Cycle 1]

      Recommended Phase 2 dose was determined by maximum tolerated dose (MTD), which is corrected for the participant's predose albumin to identify the albumin-corrected exposure range of LY 573636 when combined with liposomal doxorubicin. MTD is the highest dose with <33% of participants having a dose-limiting toxicity (DLT) in the first 28-day cycle of treatment. DLT is an adverse event (AE) that is likely related to the study drug or combination and fulfills any 1 of the following: Common Terminology Criteria for AE (CTCAE, Version 3.0) Grade (Gr) 4 hematologic toxicity; Gr 3 nonhematologic toxicity (excluding controllable nausea/vomiting or diarrhea and alopecia); Gr 3 electrolyte toxicity that is not resolved with standard treatments. Those who enter the study with Gr 2 hepatic enzyme abnormalities, DLT for an isolated Gr 3 hepatic enzyme abnormality is determined by investigators; a DLT can be declared if a participant experiences increasing toxicity during treatment.

    Secondary Outcome Measures

    1. Number of Participants With Clinically Significant Events [Baseline to study completion up to 18.49 months]

      Clinically significant events are defined as serious adverse events (SAEs), regardless of causality, during the study including the 30-day follow-up period. A summary of SAEs and other nonserious adverse events is located in the Reported Adverse Event section. Death due to progressive disease was not considered as an SAE.

    2. Pharmacokinetics: Maximum Concentration (Cmax) of LY573636 [Predose, 30 minutes (min), 2 hours (h), 4 h, 166 h, 360 h and 698 h postdose in Cycle 1; Predose, 30 min, 2 h, 4 h, 166 h, 360 h and 698 h postdose in Cycle 2; Predose, 166h, 360h and 698 h postdose in Cycle 3]

    3. Number of Participants With Tumor Response [Baseline to measured progressive disease up to 4.7 months]

      Number of participants with tumor response = number of participants with complete response (CR) + number of participants with partial response (PR), as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in the sum of longest diameter of target lesions.

    4. Pharmacokinetics: Area Under the Curve of LY573636 Above the Albumin Corrected Threshold (AUCalb) [Predose, 30 min, 2 h, 4 h, 166 h, 360 h and 698 h postdose in Cycle 1; Predose, 30 min, 2 h, 4 h, 166 h, 360 h and 698 h postdose in Cycle 2; Predose, 166h, 360h and 698 h postdose in Cycle 3]

      LY573636 has been found to be highly bound to albumin. AUCalb is a surrogate measure of exposure to unbound (free) LY573636.

    Other Outcome Measures

    1. Number of Participants Who Died Due to Progressive Disease During the 30 Days Following Discontinuation From Study Treatment [From date of randomization until up to 30 days post study treatment discontinuation, assessed up to 4.7 months]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • You must have a histologically confirmed solid malignancy that is unresectable and/or metastatic which has progressed after receiving standard approved chemotherapy

    • You must have a solid malignancy for which an anthracycline-based regimen is felt to be a reasonable treatment option

    • You must have measurable disease or non-measurable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST)

    • You must have a serum albumin level greater than or equal to 3.0 grams/deciliter (g/dL) (30 g/L)

    • You must have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) scale

    • You must have tumor progression after receiving standard/approved chemotherapy

    • You must be reliable and willing to make yourself available for the duration of the study and are willing to follow study procedures

    • Women must be sterile, post-menopausal or on a contraception and men must be sterile or on contraception

    • Your test results assessing the function of your blood, kidneys, liver, and heart are satisfactory

    • Ovarian patients in the confirmation phase must have failed to achieve at least a partial response to a first-line platinum-based therapy (platinum-refractory) or have progression in less than 6 months after a response to a first-line platinum-based therapy (platinum-resistant)

    • Ovarian patients in the confirmation phase must have measurable disease by RECIST

    • Ovarian patients in the confirmation phase must be liposomal doxorubicin or doxorubicin naive and not amendable to curative therapy

    Exclusion Criteria:
    • You cannot have received other investigational drugs within the last 28 days

    • You cannot have other on-going serious illnesses including active bacterial, fugal, or viral infections

    • You cannot have current hematologic malignancies, acute or chronic leukemia, or brain metastasis

    • You cannot currently be receiving warfarin (Coumadin®) therapy

    • You cannot have known positive test results in human immunodeficiency, hepatitis B surface antigen or hepatitis C antibodies

    • You cannot have a history of cardiac disease or clinical evidence of congestive heart failure

    • Ovarian patients in the confirmation phase who have received 2 or more cytotoxic regimens for platinum-resistant disease

    • You cannot currently be receiving amiodarone, quinidine, propofol, and clozapine

    • If you are taking esomeprazole or pantoprazole you must be able to stop taking this medication within 72 hours before and after LY573636 administration

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Scottsdale Arizona United States 85258
    2 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Encinitas California United States 92024
    3 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Oklahoma City Oklahoma United States 73104
    4 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Memphis Tennessee United States 38119
    5 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Seattle Washington United States 98195

    Sponsors and Collaborators

    • Eli Lilly and Company

    Investigators

    • Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 317-651-4559 Mon. - Fri. 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Eli Lilly and Company
    ClinicalTrials.gov Identifier:
    NCT01214668
    Other Study ID Numbers:
    • 12887
    • H8K-MC-JZAN
    First Posted:
    Oct 5, 2010
    Last Update Posted:
    Jan 4, 2019
    Last Verified:
    Dec 1, 2018
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail The reasons for discontinuation listed in the participant flow are the reasons the participant discontinued treatment and a participant was considered to have "completed" the trial if they experienced progressive disease or an adverse event.
    Arm/Group Title LY 300 μg/mL + Dox LY 320 μg/mL + Dox LY 340 μg/mL + Dox LY 360 μg/mL + Dox LY 380 μg/mL + Dox LY Albumin and Day 15 PK Tailored + Dox
    Arm/Group Description LY573636 targeting a maximum concentration (Cmax) of 300 micrograms per milliliter (μg/mL) (LY 300 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 milligrams per square meter (mg/m²) during the Dose-Escalation Phase. LY573636 targeting a Cmax of 320 μg/mL (LY 320 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 340 μg/mL (LY 340 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 360 μg/mL (LY 360 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 380 μg/mL (LY 380 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 dosing was given as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Confirmation Phase. LY573636 dose was based on an albumin-corrected exposure (AUCalb) target range of 75th percentile of 3500 hour*micrograms per milliliter (h*µg/mL) and the Cycle 1, Day 15 LY573636 total drug level (Day 15 pharmacokinetic [PK]) (LY Albumin and Day 15 PK Tailored).
    Period Title: Overall Study
    STARTED 4 3 6 6 6 6
    Received at Least One Dose of Study Drug 4 3 6 6 6 6
    COMPLETED 0 0 0 0 0 0
    NOT COMPLETED 4 3 6 6 6 6

    Baseline Characteristics

    Arm/Group Title LY 300 μg/mL + Dox LY 320 μg/mL + Dox LY 340 μg/mL + Dox LY 360 μg/mL + Dox LY 380 μg/mL + Dox LY Albumin and Day 15 PK Tailored + Dox Total
    Arm/Group Description LY573636 targeting a maximum concentration (Cmax) of 300 micrograms per milliliter (μg/mL) (LY 300 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 milligrams per square meter (mg/m²) during the Dose-Escalation Phase. LY573636 targeting a Cmax of 320 μg/mL (LY 320 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 340 μg/mL (LY 340 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 360 μg/mL (LY 360 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 380 μg/mL (LY 380 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 dosing was given as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Confirmation Phase. LY573636 dose was based on an albumin-corrected exposure (AUCalb) target range of 75th percentile of 3500 hour*micrograms per milliliter (h*μg/mL) and the Cycle 1, Day 15 LY573636 total drug level (Day 15 pharmacokinetic [PK]) (LY Albumin and Day 15 PK Tailored). Total of all reporting groups
    Overall Participants 4 3 6 6 6 6 31
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    57.39
    (13.60)
    51.54
    (8.55)
    64.65
    (7.53)
    58.57
    (2.71)
    52.24
    (15.08)
    57.82
    (12.97)
    57.54
    (10.93)
    Sex: Female, Male (Count of Participants)
    Female
    4
    100%
    2
    66.7%
    6
    100%
    5
    83.3%
    5
    83.3%
    6
    100%
    28
    90.3%
    Male
    0
    0%
    1
    33.3%
    0
    0%
    1
    16.7%
    1
    16.7%
    0
    0%
    3
    9.7%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    2
    50%
    1
    33.3%
    0
    0%
    1
    16.7%
    2
    33.3%
    0
    0%
    6
    19.4%
    Not Hispanic or Latino
    2
    50%
    2
    66.7%
    6
    100%
    5
    83.3%
    4
    66.7%
    6
    100%
    25
    80.6%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    1
    16.7%
    0
    0%
    1
    16.7%
    0
    0%
    2
    6.5%
    Asian
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    White
    3
    75%
    3
    100%
    5
    83.3%
    6
    100%
    5
    83.3%
    6
    100%
    28
    90.3%
    More than one race
    1
    25%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    3.2%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Region of Enrollment (Count of Participants)
    United States
    4
    100%
    3
    100%
    6
    100%
    6
    100%
    6
    100%
    6
    100%
    31
    100%

    Outcome Measures

    1. Primary Outcome
    Title Recommended Phase 2 Dose
    Description Recommended Phase 2 dose was determined by maximum tolerated dose (MTD), which is corrected for the participant's predose albumin to identify the albumin-corrected exposure range of LY 573636 when combined with liposomal doxorubicin. MTD is the highest dose with <33% of participants having a dose-limiting toxicity (DLT) in the first 28-day cycle of treatment. DLT is an adverse event (AE) that is likely related to the study drug or combination and fulfills any 1 of the following: Common Terminology Criteria for AE (CTCAE, Version 3.0) Grade (Gr) 4 hematologic toxicity; Gr 3 nonhematologic toxicity (excluding controllable nausea/vomiting or diarrhea and alopecia); Gr 3 electrolyte toxicity that is not resolved with standard treatments. Those who enter the study with Gr 2 hepatic enzyme abnormalities, DLT for an isolated Gr 3 hepatic enzyme abnormality is determined by investigators; a DLT can be declared if a participant experiences increasing toxicity during treatment.
    Time Frame Predose up to 28 days postdose in Cycle 1

    Outcome Measure Data

    Analysis Population Description
    All participants who received at least one dose of the study drug.
    Arm/Group Title LY 300 μg/mL + Dox LY 320 μg/mL + Dox LY 340 μg/mL + Dox LY 360 μg/mL + Dox LY 380 μg/mL + Dox LY Albumin and Day 15 PK Tailored + Dox
    Arm/Group Description LY573636 targeting a maximum concentration (Cmax) of 300 micrograms per milliliter (μg/mL) (LY 300 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 milligrams per square meter (mg/m²) during the Dose-Escalation Phase. LY573636 targeting a Cmax of 320 μg/mL (LY 320 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 340 μg/mL (LY 340 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 360 μg/mL (LY 360 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 380 μg/mL (LY 380 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 dosing was given as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Confirmation Phase. LY573636 dose was based on an albumin-corrected exposure (AUCalb) target range of 75th percentile of 3500 hour*micrograms per milliliter (h*µg/mL) and the Cycle 1, Day 15 LY573636 total drug level (Day 15 pharmacokinetic [PK]) (LY Albumin and Day 15 PK Tailored).
    Measure Participants 4 3 6 6 6 6
    Number [micrograms per milliliter (μg/mL)]
    NA
    NA
    NA
    NA
    NA
    NA
    2. Secondary Outcome
    Title Number of Participants With Clinically Significant Events
    Description Clinically significant events are defined as serious adverse events (SAEs), regardless of causality, during the study including the 30-day follow-up period. A summary of SAEs and other nonserious adverse events is located in the Reported Adverse Event section. Death due to progressive disease was not considered as an SAE.
    Time Frame Baseline to study completion up to 18.49 months

    Outcome Measure Data

    Analysis Population Description
    All participants who received at least one dose of the study drug.
    Arm/Group Title LY 300 μg/mL + Dox LY 320 μg/mL + Dox LY 340 μg/mL + Dox LY 360 μg/mL + Dox LY 380 μg/mL + Dox LY Albumin and Day 15 PK Tailored + Dox
    Arm/Group Description LY573636 targeting a maximum concentration (Cmax) of 300 micrograms per milliliter (μg/mL) (LY 300 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 milligrams per square meter (mg/m²) during the Dose-Escalation Phase. LY573636 targeting a Cmax of 320 μg/mL (LY 320 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 340 μg/mL (LY 340 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 360 μg/mL (LY 360 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 380 μg/mL (LY 380 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 dosing was given as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Confirmation Phase. LY573636 dose was based on an albumin-corrected exposure (AUCalb) target range of 75th percentile of 3500 hour*micrograms per milliliter (h*µg/mL) and the Cycle 1, Day 15 LY573636 total drug level (Day 15 pharmacokinetic [PK]) (LY Albumin and Day 15 PK Tailored).
    Measure Participants 4 3 6 6 6 6
    Count of Participants [Participants]
    2
    50%
    0
    0%
    5
    83.3%
    3
    50%
    3
    50%
    3
    50%
    3. Secondary Outcome
    Title Pharmacokinetics: Maximum Concentration (Cmax) of LY573636
    Description
    Time Frame Predose, 30 minutes (min), 2 hours (h), 4 h, 166 h, 360 h and 698 h postdose in Cycle 1; Predose, 30 min, 2 h, 4 h, 166 h, 360 h and 698 h postdose in Cycle 2; Predose, 166h, 360h and 698 h postdose in Cycle 3

    Outcome Measure Data

    Analysis Population Description
    Participants who received the study drug and had sufficient pharmacokinetic (PK) data to estimate Cmax at the specified time points.
    Arm/Group Title LY573636
    Arm/Group Description LY573636 dose was based on an albumin-corrected exposure (AUCalb) to target a specific exposure range. Intravenous dosing is done on Day 1 of a 28-day cycle. Data are pooled together from all treatment groups.
    Measure Participants 31
    Cycle 1
    335.1
    (13.9)
    Cycle 2
    284.5
    (15.9)
    Cycle 3
    250.7
    (25.2)
    4. Secondary Outcome
    Title Number of Participants With Tumor Response
    Description Number of participants with tumor response = number of participants with complete response (CR) + number of participants with partial response (PR), as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in the sum of longest diameter of target lesions.
    Time Frame Baseline to measured progressive disease up to 4.7 months

    Outcome Measure Data

    Analysis Population Description
    All participants who received at least one dose of the study drug.
    Arm/Group Title LY 300 μg/mL + Dox LY 320 μg/mL + Dox LY 340 μg/mL + Dox LY 360 μg/mL + Dox LY 380 μg/mL + Dox LY Albumin and Day 15 PK Tailored + Dox
    Arm/Group Description LY573636 targeting a maximum concentration (Cmax) of 300 micrograms per milliliter (μg/mL) (LY 300 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 milligrams per square meter (mg/m²) during the Dose-Escalation Phase. LY573636 targeting a Cmax of 320 μg/mL (LY 320 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 340 μg/mL (LY 340 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 360 μg/mL (LY 360 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 380 μg/mL (LY 380 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 dosing was given as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Confirmation Phase. LY573636 dose was based on an albumin-corrected exposure (AUCalb) target range of 75th percentile of 3500 hour*micrograms per milliliter (h*µg/mL) and the Cycle 1, Day 15 LY573636 total drug level (Day 15 pharmacokinetic [PK]) (LY Albumin and Day 15 PK Tailored).
    Measure Participants 4 3 6 6 6 6
    Count of Participants [Participants]
    1
    25%
    0
    0%
    1
    16.7%
    3
    50%
    0
    0%
    2
    33.3%
    5. Secondary Outcome
    Title Pharmacokinetics: Area Under the Curve of LY573636 Above the Albumin Corrected Threshold (AUCalb)
    Description LY573636 has been found to be highly bound to albumin. AUCalb is a surrogate measure of exposure to unbound (free) LY573636.
    Time Frame Predose, 30 min, 2 h, 4 h, 166 h, 360 h and 698 h postdose in Cycle 1; Predose, 30 min, 2 h, 4 h, 166 h, 360 h and 698 h postdose in Cycle 2; Predose, 166h, 360h and 698 h postdose in Cycle 3

    Outcome Measure Data

    Analysis Population Description
    Participants who received the study drug and had sufficient pharmacokinetic (PK) data to calculate AUCalb at the specified time points.
    Arm/Group Title LY573636
    Arm/Group Description LY573636 dose was based on an albumin-corrected exposure (AUCalb) to target a specific exposure range. Intravenous dosing is done on Day 1 of a 28-day cycle. Data are pooled together from all treatment groups.
    Measure Participants 31
    Cycle 1
    1081.0
    (163.9)
    Cycle 2
    413.7
    (684.3)
    Cycle 3
    228.4
    (323.3)
    6. Other Pre-specified Outcome
    Title Number of Participants Who Died Due to Progressive Disease During the 30 Days Following Discontinuation From Study Treatment
    Description
    Time Frame From date of randomization until up to 30 days post study treatment discontinuation, assessed up to 4.7 months

    Outcome Measure Data

    Analysis Population Description
    All participants who received at least one dose of the study drug.
    Arm/Group Title LY 300 μg/mL + Dox LY 320 μg/mL + Dox LY 340 μg/mL + Dox LY 360 μg/mL + Dox LY 380 μg/mL + Dox LY Albumin and Day 15 PK Tailored + Dox
    Arm/Group Description LY573636 targeting a maximum concentration (Cmax) of 300 micrograms per milliliter (μg/mL) (LY 300 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 milligrams per square meter (mg/m²) during the Dose-Escalation Phase. LY573636 targeting a Cmax of 320 μg/mL (LY 320 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 340 μg/mL (LY 340 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 360 μg/mL (LY 360 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 380 μg/mL (LY 380 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 dosing was given as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Confirmation Phase. LY573636 dose was based on an albumin-corrected exposure (AUCalb) target range of 75th percentile of 3500 hour*micrograms per milliliter (h*µg/mL) and the Cycle 1, Day 15 LY573636 total drug level (Day 15 pharmacokinetic [PK]) (LY Albumin and Day 15 PK Tailored).
    Measure Participants 4 3 6 6 6 6
    Count of Participants [Participants]
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    16.7%

    Adverse Events

    Time Frame
    Adverse Event Reporting Description Deaths due to progressive disease are not considered adverse events and are reported in the Other Pre-Specified Outcome Measure for those who died within the 30-day post study treatment follow-up period.
    Arm/Group Title LY 300 μg/mL + Dox LY 320 μg/mL + Dox LY 340 μg/mL + Dox LY 360 μg/mL + Dox LY 380 μg/mL + Dox LY Albumin and Day 15 PK Tailored + Dox
    Arm/Group Description LY573636 targeting a maximum concentration (Cmax) of 300 micrograms per milliliter (μg/mL) (LY 300 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 milligrams per square meter (mg/m²) during the Dose-Escalation Phase. LY573636 targeting a Cmax of 320 μg/mL (LY 320 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 340 μg/mL (LY 340 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 360 μg/mL (LY 360 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 targeting a Cmax of 380 μg/mL (LY 380 μg/mL) as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Escalation Phase. LY573636 dosing was given as a 2-hour infusion on Day 1 of a 28-day cycle in combination with liposomal doxorubicin (Dox) at a dose of 40 mg/m² during the Dose-Confirmation Phase. LY573636 dose was based on an albumin-corrected exposure (AUCalb) target range of 75th percentile of 3500 hour*micrograms per milliliter (h*µg/mL) and the Cycle 1, Day 15 LY573636 total drug level (Day 15 pharmacokinetic [PK]) (LY Albumin and Day 15 PK Tailored).
    All Cause Mortality
    LY 300 μg/mL + Dox LY 320 μg/mL + Dox LY 340 μg/mL + Dox LY 360 μg/mL + Dox LY 380 μg/mL + Dox LY Albumin and Day 15 PK Tailored + Dox
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    LY 300 μg/mL + Dox LY 320 μg/mL + Dox LY 340 μg/mL + Dox LY 360 μg/mL + Dox LY 380 μg/mL + Dox LY Albumin and Day 15 PK Tailored + Dox
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 2/4 (50%) 0/3 (0%) 5/6 (83.3%) 3/6 (50%) 3/6 (50%) 3/6 (50%)
    Blood and lymphatic system disorders
    Anaemia 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Neutropenia 1/4 (25%) 1 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Thrombocytopenia 1/4 (25%) 1 0/3 (0%) 0 2/6 (33.3%) 2 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Cardiac disorders
    Cardiac arrest 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Ear and labyrinth disorders
    Vertigo 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Gastrointestinal disorders
    Abdominal pain 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 1/6 (16.7%) 1
    Constipation 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 1/6 (16.7%) 1
    Dysphagia 0/4 (0%) 0 0/3 (0%) 0 2/6 (33.3%) 2 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Gastrointestinal haemorrhage 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Impaired gastric emptying 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Intestinal obstruction 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Large intestinal obstruction 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Nausea 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Oesophagitis 0/4 (0%) 0 0/3 (0%) 0 2/6 (33.3%) 2 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Small intestinal obstruction 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 2/6 (33.3%) 3
    Stomatitis 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Vomiting 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    General disorders
    Mucosal inflammation 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Hepatobiliary disorders
    Dilatation intrahepatic duct acquired 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Immune system disorders
    Drug hypersensitivity 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Infections and infestations
    H1n1 influenza 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Postoperative wound infection 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Sepsis syndrome 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Wound infection 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Investigations
    Blood creatinine increased 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    White blood cell count decreased 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Metabolism and nutrition disorders
    Dehydration 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Hypokalaemia 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Musculoskeletal and connective tissue disorders
    Muscular weakness 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 1/6 (16.7%) 1
    Nervous system disorders
    Subarachnoid haemorrhage 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Vocal cord paralysis 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Psychiatric disorders
    Confusional state 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Asthma 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Pneumonia aspiration 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Pneumonitis 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Skin and subcutaneous tissue disorders
    Exfoliative rash 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Vascular disorders
    Hypotension 1/4 (25%) 2 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Other (Not Including Serious) Adverse Events
    LY 300 μg/mL + Dox LY 320 μg/mL + Dox LY 340 μg/mL + Dox LY 360 μg/mL + Dox LY 380 μg/mL + Dox LY Albumin and Day 15 PK Tailored + Dox
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 4/4 (100%) 3/3 (100%) 6/6 (100%) 6/6 (100%) 6/6 (100%) 6/6 (100%)
    Blood and lymphatic system disorders
    Anaemia 2/4 (50%) 5 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 1/6 (16.7%) 1 3/6 (50%) 3
    Leukopenia 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 2 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Lymphopenia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 2 0/6 (0%) 0 0/6 (0%) 0
    Neutropenia 0/4 (0%) 0 1/3 (33.3%) 2 0/6 (0%) 0 2/6 (33.3%) 2 4/6 (66.7%) 5 3/6 (50%) 4
    Thrombocytopenia 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 3/6 (50%) 4 1/6 (16.7%) 1
    Cardiac disorders
    Cardiac failure congestive 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Palpitations 1/4 (25%) 1 1/3 (33.3%) 1 2/6 (33.3%) 2 2/6 (33.3%) 2 0/6 (0%) 0 0/6 (0%) 0
    Pericardial effusion 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Sinus tachycardia 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Ear and labyrinth disorders
    Deafness 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Ear discomfort 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Ear pain 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 3/6 (50%) 3 1/6 (16.7%) 1 0/6 (0%) 0
    Tinnitus 0/4 (0%) 0 1/3 (33.3%) 1 1/6 (16.7%) 1 1/6 (16.7%) 1 1/6 (16.7%) 1 0/6 (0%) 0
    Eye disorders
    Abnormal sensation in eye 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Eye irritation 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Photopsia 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Scleral discolouration 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Vision blurred 1/4 (25%) 1 1/3 (33.3%) 1 0/6 (0%) 0 2/6 (33.3%) 2 2/6 (33.3%) 2 1/6 (16.7%) 1
    Visual impairment 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Gastrointestinal disorders
    Abdominal distension 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Abdominal pain 0/4 (0%) 0 0/3 (0%) 0 3/6 (50%) 3 0/6 (0%) 0 1/6 (16.7%) 1 2/6 (33.3%) 2
    Abdominal pain upper 1/4 (25%) 1 2/3 (66.7%) 2 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 1/6 (16.7%) 3
    Anal haemorrhage 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Constipation 0/4 (0%) 0 2/3 (66.7%) 2 3/6 (50%) 3 2/6 (33.3%) 2 2/6 (33.3%) 2 2/6 (33.3%) 2
    Diarrhoea 2/4 (50%) 3 1/3 (33.3%) 1 5/6 (83.3%) 5 2/6 (33.3%) 2 1/6 (16.7%) 2 2/6 (33.3%) 2
    Dry mouth 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 2/6 (33.3%) 2 0/6 (0%) 0
    Duodenal ulcer 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Dyspepsia 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Dysphagia 0/4 (0%) 0 1/3 (33.3%) 1 1/6 (16.7%) 1 2/6 (33.3%) 2 2/6 (33.3%) 2 0/6 (0%) 0
    Faeces hard 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Flatulence 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Gastrointestinal pain 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Gastrooesophageal reflux disease 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Gingival bleeding 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Gingival pain 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Glossodynia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Haematochezia 0/4 (0%) 0 1/3 (33.3%) 1 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Haemorrhoidal haemorrhage 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Intestinal obstruction 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 2/6 (33.3%) 3
    Lip blister 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Lip ulceration 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Mouth ulceration 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Nausea 1/4 (25%) 2 3/3 (100%) 3 3/6 (50%) 3 2/6 (33.3%) 2 0/6 (0%) 0 3/6 (50%) 4
    Odynophagia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Oesophagitis 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Oral pain 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 1/6 (16.7%) 1
    Proctalgia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Rectal haemorrhage 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Rectal ulcer 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Small intestinal obstruction 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Stomatitis 2/4 (50%) 6 3/3 (100%) 3 2/6 (33.3%) 2 4/6 (66.7%) 4 1/6 (16.7%) 1 0/6 (0%) 0
    Tongue disorder 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Tongue ulceration 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Vomiting 2/4 (50%) 3 2/3 (66.7%) 2 2/6 (33.3%) 3 0/6 (0%) 0 2/6 (33.3%) 3 2/6 (33.3%) 2
    General disorders
    Asthenia 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Catheter site pain 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Catheter site swelling 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Chest pain 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Chills 2/4 (50%) 3 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Device occlusion 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Early satiety 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Face oedema 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Fatigue 2/4 (50%) 3 2/3 (66.7%) 2 5/6 (83.3%) 5 2/6 (33.3%) 2 4/6 (66.7%) 5 2/6 (33.3%) 2
    Feeling abnormal 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Generalised oedema 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Infusion site pain 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Injection site haemorrhage 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Injection site pain 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Mucosal inflammation 1/4 (25%) 2 1/3 (33.3%) 2 2/6 (33.3%) 2 3/6 (50%) 4 3/6 (50%) 5 3/6 (50%) 5
    Non-cardiac chest pain 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Oedema 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Oedema peripheral 1/4 (25%) 1 0/3 (0%) 0 1/6 (16.7%) 1 2/6 (33.3%) 3 0/6 (0%) 0 1/6 (16.7%) 1
    Pain 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Pyrexia 4/4 (100%) 5 1/3 (33.3%) 1 1/6 (16.7%) 1 2/6 (33.3%) 2 1/6 (16.7%) 1 1/6 (16.7%) 1
    Thrombosis in device 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Hepatobiliary disorders
    Gallbladder pain 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Infections and infestations
    Bronchitis 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Candidiasis 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 1/6 (16.7%) 1
    Clostridial infection 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Escherichia infection 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Fungal infection 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 1/6 (16.7%) 1 0/6 (0%) 0
    Gastric infection 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Herpes zoster 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Hordeolum 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Lung infection 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Nasopharyngitis 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 2/6 (33.3%) 2 1/6 (16.7%) 1 0/6 (0%) 0
    Oral candidiasis 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Oral herpes 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Pneumonia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Rash pustular 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Sinusitis 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 2/6 (33.3%) 2 0/6 (0%) 0 0/6 (0%) 0
    Urinary tract infection 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 2/6 (33.3%) 2 3/6 (50%) 4 4/6 (66.7%) 4
    Injury, poisoning and procedural complications
    Contusion 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Facial bones fracture 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 2
    Fall 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 1/6 (16.7%) 4
    Infusion related reaction 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Laceration 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 1/6 (16.7%) 1
    Muscle strain 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Nail injury 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Procedural pain 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Investigations
    Blood alkaline phosphatase increased 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Blood creatinine 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Blood creatinine increased 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Ejection fraction decreased 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Haemoglobin decreased 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 2/6 (33.3%) 2 1/6 (16.7%) 1 1/6 (16.7%) 1
    Neutrophil count decreased 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Weight decreased 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 4/6 (66.7%) 4
    Weight increased 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Metabolism and nutrition disorders
    Decreased appetite 1/4 (25%) 1 2/3 (66.7%) 2 2/6 (33.3%) 2 3/6 (50%) 3 2/6 (33.3%) 2 3/6 (50%) 3
    Dehydration 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Hyperglycaemia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 5 1/6 (16.7%) 1
    Hypoalbuminaemia 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Hypokalaemia 1/4 (25%) 1 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 2/6 (33.3%) 2 4/6 (66.7%) 7
    Hypomagnesaemia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 2/6 (33.3%) 2
    Hyponatraemia 0/4 (0%) 0 0/3 (0%) 0 2/6 (33.3%) 2 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Hypophosphataemia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 2/6 (33.3%) 2
    Musculoskeletal and connective tissue disorders
    Arthralgia 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 2/6 (33.3%) 3 1/6 (16.7%) 1 1/6 (16.7%) 1
    Arthritis 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Back pain 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Joint stiffness 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Joint swelling 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Muscle spasms 0/4 (0%) 0 1/3 (33.3%) 1 1/6 (16.7%) 2 1/6 (16.7%) 1 0/6 (0%) 0 1/6 (16.7%) 1
    Muscle twitching 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Muscular weakness 1/4 (25%) 1 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Musculoskeletal discomfort 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Musculoskeletal pain 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Myalgia 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 1/6 (16.7%) 2 0/6 (0%) 0
    Neck pain 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Pain in extremity 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 2/6 (33.3%) 3 0/6 (0%) 0 1/6 (16.7%) 1
    Nervous system disorders
    Ataxia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Dizziness 1/4 (25%) 1 1/3 (33.3%) 1 1/6 (16.7%) 1 3/6 (50%) 3 1/6 (16.7%) 1 0/6 (0%) 0
    Dysgeusia 0/4 (0%) 0 0/3 (0%) 0 2/6 (33.3%) 2 2/6 (33.3%) 2 1/6 (16.7%) 1 0/6 (0%) 0
    Headache 2/4 (50%) 2 1/3 (33.3%) 1 4/6 (66.7%) 5 4/6 (66.7%) 5 2/6 (33.3%) 2 2/6 (33.3%) 2
    Hypoaesthesia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Neuropathy peripheral 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 2 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Paraesthesia 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 1/6 (16.7%) 1 2/6 (33.3%) 2 0/6 (0%) 0
    Sedation 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Tremor 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 1/6 (16.7%) 1
    Psychiatric disorders
    Anxiety 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Depression 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Insomnia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 2/6 (33.3%) 2 0/6 (0%) 0
    Libido decreased 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Renal and urinary disorders
    Costovertebral angle tenderness 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Dysuria 0/4 (0%) 0 1/3 (33.3%) 1 2/6 (33.3%) 2 0/6 (0%) 0 1/6 (16.7%) 1 2/6 (33.3%) 2
    Haematuria 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 2/6 (33.3%) 2 0/6 (0%) 0
    Hydronephrosis 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Hypertonic bladder 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Nocturia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 2/6 (33.3%) 2 0/6 (0%) 0
    Pollakiuria 1/4 (25%) 1 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Renal failure acute 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Urinary incontinence 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Urinary retention 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Urine abnormality 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Reproductive system and breast disorders
    Genital rash 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Menstruation irregular 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Pelvic pain 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Perineal pain 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Pruritus genital 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Vaginal discharge 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Vaginal haemorrhage 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 2/6 (33.3%) 2 1/6 (16.7%) 1 0/6 (0%) 0
    Vaginal odour 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Vulvovaginal pain 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 2/6 (33.3%) 2 0/6 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Cough 2/4 (50%) 2 1/3 (33.3%) 1 2/6 (33.3%) 3 2/6 (33.3%) 2 0/6 (0%) 0 1/6 (16.7%) 1
    Dysphonia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Dyspnoea 2/4 (50%) 2 0/3 (0%) 0 3/6 (50%) 3 2/6 (33.3%) 2 2/6 (33.3%) 2 1/6 (16.7%) 1
    Epistaxis 0/4 (0%) 0 1/3 (33.3%) 2 1/6 (16.7%) 1 1/6 (16.7%) 1 0/6 (0%) 0 1/6 (16.7%) 2
    Nasal congestion 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Nasal dryness 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Oropharyngeal pain 0/4 (0%) 0 1/3 (33.3%) 1 1/6 (16.7%) 1 1/6 (16.7%) 1 0/6 (0%) 0 2/6 (33.3%) 3
    Rhinalgia 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 2/6 (33.3%) 2
    Sinus disorder 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Sneezing 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Upper-airway cough syndrome 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Wheezing 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Skin and subcutaneous tissue disorders
    Acne 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Alopecia 1/4 (25%) 1 2/3 (66.7%) 2 1/6 (16.7%) 1 3/6 (50%) 3 1/6 (16.7%) 1 4/6 (66.7%) 4
    Blister 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Cold sweat 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Dermatitis contact 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Dry skin 0/4 (0%) 0 2/3 (66.7%) 2 1/6 (16.7%) 1 0/6 (0%) 0 2/6 (33.3%) 3 0/6 (0%) 0
    Exfoliative rash 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 2 0/6 (0%) 0 1/6 (16.7%) 1
    Hyperhidrosis 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Hyperkeratosis 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0
    Nail discolouration 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Nail disorder 0/4 (0%) 0 1/3 (33.3%) 1 2/6 (33.3%) 2 2/6 (33.3%) 2 1/6 (16.7%) 1 0/6 (0%) 0
    Night sweats 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Onychomadesis 0/4 (0%) 0 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1
    Pain of skin 0/4 (0%) 0 1/3 (33.3%) 2 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Palmar-plantar erythrodysaesthesia syndrome 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 2/6 (33.3%) 3 1/6 (16.7%) 1 0/6 (0%) 0
    Pruritus 0/4 (0%) 0 1/3 (33.3%) 1 2/6 (33.3%) 2 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Rash 0/4 (0%) 0 2/3 (66.7%) 5 4/6 (66.7%) 6 3/6 (50%) 5 1/6 (16.7%) 1 0/6 (0%) 0
    Rash generalised 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Rash maculo-papular 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Skin discolouration 0/4 (0%) 0 2/3 (66.7%) 2 1/6 (16.7%) 2 3/6 (50%) 3 1/6 (16.7%) 1 0/6 (0%) 0
    Skin hyperpigmentation 2/4 (50%) 3 0/3 (0%) 0 1/6 (16.7%) 1 1/6 (16.7%) 1 1/6 (16.7%) 1 0/6 (0%) 0
    Skin mass 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Surgical and medical procedures
    Contraceptive diaphragm 0/4 (0%) 0 1/3 (33.3%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Vascular disorders
    Flushing 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0
    Hot flush 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Hypertension 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 2/6 (33.3%) 2 0/6 (0%) 0 0/6 (0%) 0
    Hypotension 0/4 (0%) 0 0/3 (0%) 0 1/6 (16.7%) 1 1/6 (16.7%) 1 0/6 (0%) 0 0/6 (0%) 0
    Thrombosis 1/4 (25%) 1 0/3 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/6 (0%) 0

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Chief Medical Officer
    Organization Eli Lilly and Company
    Phone 800-545-5979
    Email
    Responsible Party:
    Eli Lilly and Company
    ClinicalTrials.gov Identifier:
    NCT01214668
    Other Study ID Numbers:
    • 12887
    • H8K-MC-JZAN
    First Posted:
    Oct 5, 2010
    Last Update Posted:
    Jan 4, 2019
    Last Verified:
    Dec 1, 2018