Combination Chemotherapy in Treating Young Patients With Newly Diagnosed T-Cell Acute Lymphoblastic Leukemia or T-cell Lymphoblastic Lymphoma

Sponsor
National Cancer Institute (NCI) (NIH)
Overall Status
Active, not recruiting
CT.gov ID
NCT00408005
Collaborator
(none)
1,895
215
17
8.8

Study Details

Study Description

Brief Summary

This randomized phase III trial is studying different combination chemotherapy regimens and their side effects and comparing how well they work in treating young patients with newly diagnosed T-cell acute lymphoblastic leukemia or T-cell lymphoblastic lymphoma. Drugs used in chemotherapy work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more cancer cells. It is not yet known which combination chemotherapy regimen is more effective in treating T-cell acute lymphoblastic leukemia or T-cell lymphoblastic lymphoma. After a common induction therapy, patients were risk assigned and eligible for one or both post-induction randomizations: Escalating dose Methotrexate versus High Dose Methotrexate in Interim Maintenance therapy, No Nelarabine versus Nelarabine in Consolidation therapy. T-ALL patients are risk assigned as Low Risk, Intermediate Risk or High Risk. Low Risk patients are not eligible for the Nelarabine randomization, Patients with CNS disease at diagnosis were assgined to receive High Dose Methotrexate, patients who failed induction therapy were assigned to receive Nelarabine and High Dose Methotrexate. T-LLy patients were all assigned to escalating dose Methotrexate and were risk assigned as Standard Risk, High Risk and induction failures. Standard risk patients did not receive nelarabine, High risk T-LLy patients were randomized to No Nelarabine versus Nelarabine, and Induction failures were assigned to receive Nelarabine.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

PRIMARY OBJECTIVES:
  1. To determine, through randomization, the relative safety and efficacy of the addition of nelarabine (Compound 506U78) to augmented Berlin-Frankfurt-Münster (BFM) therapy (Regimen C, Children's Cancer Group [CCG]-1961).

  2. To determine the relative safety and efficacy of high dose methotrexate (5 g/m^2) with leucovorin (leucovorin calcium) rescue compared to escalating methotrexate without leucovorin rescue plus pegaspargase (Capizzi I) delivered during interim maintenance.

  3. To gain preliminary data on the use of nelarabine in patients with high risk T-cell lymphoblastic lymphoma and its effect on long-term survival.

SECONDARY OBJECTIVES:
  1. To determine the relative safety and efficacy of withholding radiation in patients with low risk T-cell acute lymphoblastic leukemia (T-ALL), while treating Intermediate and high risk patients with 1200 cGy of prophylactic cranial radiation.

OUTLINE: This is a randomized, controlled, factorial-group, multicenter study.

GROUP 0 (INDUCTION THERAPY): All patients (T-ALL and T-LLy) receive cytarabine intrathecally (IT) on day 1; vincristine sulfate intravenously (IV) on days 1, 8, 15, and 22; prednisone IV or orally (PO) twice daily (BID) on days 1-28; pegaspargase intramuscularly (IM) (may give IV over 1 to 2 hours) on day 4, 5, or 6; duanorubicin IV on days 1, 8, 15 and 22; and methotrexate IT on days 8 and 29 (and days 15 and 22 for patients with CNS3 disease).

GROUP I ARM I COMBINATION CHEMOTHERAPY (CONSOLIDATION CHEMOTHERAPY): Patients receive methotrexate IT on days 1, 8, 15, and 22; cyclophosphamide IV over 30 minutes on days 1 and 29; cytarabine IV over 15-30 minutes or subcutaneously (SC) on days 1-4, 8-11, 29-32, and 36-39; mercaptopurine PO on days 1-14 and 29-42; vincristine sulfate IV on days 15, 22, 43 and 50; and pegaspargase IM or IV over 1-2 hours on days 15 and 43. Patients with DS also receive leucovorin calcium PO at 48 and 60 hours after each methotrexate dose. Patients with persistent testicular disease or with DS and testicular disease undergo testicular radiotherapy on days 11-12, 15-19, and 22-26. (DS patients excluded as of 09/29/10.) Patients with intermediate-risk or high-risk disease (CNS1 or CNS2) undergo prophylactic CRT (1,200 cGy/dose) QD on days 15-21 and 22-28. Patients with low-risk disease do not undergo conformal radiation therapy (CRT). Patients with standard risk T-LLy received Arm I, and those with high risk T-LLy were randomized between Arm I and Arm II combination chemotherapy.

GROUP I ARM I COMBINATION CHEMOTHERAPY (DELAYED INTENSIFICATION CHEMOTHERAPY): Patients receive vincristine sulfate IV on days 1, 8, 15, 43, and 50; dexamethasone IV or PO BID on days 1-21 (for patients < 10 years of age) OR on days 1-7 and 15-21 (for patients >= 10 years of age and for patients with DS); doxorubicin hydrochloride IV on days 1, 8, and 15; pegaspargase IM or IV over 1-2 hours on day 4, 5, OR 6, AND day 43; methotrexate IT on days 1, 29, and 36; cyclophosphamide IV over 30 minutes on day 29; cytarabine IV over 15-30 minutes or SC on days 29-32 and 36-39; and thioguanine PO on days 29-42. Patients with DS also receive leucovorin calcium PO at 48 and 60 hours after each methotrexate dose (DS patients excluded as of 09/29/10). Standard risk T-LLy patients were assigned to Arm I and those with high risk were randomized between Arm I and Arm II.

GROUP I ARM I COMBINATION CHEMOTHERAPY (INTERIM MAINTENANCE CHEMOTHERAPY): Patients receive vincristine sulfate IV and escalating doses of methotrexate IV on days 1, 11, 21, 31, and 41; pegaspargase* IM or IV over 1-2 hours on days 2 and 22; and methotrexate IT on days 1 and 31. Patients with DS also receive leucovorin calcium PO 48 and 60 hours after each methotrexate IT dose (DS patients excluded as of 09/29/10).

Note: *Patients with an allergy to pegaspargase receive Erwinia asparaginase on days 2, 4, 6, 8, 10, 12, 22, 24, 26, 28, 30, and 32.

GROUP I ARM I COMBINATION CHEMOTHERAPY (MAINTENANCE CHEMOTHERAPY): Patients receive vincristine sulfate IV on days 1, 29, and 57; prednisone PO BID on days 1-5, 29-33, and 57-61; mercaptopurine PO QD on days 1-84; methotrexate PO on days 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, and 78; and methotrexate IT on day 1. Treatment repeats every 84 days until the total duration of study treatment is 2 years from the start of interim maintenance therapy (approximately week 119) (for girls with T-ALL), all patients with T-LLy, and 3 years from the start of interim maintenance therapy (approximately week 171) (for boys with T-ALL).

GROUP I ARM II COMBINATION CHEMOTHERAPY (CONSOLIDATION CHEMOTHERAPY): Patients receive nelarabine IV over 60 minutes on days 1-5 and 43-47; methotrexate IT on days 15, 22, 57, and 64; cyclophosphamide IV over 30 minutes on days 8 and 50; cytarabine IV over 15-30 minutes or SC on days 8-11, 15-18, 50-53 and 57-60; mercaptopurine PO on days 8-21 and 50-63; vincristine sulfate IV on days 22, 29, 64, and 71; and pegaspargase IM or IV over 1-2 hours on days 22 and 64. Patients with persistent testicular disease or with DS and testicular disease undergo testicular radiotherapy on days 15, 22-26, and 29-33 (DS patients excluded as of 09/29/10). (Patients with intermediate-risk or high-risk disease (CNS1 or CNS2) undergo prophylactic CRT QD on days 22-28 and 29-35. Patients with high risk T-LLy were either randomized to Arm I or Arm II. Patients with T-LLy who failed induction therapy were assigned to Arm II.

GROUP I ARM II COMBINATION CHEMOTHERAPY (DELAYED INTENSIFICATION CHEMOTHERAPY): Patients receive vincristine sulfate IV on days 1, 8, 15, and 50; dexamethasone IV or PO BID on days 1-21 (for patients < 10 years of age) OR on days 1-7 and 15-21 (for patients >= 10 years of age); doxorubicin hydrochloride IV on days 1, 8, and 15; pegaspargase IM or IV over 1-2 hours on day 4, 5, OR 6 AND day 50; methotrexate IT on days 1, 36, and 43; nelarabine IV over 60 minutes on days 29-33; cyclophosphamide IV over 30 minutes on day 36; cytarabine IV over 15-30 minutes or SC on days 36-39 and 43-46; and thioguanine PO on days 36-49.

GROUP I ARM II COMBINATION CHEMOTHERAPY (INTERIM MAINTENANCE CHEMOTHERAPY): Patients receive vincristine sulfate IV and escalating doses of methotrexate IV on days 1, 11, 21, 31, and 41; pegaspargase* IM or IV over 1-2 hours on days 2 and 22; and methotrexate IT on days 1 and 31.

Note: *Patients with an allergy to pegaspargase receive Erwinia asparaginase on Monday, Wednesday and Friday for two consecutive weeks starting the day of asparaginase substitution.

GROUP I ARM II COMBINATION CHEMOTHERAPY (MAINTENANCE CHEMOTHERAPY): Patients receive vincristine sulfate, prednisone, mercaptopurine, methotrexate PO, methotrexate IT, and nelarabine in Cycles 1, 2 and 3. Patients then receive treatment (without nelarabine) as follows: vincristine sulfate, prednisone, mercaptopurine, methotrexate PO, and methotrexate IT as in arm II. Treatment (without nelarabine) repeats every 84 days until the total duration of study treatment is 2 years from the start of interim maintenance therapy (approximately week 121) (for girls with T-ALL), and for those with T-LLY, and 3 years from the start of interim maintenance therapy (approximately week 173) (for boys with T-ALL).

GROUP I ARM III COMBINATION CHEMOTHERAPY (CONSOLIDATION CHEMOTHERAPY): Patients receive methotrexate IT on days 1, 8, 15, and 22; cyclophosphamide IV over 30 minutes on days 1 and 29; cytarabine IV over 15-30 minutes or SC on days 1-4, 8-11, 29-32, and 36-39; mercaptopurine PO on days 1-14 and 29-42; vincristine sulfate IV on days 15, 22, 43 and 50; and pegaspargase IM or IV over 1-2 hours on days 15 and 43. Patients with DS also receive leucovorin calcium PO at 48 and 60 hours after each methotrexate dose. Patients with persistent testicular disease or with DS and testicular disease undergo testicular radiotherapy on days 11-12, 15-19, and 22-26. (DS patients excluded as of 09/29/10.) Patients with intermediate-risk or high-risk disease (CNS1 or CNS2) undergo prophylactic CRT (1,200 cGy/dose) QD on days 15-21 and 22-28. Patients with low-risk disease do not undergo CRT.

GROUP I ARM III COMBINATION CHEMOTHERAPY (DELAYED INTENSIFICATION CHEMOTHERAPY): Patients receive vincristine sulfate IV on days 1, 8, 15, 43, and 50; dexamethasone IV or PO BID on days 1-21 (for patients < 10 years of age) OR on days 1-7 and 15-21 (for patients >= 10 years of age and for patients with DS); doxorubicin hydrochloride IV on days 1, 8, and 15; pegaspargase IM or IV over 1-2 hours on day 4, 5, OR 6, AND day 43; methotrexate IT on days 1, 29, and 36; cyclophosphamide IV over 30 minutes on day 29; cytarabine IV over 15-30 minutes or SC on days 29-32 and 36-39; and thioguanine PO on days 29-42. Patients with DS also receive leucovorin calcium PO at 48 and 60 hours after each methotrexate dose (DS patients excluded as of 09/29/10).

GROUP I ARM III COMBINATION CHEMOTHERAPY (INTERIM MAINTENANCE CHEMOTHERAPY): Patients receive high dose methotrexate (HDMTX) IV over 24 hours and vincristine sulfate IV on days 1, 15, 29, and 43; mercaptopurine PO on days 1-56; and methotrexate IT on days 1 and 29. Beginning 42 hours after the start of HDMTX, patients also receive leucovorin calcium IV or PO once every 6 hours for 3 doses.

GROUP I ARM III COMBINATION CHEMOTHERAPY (MAINTENANCE CHEMOTHERAPY): Patients receive vincristine sulfate IV on days 1, 29, and 57; prednisone PO BID on days 1-5, 29-33, and 57-61; mercaptopurine PO QD on days 1-84; methotrexate PO on days 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, and 78; and methotrexate IT on day 1. Treatment repeats every 84 days until the total duration of study treatment is 2 years from the start of interim maintenance therapy (approximately week 119) (for girls with T-ALL) and all patients with T-LLy, and 3 years from the start of interim maintenance therapy (approximately week 171) (for boys with T-ALL).

GROUP I ARM IV COMBINATION CHEMOTHERAPY (CONSOLIDATION CHEMOTHERAPY): Patients receive nelarabine IV over 60 minutes on days 1-5 and 43-47; methotrexate IT on days 15, 22, 57, and 64; cyclophosphamide IV over 30 minutes on days 8 and 50; cytarabine IV over 15-30 minutes or SC on days 8-11, 15-18, 50-53 and 57-60; mercaptopurine PO on days 8-21 and 50-63; vincristine sulfate IV on days 22, 29, 64, and 71; and pegaspargase IM or IV over 1-2 hours on days 22 and 64. (DS patients excluded as of 09/29/10). (Patients with intermediate-risk or high-risk disease (CNS1 or CNS2) undergo prophylactic CRT QD on days 22-28 and 29-35.

GROUP I ARM IV COMBINATION CHEMOTHERAPY (DELAYED INTENSIFICATION CHEMOTHERAPY): Patients receive vincristine sulfate IV on days 1, 8, 15, and 50; dexamethasone IV or PO BID on days 1-21 (for patients < 10 years of age) OR on days 1-7 and 15-21 (for patients >= 10 years of age); doxorubicin hydrochloride IV on days 1, 8, and 15; pegaspargase IM or IV over 1-2 hours on day 4, 5, OR 6 AND day 50; methotrexate IT on days 1, 36, and 43; nelarabine IV over 60 minutes on days 29-33; cyclophosphamide IV over 30 minutes on day 36; cytarabine IV over 15-30 minutes or SC on days 36-39 and 43-46; and thioguanine PO on days 36-49.

GROUP I ARM IV COMBINATION CHEMOTHERAPY (INTERIM MAINTENANCE CHEMOTHERAPY): Patients receive HDMTX IV over 24 hours and vincristine sulfate IV on days 1, 15, 29, and 43; mercaptopurine PO on days 1-56; and methotrexate IT on days 1 and 29. Beginning 42 hours after the start of HDMTX, patients also receive leucovorin calcium IV or PO once every 6 hours for 3 doses.

GROUP I ARM IV COMBINATION CHEMOTHERAPY (MAINTENANCE CHEMOTHERAPY): Patients receive vincristine sulfate, prednisone, mercaptopurine, methotrexate PO, methotrexate IT, and nelarabine in Cycles 1, 2 and 3. Patients then receive treatment (without nelarabine) as follows: vincristine sulfate, prednisone, mercaptopurine, methotrexate PO, and methotrexate IT as in arm II. Treatment (without nelarabine) repeats every 84 days until the total duration of study treatment is 2 years from the start of interim maintenance therapy (approximately week 121) (for girls with T-ALL), and for those with T-LLY, and 3 years from the start of interim maintenance therapy (approximately week 173) (for boys with T-ALL).

After completion of study therapy, patients are followed periodically for at least 10 years.

Study Design

Study Type:
Interventional
Actual Enrollment :
1895 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Intensified Methotrexate, Nelarabine (Compound 506U78) and Augmented BFM Therapy for Children and Young Adults With Newly Diagnosed T-cell Acute Lymphoblastic Leukemia (ALL) or T-cell Lymphoblastic Lymphoma
Actual Study Start Date :
Jan 22, 2007
Actual Primary Completion Date :
Sep 30, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Group 0 Induction Therapy

All patients (T-ALL and T-LLy) receive cytarabine intrathecally (IT) on day 1; vincristine sulfate IV on days 1, 8, 15, and 22; prednisone IV or PO twice daily BID on days 1-28; pegaspargase IM (may give IV over 1 to 2 hours) on day 4, 5, or 6; daunorubicin hydrochloride IV on days 1, 8, 15 and 22; and methotrexate IT on days 8 and 29 (and days 15 and 22 for patients with CNS3 disease).

Drug: Cytarabine
Given IT, IV, or SC
Other Names:
  • .beta.-Cytosine arabinoside
  • 1-.beta.-D-Arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-.beta.-D-Arabinofuranosylcytosine
  • 1-Beta-D-arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-Beta-D-arabinofuranosylcytosine
  • 1.beta.-D-Arabinofuranosylcytosine
  • 2(1H)-Pyrimidinone, 4-Amino-1-beta-D-arabinofuranosyl-
  • 2(1H)-Pyrimidinone, 4-amino-1.beta.-D-arabinofuranosyl-
  • Alexan
  • Ara-C
  • ARA-cell
  • Arabine
  • Arabinofuranosylcytosine
  • Arabinosylcytosine
  • Aracytidine
  • Aracytin
  • Aracytine
  • Beta-Cytosine Arabinoside
  • CHX-3311
  • Cytarabinum
  • Cytarbel
  • Cytosar
  • Cytosine Arabinoside
  • Cytosine-.beta.-arabinoside
  • Cytosine-beta-arabinoside
  • Erpalfa
  • Starasid
  • Tarabine PFS
  • U 19920
  • U-19920
  • Udicil
  • WR-28453
  • Drug: Daunorubicin Hydrochloride
    Given IV
    Other Names:
  • Cerubidin
  • Cerubidine
  • Cloridrato de Daunorubicina
  • Daunoblastin
  • Daunoblastina
  • Daunoblastine
  • Daunomycin Hydrochloride
  • Daunomycin, hydrochloride
  • Daunorubicin.HCl
  • Daunorubicini Hydrochloridum
  • FI-6339
  • Ondena
  • RP-13057
  • Rubidomycin Hydrochloride
  • Rubilem
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Pegaspargase
    Given IM or IV
    Other Names:
  • L-Asparaginase with Polyethylene Glycol
  • Oncaspar
  • Oncaspar-IV
  • PEG-Asparaginase
  • PEG-L-Asparaginase
  • PEG-L-Asparaginase (Enzon - Kyowa Hakko)
  • PEGLA
  • Polyethylene Glycol L-Asparaginase
  • Polyethylene Glycol-L-Asparaginase
  • Drug: Prednisone
    Given IV or PO
    Other Names:
  • .delta.1-Cortisone
  • 1, 2-Dehydrocortisone
  • Adasone
  • Cortancyl
  • Dacortin
  • DeCortin
  • Decortisyl
  • Decorton
  • Delta 1-Cortisone
  • Delta-Dome
  • Deltacortene
  • Deltacortisone
  • Deltadehydrocortisone
  • Deltasone
  • Deltison
  • Deltra
  • Econosone
  • Lisacort
  • Meprosona-F
  • Metacortandracin
  • Meticorten
  • Ofisolona
  • Orasone
  • Panafcort
  • Panasol-S
  • Paracort
  • Perrigo Prednisone
  • PRED
  • Predicor
  • Predicorten
  • Prednicen-M
  • Prednicort
  • Prednidib
  • Prednilonga
  • Predniment
  • Prednisone Intensol
  • Prednisonum
  • Prednitone
  • Promifen
  • Rayos
  • Servisone
  • SK-Prednisone
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group 1 Arm IV (Consolidation chemotherapy)

    Patients receive nelarabine IV over 60 minutes on days 1-5 and 43-47; methotrexate IT on days 15, 22, 57, and 64; cyclophosphamide IV over 30 minutes on days 8 and 50; cytarabine IV over 15-30 minutes or SC on days 8-11, 15-18, 50-53 and 57-60; mercaptopurine PO on days 8-21 and 50-63; vincristine sulfate IV on days 22, 29, 64, and 71; and pegaspargase IM or IV over 1-2 hours on days 22 and 64. Patients with persistent testicular disease or with DS and testicular disease undergo testicular radiotherapy on days 15, 22-26, and 29-33 (DS patients excluded as of 09/29/10). (Patients with intermediate-risk or high-risk disease (CNS1 or CNS2) undergo prophylactic CRT QD on days 22-28 and 29-35.

    Drug: Cyclophosphamide
    Given IV
    Other Names:
  • (-)-Cyclophosphamide
  • 2H-1,3,2-Oxazaphosphorine, 2-[bis(2-chloroethyl)amino]tetrahydro-, 2-oxide, monohydrate
  • Carloxan
  • Ciclofosfamida
  • Ciclofosfamide
  • Cicloxal
  • Clafen
  • Claphene
  • CP monohydrate
  • CTX
  • CYCLO-cell
  • Cycloblastin
  • Cycloblastine
  • Cyclophospham
  • Cyclophosphamid monohydrate
  • Cyclophosphamide Monohydrate
  • Cyclophosphamidum
  • Cyclophosphan
  • Cyclophosphane
  • Cyclophosphanum
  • Cyclostin
  • Cyclostine
  • Cytophosphan
  • Cytophosphane
  • Cytoxan
  • Fosfaseron
  • Genoxal
  • Genuxal
  • Ledoxina
  • Mitoxan
  • Neosar
  • Revimmune
  • Syklofosfamid
  • WR- 138719
  • Drug: Cytarabine
    Given IT, IV, or SC
    Other Names:
  • .beta.-Cytosine arabinoside
  • 1-.beta.-D-Arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-.beta.-D-Arabinofuranosylcytosine
  • 1-Beta-D-arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-Beta-D-arabinofuranosylcytosine
  • 1.beta.-D-Arabinofuranosylcytosine
  • 2(1H)-Pyrimidinone, 4-Amino-1-beta-D-arabinofuranosyl-
  • 2(1H)-Pyrimidinone, 4-amino-1.beta.-D-arabinofuranosyl-
  • Alexan
  • Ara-C
  • ARA-cell
  • Arabine
  • Arabinofuranosylcytosine
  • Arabinosylcytosine
  • Aracytidine
  • Aracytin
  • Aracytine
  • Beta-Cytosine Arabinoside
  • CHX-3311
  • Cytarabinum
  • Cytarbel
  • Cytosar
  • Cytosine Arabinoside
  • Cytosine-.beta.-arabinoside
  • Cytosine-beta-arabinoside
  • Erpalfa
  • Starasid
  • Tarabine PFS
  • U 19920
  • U-19920
  • Udicil
  • WR-28453
  • Drug: Mercaptopurine
    Given PO
    Other Names:
  • 3H-Purine-6-thiol
  • 6 MP
  • 6 Thiohypoxanthine
  • 6 Thiopurine
  • 6-Mercaptopurine
  • 6-Mercaptopurine Monohydrate
  • 6-MP
  • 6-Purinethiol
  • 6-Thiopurine
  • 6-Thioxopurine
  • 6H-Purine-6-thione, 1,7-dihydro- (9CI)
  • 7-Mercapto-1,3,4,6-tetrazaindene
  • Alti-Mercaptopurine
  • Azathiopurine
  • Bw 57-323H
  • Flocofil
  • Ismipur
  • Leukerin
  • Leupurin
  • Mercaleukim
  • Mercaleukin
  • Mercaptina
  • Mercaptopurinum
  • Mercapurin
  • Mern
  • NCI-C04886
  • Puri-Nethol
  • Purimethol
  • Purine, 6-mercapto-
  • Purine-6-thiol (8CI)
  • Purine-6-thiol, monohydrate
  • Purinethiol
  • Purinethol
  • U-4748
  • WR-2785
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Nelarabine
    Given IV
    Other Names:
  • 2-Amino-6-methoxypurine arabinoside
  • 506U78
  • Arranon
  • Compound 506U78
  • GW506U78
  • Drug: Pegaspargase
    Given IM or IV
    Other Names:
  • L-Asparaginase with Polyethylene Glycol
  • Oncaspar
  • Oncaspar-IV
  • PEG-Asparaginase
  • PEG-L-Asparaginase
  • PEG-L-Asparaginase (Enzon - Kyowa Hakko)
  • PEGLA
  • Polyethylene Glycol L-Asparaginase
  • Polyethylene Glycol-L-Asparaginase
  • Radiation: Radiation Therapy
    Some patients undergo testicular and/or prophylactic cranial RT
    Other Names:
  • Cancer Radiotherapy
  • ENERGY_TYPE
  • Irradiate
  • Irradiated
  • Irradiation
  • Radiation
  • Radiation Therapy, NOS
  • Radiotherapeutics
  • Radiotherapy
  • RT
  • Therapy, Radiation
  • Active Comparator: Group I Arm I (Consolidation chemotherapy)

    Patients receive methotrexate IT on days 1, 8, 15, and 22; cyclophosphamide IV over 30 minutes on days 1 and 29; cytarabine IV over 15-30 minutes or SC on days 1-4, 8-11, 29-32, and 36-39; mercaptopurine PO on days 1-14 and 29-42; vincristine sulfate IV on days 15, 22, 43 and 50; and pegaspargase IM or IV over 1-2 hours on days 15 and 43. Patients with DS also receive leucovorin calcium PO at 48 and 60 hours after each methotrexate dose. Patients with persistent testicular disease or with DS and testicular disease undergo testicular radiotherapy on days 11-12, 15-19, and 22-26. (DS patients excluded as of 09/29/10.) Patients with intermediate-risk or high-risk disease (CNS1 or CNS2) undergo prophylactic CRT (1,200 cGy/dose) QD on days 15-21 and 22-28. Patients with low-risk disease do not undergo CRT. Patients with standard risk T-LLy received Arm I, and those with high risk T-LLy were randomized between Arm I and Arm II combination chemotherapy.

    Drug: Cyclophosphamide
    Given IV
    Other Names:
  • (-)-Cyclophosphamide
  • 2H-1,3,2-Oxazaphosphorine, 2-[bis(2-chloroethyl)amino]tetrahydro-, 2-oxide, monohydrate
  • Carloxan
  • Ciclofosfamida
  • Ciclofosfamide
  • Cicloxal
  • Clafen
  • Claphene
  • CP monohydrate
  • CTX
  • CYCLO-cell
  • Cycloblastin
  • Cycloblastine
  • Cyclophospham
  • Cyclophosphamid monohydrate
  • Cyclophosphamide Monohydrate
  • Cyclophosphamidum
  • Cyclophosphan
  • Cyclophosphane
  • Cyclophosphanum
  • Cyclostin
  • Cyclostine
  • Cytophosphan
  • Cytophosphane
  • Cytoxan
  • Fosfaseron
  • Genoxal
  • Genuxal
  • Ledoxina
  • Mitoxan
  • Neosar
  • Revimmune
  • Syklofosfamid
  • WR- 138719
  • Drug: Cytarabine
    Given IT, IV, or SC
    Other Names:
  • .beta.-Cytosine arabinoside
  • 1-.beta.-D-Arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-.beta.-D-Arabinofuranosylcytosine
  • 1-Beta-D-arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-Beta-D-arabinofuranosylcytosine
  • 1.beta.-D-Arabinofuranosylcytosine
  • 2(1H)-Pyrimidinone, 4-Amino-1-beta-D-arabinofuranosyl-
  • 2(1H)-Pyrimidinone, 4-amino-1.beta.-D-arabinofuranosyl-
  • Alexan
  • Ara-C
  • ARA-cell
  • Arabine
  • Arabinofuranosylcytosine
  • Arabinosylcytosine
  • Aracytidine
  • Aracytin
  • Aracytine
  • Beta-Cytosine Arabinoside
  • CHX-3311
  • Cytarabinum
  • Cytarbel
  • Cytosar
  • Cytosine Arabinoside
  • Cytosine-.beta.-arabinoside
  • Cytosine-beta-arabinoside
  • Erpalfa
  • Starasid
  • Tarabine PFS
  • U 19920
  • U-19920
  • Udicil
  • WR-28453
  • Drug: Leucovorin Calcium
    Given PO
    Other Names:
  • Adinepar
  • Calcifolin
  • Calcium (6S)-Folinate
  • Calcium Folinate
  • Calcium Leucovorin
  • Calfolex
  • Calinat
  • Cehafolin
  • Citofolin
  • Citrec
  • Citrovorum Factor
  • Cromatonbic Folinico
  • Dalisol
  • Disintox
  • Divical
  • Ecofol
  • Emovis
  • Factor, Citrovorum
  • Flynoken A
  • Folaren
  • Folaxin
  • FOLI-cell
  • Foliben
  • Folidan
  • Folidar
  • Folinac
  • Folinate Calcium
  • folinic acid
  • Folinic Acid Calcium Salt Pentahydrate
  • Folinoral
  • Folinvit
  • Foliplus
  • Folix
  • Imo
  • Lederfolat
  • Lederfolin
  • Leucosar
  • leucovorin
  • Rescufolin
  • Rescuvolin
  • Tonofolin
  • Wellcovorin
  • Drug: Mercaptopurine
    Given PO
    Other Names:
  • 3H-Purine-6-thiol
  • 6 MP
  • 6 Thiohypoxanthine
  • 6 Thiopurine
  • 6-Mercaptopurine
  • 6-Mercaptopurine Monohydrate
  • 6-MP
  • 6-Purinethiol
  • 6-Thiopurine
  • 6-Thioxopurine
  • 6H-Purine-6-thione, 1,7-dihydro- (9CI)
  • 7-Mercapto-1,3,4,6-tetrazaindene
  • Alti-Mercaptopurine
  • Azathiopurine
  • Bw 57-323H
  • Flocofil
  • Ismipur
  • Leukerin
  • Leupurin
  • Mercaleukim
  • Mercaleukin
  • Mercaptina
  • Mercaptopurinum
  • Mercapurin
  • Mern
  • NCI-C04886
  • Puri-Nethol
  • Purimethol
  • Purine, 6-mercapto-
  • Purine-6-thiol (8CI)
  • Purine-6-thiol, monohydrate
  • Purinethiol
  • Purinethol
  • U-4748
  • WR-2785
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Pegaspargase
    Given IM or IV
    Other Names:
  • L-Asparaginase with Polyethylene Glycol
  • Oncaspar
  • Oncaspar-IV
  • PEG-Asparaginase
  • PEG-L-Asparaginase
  • PEG-L-Asparaginase (Enzon - Kyowa Hakko)
  • PEGLA
  • Polyethylene Glycol L-Asparaginase
  • Polyethylene Glycol-L-Asparaginase
  • Radiation: Radiation Therapy
    Some patients undergo testicular and/or prophylactic cranial RT
    Other Names:
  • Cancer Radiotherapy
  • ENERGY_TYPE
  • Irradiate
  • Irradiated
  • Irradiation
  • Radiation
  • Radiation Therapy, NOS
  • Radiotherapeutics
  • Radiotherapy
  • RT
  • Therapy, Radiation
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm I (Delayed intensification chemotherapy

    Patients receive vincristine sulfate IV on days 1, 8, 15, 43, and 50; dexamethasone IV or PO BID on days 1-21 (for patients < 10 years of age) OR on days 1-7 and 15-21 (for patients >= 10 years of age and for patients with DS); doxorubicin hydrochloride IV on days 1, 8, and 15; pegaspargase IM or IV over 1-2 hours on day 4, 5, OR 6, AND day 43; methotrexate IT on days 1, 29, and 36; cyclophosphamide IV over 30 minutes on day 29; cytarabine IV over 15-30 minutes or SC on days 29-32 and 36-39; and thioguanine PO on days 29-42. Patients with DS also receive leucovorin calcium PO at 48 and 60 hours after each methotrexate dose (DS patients excluded as of 09/29/10). Standard risk T-LLy patients were assigned to Arm I and those with high risk were randomized between Arm I and Arm II.

    Drug: Cyclophosphamide
    Given IV
    Other Names:
  • (-)-Cyclophosphamide
  • 2H-1,3,2-Oxazaphosphorine, 2-[bis(2-chloroethyl)amino]tetrahydro-, 2-oxide, monohydrate
  • Carloxan
  • Ciclofosfamida
  • Ciclofosfamide
  • Cicloxal
  • Clafen
  • Claphene
  • CP monohydrate
  • CTX
  • CYCLO-cell
  • Cycloblastin
  • Cycloblastine
  • Cyclophospham
  • Cyclophosphamid monohydrate
  • Cyclophosphamide Monohydrate
  • Cyclophosphamidum
  • Cyclophosphan
  • Cyclophosphane
  • Cyclophosphanum
  • Cyclostin
  • Cyclostine
  • Cytophosphan
  • Cytophosphane
  • Cytoxan
  • Fosfaseron
  • Genoxal
  • Genuxal
  • Ledoxina
  • Mitoxan
  • Neosar
  • Revimmune
  • Syklofosfamid
  • WR- 138719
  • Drug: Cytarabine
    Given IT, IV, or SC
    Other Names:
  • .beta.-Cytosine arabinoside
  • 1-.beta.-D-Arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-.beta.-D-Arabinofuranosylcytosine
  • 1-Beta-D-arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-Beta-D-arabinofuranosylcytosine
  • 1.beta.-D-Arabinofuranosylcytosine
  • 2(1H)-Pyrimidinone, 4-Amino-1-beta-D-arabinofuranosyl-
  • 2(1H)-Pyrimidinone, 4-amino-1.beta.-D-arabinofuranosyl-
  • Alexan
  • Ara-C
  • ARA-cell
  • Arabine
  • Arabinofuranosylcytosine
  • Arabinosylcytosine
  • Aracytidine
  • Aracytin
  • Aracytine
  • Beta-Cytosine Arabinoside
  • CHX-3311
  • Cytarabinum
  • Cytarbel
  • Cytosar
  • Cytosine Arabinoside
  • Cytosine-.beta.-arabinoside
  • Cytosine-beta-arabinoside
  • Erpalfa
  • Starasid
  • Tarabine PFS
  • U 19920
  • U-19920
  • Udicil
  • WR-28453
  • Drug: Dexamethasone
    Given IV or PO
    Other Names:
  • Aacidexam
  • Adexone
  • Aknichthol Dexa
  • Alba-Dex
  • Alin
  • Alin Depot
  • Alin Oftalmico
  • Amplidermis
  • Anemul mono
  • Auricularum
  • Auxiloson
  • Baycadron
  • Baycuten
  • Baycuten N
  • Cortidexason
  • Cortisumman
  • Decacort
  • Decadrol
  • Decadron
  • Decadron DP
  • Decalix
  • Decameth
  • Decasone R.p.
  • Dectancyl
  • Dekacort
  • Deltafluorene
  • Deronil
  • Desamethasone
  • Desameton
  • Dexa-Mamallet
  • Dexa-Rhinosan
  • Dexa-Scheroson
  • Dexa-sine
  • Dexacortal
  • Dexacortin
  • Dexafarma
  • Dexafluorene
  • Dexalocal
  • Dexamecortin
  • Dexameth
  • Dexamethasone Intensol
  • Dexamethasonum
  • Dexamonozon
  • Dexapos
  • Dexinoral
  • Dexone
  • Dinormon
  • Dxevo
  • Fluorodelta
  • Fortecortin
  • Gammacorten
  • Hemady
  • Hexadecadrol
  • Hexadrol
  • Lokalison-F
  • Loverine
  • Methylfluorprednisolone
  • Millicorten
  • Mymethasone
  • Orgadrone
  • Spersadex
  • TaperDex
  • Visumetazone
  • ZoDex
  • Drug: Doxorubicin Hydrochloride
    Given IV
    Other Names:
  • 5,12-Naphthacenedione, 10-[(3-amino-2,3,6-trideoxy-alpha-L-lyxo-hexopyranosyl)oxy]-7,8, 9,10-tetrahydro-6,8,11-trihydroxy-8-(hydroxyacetyl)-1-methoxy-, hydrochloride, (8S-cis)- (9CI)
  • ADM
  • Adriacin
  • Adriamycin
  • Adriamycin Hydrochloride
  • Adriamycin PFS
  • Adriamycin RDF
  • ADRIAMYCIN, HYDROCHLORIDE
  • Adriamycine
  • Adriblastina
  • Adriblastine
  • Adrimedac
  • Chloridrato de Doxorrubicina
  • DOX
  • DOXO-CELL
  • Doxolem
  • Doxorubicin HCl
  • Doxorubicin.HCl
  • Doxorubin
  • Farmiblastina
  • FI 106
  • FI-106
  • hydroxydaunorubicin
  • Rubex
  • Drug: Leucovorin Calcium
    Given PO
    Other Names:
  • Adinepar
  • Calcifolin
  • Calcium (6S)-Folinate
  • Calcium Folinate
  • Calcium Leucovorin
  • Calfolex
  • Calinat
  • Cehafolin
  • Citofolin
  • Citrec
  • Citrovorum Factor
  • Cromatonbic Folinico
  • Dalisol
  • Disintox
  • Divical
  • Ecofol
  • Emovis
  • Factor, Citrovorum
  • Flynoken A
  • Folaren
  • Folaxin
  • FOLI-cell
  • Foliben
  • Folidan
  • Folidar
  • Folinac
  • Folinate Calcium
  • folinic acid
  • Folinic Acid Calcium Salt Pentahydrate
  • Folinoral
  • Folinvit
  • Foliplus
  • Folix
  • Imo
  • Lederfolat
  • Lederfolin
  • Leucosar
  • leucovorin
  • Rescufolin
  • Rescuvolin
  • Tonofolin
  • Wellcovorin
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Pegaspargase
    Given IM or IV
    Other Names:
  • L-Asparaginase with Polyethylene Glycol
  • Oncaspar
  • Oncaspar-IV
  • PEG-Asparaginase
  • PEG-L-Asparaginase
  • PEG-L-Asparaginase (Enzon - Kyowa Hakko)
  • PEGLA
  • Polyethylene Glycol L-Asparaginase
  • Polyethylene Glycol-L-Asparaginase
  • Drug: Thioguanine
    Given PO
    Other Names:
  • 2-Amino 6MP
  • 2-Amino-1,7-dihydro-6H-purine-6-thione
  • 2-Amino-6-mercaptopurine
  • 2-Amino-6-purinethiol
  • 2-Aminopurin-6-thiol
  • 2-Aminopurine-6(1H)-thione
  • 2-Aminopurine-6-thiol
  • 2-Aminopurine-6-thiol Hemihydrate
  • 2-Mercapto-6-aminopurine
  • 6-Amino-2-mercaptopurine
  • 6-Mercapto-2-aminopurine
  • 6-Mercaptoguanine
  • 6-TG
  • 6H-Purine-6-thione, 2-amino-1,7-dihydro- (9CI)
  • BW 5071
  • Lanvis
  • Tabloid
  • Thioguanine Hemihydrate
  • Thioguanine Hydrate
  • Tioguanin
  • Tioguanine
  • Wellcome U3B
  • WR-1141
  • X 27
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm I (Maintenance chemotherapy)

    Patients receive vincristine sulfate IV on days 1, 29, and 57; prednisone PO BID on days 1-5, 29-33, and 57-61; mercaptopurine PO QD on days 1-84; methotrexate PO on days 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, and 78; and methotrexate IT on day 1. Treatment repeats every 84 days until the total duration of study treatment is 2 years from the start of interim maintenance therapy (approximately week 119) (for girls with T-ALL), all patients with T-LLy, and 3 years from the start of interim maintenance therapy (approximately week 171) (for boys with T-ALL).

    Other: Laboratory Biomarker Analysis
    Correlative studies

    Drug: Mercaptopurine
    Given PO
    Other Names:
  • 3H-Purine-6-thiol
  • 6 MP
  • 6 Thiohypoxanthine
  • 6 Thiopurine
  • 6-Mercaptopurine
  • 6-Mercaptopurine Monohydrate
  • 6-MP
  • 6-Purinethiol
  • 6-Thiopurine
  • 6-Thioxopurine
  • 6H-Purine-6-thione, 1,7-dihydro- (9CI)
  • 7-Mercapto-1,3,4,6-tetrazaindene
  • Alti-Mercaptopurine
  • Azathiopurine
  • Bw 57-323H
  • Flocofil
  • Ismipur
  • Leukerin
  • Leupurin
  • Mercaleukim
  • Mercaleukin
  • Mercaptina
  • Mercaptopurinum
  • Mercapurin
  • Mern
  • NCI-C04886
  • Puri-Nethol
  • Purimethol
  • Purine, 6-mercapto-
  • Purine-6-thiol (8CI)
  • Purine-6-thiol, monohydrate
  • Purinethiol
  • Purinethol
  • U-4748
  • WR-2785
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Prednisone
    Given IV or PO
    Other Names:
  • .delta.1-Cortisone
  • 1, 2-Dehydrocortisone
  • Adasone
  • Cortancyl
  • Dacortin
  • DeCortin
  • Decortisyl
  • Decorton
  • Delta 1-Cortisone
  • Delta-Dome
  • Deltacortene
  • Deltacortisone
  • Deltadehydrocortisone
  • Deltasone
  • Deltison
  • Deltra
  • Econosone
  • Lisacort
  • Meprosona-F
  • Metacortandracin
  • Meticorten
  • Ofisolona
  • Orasone
  • Panafcort
  • Panasol-S
  • Paracort
  • Perrigo Prednisone
  • PRED
  • Predicor
  • Predicorten
  • Prednicen-M
  • Prednicort
  • Prednidib
  • Prednilonga
  • Predniment
  • Prednisone Intensol
  • Prednisonum
  • Prednitone
  • Promifen
  • Rayos
  • Servisone
  • SK-Prednisone
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm I (Interim maintenance chemotherapy)

    Patients receive vincristine sulfate IV and escalating doses of methotrexate IV on days 1, 11, 21, 31, and 41; pegaspargase* IM or IV over 1-2 hours on days 2 and 22; and methotrexate IT on days 1 and 31. Patients with DS also receive leucovorin calcium PO 48 and 60 hours after each methotrexate IT dose (DS patients excluded as of 09/29/10). Note: *Patients with an allergy to pegaspargase receive Erwinia asparaginase on days 2, 4, 6, 8, 10, 12, 22, 24, 26, 28, 30, and 32.

    Drug: Leucovorin Calcium
    Given PO
    Other Names:
  • Adinepar
  • Calcifolin
  • Calcium (6S)-Folinate
  • Calcium Folinate
  • Calcium Leucovorin
  • Calfolex
  • Calinat
  • Cehafolin
  • Citofolin
  • Citrec
  • Citrovorum Factor
  • Cromatonbic Folinico
  • Dalisol
  • Disintox
  • Divical
  • Ecofol
  • Emovis
  • Factor, Citrovorum
  • Flynoken A
  • Folaren
  • Folaxin
  • FOLI-cell
  • Foliben
  • Folidan
  • Folidar
  • Folinac
  • Folinate Calcium
  • folinic acid
  • Folinic Acid Calcium Salt Pentahydrate
  • Folinoral
  • Folinvit
  • Foliplus
  • Folix
  • Imo
  • Lederfolat
  • Lederfolin
  • Leucosar
  • leucovorin
  • Rescufolin
  • Rescuvolin
  • Tonofolin
  • Wellcovorin
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Pegaspargase
    Given IM or IV
    Other Names:
  • L-Asparaginase with Polyethylene Glycol
  • Oncaspar
  • Oncaspar-IV
  • PEG-Asparaginase
  • PEG-L-Asparaginase
  • PEG-L-Asparaginase (Enzon - Kyowa Hakko)
  • PEGLA
  • Polyethylene Glycol L-Asparaginase
  • Polyethylene Glycol-L-Asparaginase
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm II (Consolidation chemotherapy)

    Patients receive nelarabine IV over 60 minutes on days 1-5 and 43-47; methotrexate IT on days 15, 22, 57, and 64; cyclophosphamide IV over 30 minutes on days 8 and 50; cytarabine IV over 15-30 minutes or SC on days 8-11, 15-18, 50-53 and 57-60; mercaptopurine PO on days 8-21 and 50-63; vincristine sulfate IV on days 22, 29, 64, and 71; and pegaspargase IM or IV over 1-2 hours on days 22 and 64. Patients with persistent testicular disease or with DS and testicular disease undergo testicular radiotherapy on days 15, 22-26, and 29-33 (DS patients excluded as of 09/29/10). (Patients with intermediate-risk or high-risk disease (CNS1 or CNS2) undergo prophylactic CRT QD on days 22-28 and 29-35. Patients with high risk T-LLy were either randomized to Arm I or Arm II. Patients with T-LLy who failed induction therapy were assigned to Arm II.

    Drug: Cyclophosphamide
    Given IV
    Other Names:
  • (-)-Cyclophosphamide
  • 2H-1,3,2-Oxazaphosphorine, 2-[bis(2-chloroethyl)amino]tetrahydro-, 2-oxide, monohydrate
  • Carloxan
  • Ciclofosfamida
  • Ciclofosfamide
  • Cicloxal
  • Clafen
  • Claphene
  • CP monohydrate
  • CTX
  • CYCLO-cell
  • Cycloblastin
  • Cycloblastine
  • Cyclophospham
  • Cyclophosphamid monohydrate
  • Cyclophosphamide Monohydrate
  • Cyclophosphamidum
  • Cyclophosphan
  • Cyclophosphane
  • Cyclophosphanum
  • Cyclostin
  • Cyclostine
  • Cytophosphan
  • Cytophosphane
  • Cytoxan
  • Fosfaseron
  • Genoxal
  • Genuxal
  • Ledoxina
  • Mitoxan
  • Neosar
  • Revimmune
  • Syklofosfamid
  • WR- 138719
  • Drug: Cytarabine
    Given IT, IV, or SC
    Other Names:
  • .beta.-Cytosine arabinoside
  • 1-.beta.-D-Arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-.beta.-D-Arabinofuranosylcytosine
  • 1-Beta-D-arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-Beta-D-arabinofuranosylcytosine
  • 1.beta.-D-Arabinofuranosylcytosine
  • 2(1H)-Pyrimidinone, 4-Amino-1-beta-D-arabinofuranosyl-
  • 2(1H)-Pyrimidinone, 4-amino-1.beta.-D-arabinofuranosyl-
  • Alexan
  • Ara-C
  • ARA-cell
  • Arabine
  • Arabinofuranosylcytosine
  • Arabinosylcytosine
  • Aracytidine
  • Aracytin
  • Aracytine
  • Beta-Cytosine Arabinoside
  • CHX-3311
  • Cytarabinum
  • Cytarbel
  • Cytosar
  • Cytosine Arabinoside
  • Cytosine-.beta.-arabinoside
  • Cytosine-beta-arabinoside
  • Erpalfa
  • Starasid
  • Tarabine PFS
  • U 19920
  • U-19920
  • Udicil
  • WR-28453
  • Drug: Mercaptopurine
    Given PO
    Other Names:
  • 3H-Purine-6-thiol
  • 6 MP
  • 6 Thiohypoxanthine
  • 6 Thiopurine
  • 6-Mercaptopurine
  • 6-Mercaptopurine Monohydrate
  • 6-MP
  • 6-Purinethiol
  • 6-Thiopurine
  • 6-Thioxopurine
  • 6H-Purine-6-thione, 1,7-dihydro- (9CI)
  • 7-Mercapto-1,3,4,6-tetrazaindene
  • Alti-Mercaptopurine
  • Azathiopurine
  • Bw 57-323H
  • Flocofil
  • Ismipur
  • Leukerin
  • Leupurin
  • Mercaleukim
  • Mercaleukin
  • Mercaptina
  • Mercaptopurinum
  • Mercapurin
  • Mern
  • NCI-C04886
  • Puri-Nethol
  • Purimethol
  • Purine, 6-mercapto-
  • Purine-6-thiol (8CI)
  • Purine-6-thiol, monohydrate
  • Purinethiol
  • Purinethol
  • U-4748
  • WR-2785
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Nelarabine
    Given IV
    Other Names:
  • 2-Amino-6-methoxypurine arabinoside
  • 506U78
  • Arranon
  • Compound 506U78
  • GW506U78
  • Drug: Pegaspargase
    Given IM or IV
    Other Names:
  • L-Asparaginase with Polyethylene Glycol
  • Oncaspar
  • Oncaspar-IV
  • PEG-Asparaginase
  • PEG-L-Asparaginase
  • PEG-L-Asparaginase (Enzon - Kyowa Hakko)
  • PEGLA
  • Polyethylene Glycol L-Asparaginase
  • Polyethylene Glycol-L-Asparaginase
  • Radiation: Radiation Therapy
    Some patients undergo testicular and/or prophylactic cranial RT
    Other Names:
  • Cancer Radiotherapy
  • ENERGY_TYPE
  • Irradiate
  • Irradiated
  • Irradiation
  • Radiation
  • Radiation Therapy, NOS
  • Radiotherapeutics
  • Radiotherapy
  • RT
  • Therapy, Radiation
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm II (Delayed intensification chemotherapy)

    Patients receive vincristine sulfate IV on days 1, 8, 15, and 50; dexamethasone IV or PO BID on days 1-21 (for patients < 10 years of age) OR on days 1-7 and 15-21 (for patients >= 10 years of age); doxorubicin hydrochloride IV on days 1, 8, and 15; pegaspargase IM or IV over 1-2 hours on day 4, 5, OR 6 AND day 50; methotrexate IT on days 1, 36, and 43; nelarabine IV over 60 minutes on days 29-33; cyclophosphamide IV over 30 minutes on day 36; cytarabine IV over 15-30 minutes or SC on days 36-39 and 43-46; and thioguanine PO on days 36-49.

    Drug: Cyclophosphamide
    Given IV
    Other Names:
  • (-)-Cyclophosphamide
  • 2H-1,3,2-Oxazaphosphorine, 2-[bis(2-chloroethyl)amino]tetrahydro-, 2-oxide, monohydrate
  • Carloxan
  • Ciclofosfamida
  • Ciclofosfamide
  • Cicloxal
  • Clafen
  • Claphene
  • CP monohydrate
  • CTX
  • CYCLO-cell
  • Cycloblastin
  • Cycloblastine
  • Cyclophospham
  • Cyclophosphamid monohydrate
  • Cyclophosphamide Monohydrate
  • Cyclophosphamidum
  • Cyclophosphan
  • Cyclophosphane
  • Cyclophosphanum
  • Cyclostin
  • Cyclostine
  • Cytophosphan
  • Cytophosphane
  • Cytoxan
  • Fosfaseron
  • Genoxal
  • Genuxal
  • Ledoxina
  • Mitoxan
  • Neosar
  • Revimmune
  • Syklofosfamid
  • WR- 138719
  • Drug: Cytarabine
    Given IT, IV, or SC
    Other Names:
  • .beta.-Cytosine arabinoside
  • 1-.beta.-D-Arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-.beta.-D-Arabinofuranosylcytosine
  • 1-Beta-D-arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-Beta-D-arabinofuranosylcytosine
  • 1.beta.-D-Arabinofuranosylcytosine
  • 2(1H)-Pyrimidinone, 4-Amino-1-beta-D-arabinofuranosyl-
  • 2(1H)-Pyrimidinone, 4-amino-1.beta.-D-arabinofuranosyl-
  • Alexan
  • Ara-C
  • ARA-cell
  • Arabine
  • Arabinofuranosylcytosine
  • Arabinosylcytosine
  • Aracytidine
  • Aracytin
  • Aracytine
  • Beta-Cytosine Arabinoside
  • CHX-3311
  • Cytarabinum
  • Cytarbel
  • Cytosar
  • Cytosine Arabinoside
  • Cytosine-.beta.-arabinoside
  • Cytosine-beta-arabinoside
  • Erpalfa
  • Starasid
  • Tarabine PFS
  • U 19920
  • U-19920
  • Udicil
  • WR-28453
  • Drug: Dexamethasone
    Given IV or PO
    Other Names:
  • Aacidexam
  • Adexone
  • Aknichthol Dexa
  • Alba-Dex
  • Alin
  • Alin Depot
  • Alin Oftalmico
  • Amplidermis
  • Anemul mono
  • Auricularum
  • Auxiloson
  • Baycadron
  • Baycuten
  • Baycuten N
  • Cortidexason
  • Cortisumman
  • Decacort
  • Decadrol
  • Decadron
  • Decadron DP
  • Decalix
  • Decameth
  • Decasone R.p.
  • Dectancyl
  • Dekacort
  • Deltafluorene
  • Deronil
  • Desamethasone
  • Desameton
  • Dexa-Mamallet
  • Dexa-Rhinosan
  • Dexa-Scheroson
  • Dexa-sine
  • Dexacortal
  • Dexacortin
  • Dexafarma
  • Dexafluorene
  • Dexalocal
  • Dexamecortin
  • Dexameth
  • Dexamethasone Intensol
  • Dexamethasonum
  • Dexamonozon
  • Dexapos
  • Dexinoral
  • Dexone
  • Dinormon
  • Dxevo
  • Fluorodelta
  • Fortecortin
  • Gammacorten
  • Hemady
  • Hexadecadrol
  • Hexadrol
  • Lokalison-F
  • Loverine
  • Methylfluorprednisolone
  • Millicorten
  • Mymethasone
  • Orgadrone
  • Spersadex
  • TaperDex
  • Visumetazone
  • ZoDex
  • Drug: Doxorubicin Hydrochloride
    Given IV
    Other Names:
  • 5,12-Naphthacenedione, 10-[(3-amino-2,3,6-trideoxy-alpha-L-lyxo-hexopyranosyl)oxy]-7,8, 9,10-tetrahydro-6,8,11-trihydroxy-8-(hydroxyacetyl)-1-methoxy-, hydrochloride, (8S-cis)- (9CI)
  • ADM
  • Adriacin
  • Adriamycin
  • Adriamycin Hydrochloride
  • Adriamycin PFS
  • Adriamycin RDF
  • ADRIAMYCIN, HYDROCHLORIDE
  • Adriamycine
  • Adriblastina
  • Adriblastine
  • Adrimedac
  • Chloridrato de Doxorrubicina
  • DOX
  • DOXO-CELL
  • Doxolem
  • Doxorubicin HCl
  • Doxorubicin.HCl
  • Doxorubin
  • Farmiblastina
  • FI 106
  • FI-106
  • hydroxydaunorubicin
  • Rubex
  • Drug: Nelarabine
    Given IV
    Other Names:
  • 2-Amino-6-methoxypurine arabinoside
  • 506U78
  • Arranon
  • Compound 506U78
  • GW506U78
  • Drug: Pegaspargase
    Given IM or IV
    Other Names:
  • L-Asparaginase with Polyethylene Glycol
  • Oncaspar
  • Oncaspar-IV
  • PEG-Asparaginase
  • PEG-L-Asparaginase
  • PEG-L-Asparaginase (Enzon - Kyowa Hakko)
  • PEGLA
  • Polyethylene Glycol L-Asparaginase
  • Polyethylene Glycol-L-Asparaginase
  • Drug: Thioguanine
    Given PO
    Other Names:
  • 2-Amino 6MP
  • 2-Amino-1,7-dihydro-6H-purine-6-thione
  • 2-Amino-6-mercaptopurine
  • 2-Amino-6-purinethiol
  • 2-Aminopurin-6-thiol
  • 2-Aminopurine-6(1H)-thione
  • 2-Aminopurine-6-thiol
  • 2-Aminopurine-6-thiol Hemihydrate
  • 2-Mercapto-6-aminopurine
  • 6-Amino-2-mercaptopurine
  • 6-Mercapto-2-aminopurine
  • 6-Mercaptoguanine
  • 6-TG
  • 6H-Purine-6-thione, 2-amino-1,7-dihydro- (9CI)
  • BW 5071
  • Lanvis
  • Tabloid
  • Thioguanine Hemihydrate
  • Thioguanine Hydrate
  • Tioguanin
  • Tioguanine
  • Wellcome U3B
  • WR-1141
  • X 27
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm II (Interim maintenance chemotherapy)

    Patients receive vincristine sulfate IV and escalating doses of methotrexate IV on days 1, 11, 21, 31, and 41; pegaspargase* IM or IV over 1-2 hours on days 2 and 22; and methotrexate IT on days 1 and 31. Note: *Patients with an allergy to pegaspargase receive Erwinia asparaginase on Monday, Wednesday and Friday for two consecutive weeks starting the day of asparaginase substitution.

    Drug: Asparaginase
    Given IM or IV
    Other Names:
  • ASP-1
  • Asparaginase II
  • Asparaginase-E.Coli
  • Colaspase
  • Elspar
  • Kidrolase
  • L-Asnase
  • L-ASP
  • L-Asparaginase
  • L-Asparagine Amidohydrolase
  • Laspar
  • Lcf-ASP
  • Leucogen
  • Leunase
  • MK-965
  • Paronal
  • Re-82-TAD-15
  • Serasa
  • Spectrila
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Pegaspargase
    Given IM or IV
    Other Names:
  • L-Asparaginase with Polyethylene Glycol
  • Oncaspar
  • Oncaspar-IV
  • PEG-Asparaginase
  • PEG-L-Asparaginase
  • PEG-L-Asparaginase (Enzon - Kyowa Hakko)
  • PEGLA
  • Polyethylene Glycol L-Asparaginase
  • Polyethylene Glycol-L-Asparaginase
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm II (Maintenance chemotherapy)

    Patients receive vincristine sulfate, prednisone, mercaptopurine, methotrexate PO, methotrexate IT, and nelarabine in Cycles 1, 2 and 3. Patients then receive treatment (without nelarabine) as follows: vincristine sulfate, prednisone, mercaptopurine, methotrexate PO, and methotrexate IT as in arm II. Treatment (without nelarabine) repeats every 84 days until the total duration of study treatment is 2 years from the start of interim maintenance therapy (approximately week 121) (for girls with T-ALL), and for those with T-LLY, and 3 years from the start of interim maintenance therapy (approximately week 173) (for boys with T-ALL).

    Drug: Mercaptopurine
    Given PO
    Other Names:
  • 3H-Purine-6-thiol
  • 6 MP
  • 6 Thiohypoxanthine
  • 6 Thiopurine
  • 6-Mercaptopurine
  • 6-Mercaptopurine Monohydrate
  • 6-MP
  • 6-Purinethiol
  • 6-Thiopurine
  • 6-Thioxopurine
  • 6H-Purine-6-thione, 1,7-dihydro- (9CI)
  • 7-Mercapto-1,3,4,6-tetrazaindene
  • Alti-Mercaptopurine
  • Azathiopurine
  • Bw 57-323H
  • Flocofil
  • Ismipur
  • Leukerin
  • Leupurin
  • Mercaleukim
  • Mercaleukin
  • Mercaptina
  • Mercaptopurinum
  • Mercapurin
  • Mern
  • NCI-C04886
  • Puri-Nethol
  • Purimethol
  • Purine, 6-mercapto-
  • Purine-6-thiol (8CI)
  • Purine-6-thiol, monohydrate
  • Purinethiol
  • Purinethol
  • U-4748
  • WR-2785
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Nelarabine
    Given IV
    Other Names:
  • 2-Amino-6-methoxypurine arabinoside
  • 506U78
  • Arranon
  • Compound 506U78
  • GW506U78
  • Drug: Prednisone
    Given IV or PO
    Other Names:
  • .delta.1-Cortisone
  • 1, 2-Dehydrocortisone
  • Adasone
  • Cortancyl
  • Dacortin
  • DeCortin
  • Decortisyl
  • Decorton
  • Delta 1-Cortisone
  • Delta-Dome
  • Deltacortene
  • Deltacortisone
  • Deltadehydrocortisone
  • Deltasone
  • Deltison
  • Deltra
  • Econosone
  • Lisacort
  • Meprosona-F
  • Metacortandracin
  • Meticorten
  • Ofisolona
  • Orasone
  • Panafcort
  • Panasol-S
  • Paracort
  • Perrigo Prednisone
  • PRED
  • Predicor
  • Predicorten
  • Prednicen-M
  • Prednicort
  • Prednidib
  • Prednilonga
  • Predniment
  • Prednisone Intensol
  • Prednisonum
  • Prednitone
  • Promifen
  • Rayos
  • Servisone
  • SK-Prednisone
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm III (Consolidation chemotherapy)

    Patients receive methotrexate IT on days 1, 8, 15, and 22; cyclophosphamide IV over 30 minutes on days 1 and 29; cytarabine IV over 15-30 minutes or SC on days 1-4, 8-11, 29-32, and 36-39; mercaptopurine PO on days 1-14 and 29-42; vincristine sulfate IV on days 15, 22, 43 and 50; and pegaspargase IM or IV over 1-2 hours on days 15 and 43. Patients with DS also receive leucovorin calcium PO at 48 and 60 hours after each methotrexate dose. Patients with persistent testicular disease or with DS and testicular disease undergo testicular radiotherapy on days 11-12, 15-19, and 22-26. (DS patients excluded as of 09/29/10.) Patients with intermediate-risk or high-risk disease (CNS1 or CNS2) undergo prophylactic CRT (1,200 cGy/dose) QD on days 15-21 and 22-28. Patients with low-risk disease do not undergo CRT.

    Drug: Cyclophosphamide
    Given IV
    Other Names:
  • (-)-Cyclophosphamide
  • 2H-1,3,2-Oxazaphosphorine, 2-[bis(2-chloroethyl)amino]tetrahydro-, 2-oxide, monohydrate
  • Carloxan
  • Ciclofosfamida
  • Ciclofosfamide
  • Cicloxal
  • Clafen
  • Claphene
  • CP monohydrate
  • CTX
  • CYCLO-cell
  • Cycloblastin
  • Cycloblastine
  • Cyclophospham
  • Cyclophosphamid monohydrate
  • Cyclophosphamide Monohydrate
  • Cyclophosphamidum
  • Cyclophosphan
  • Cyclophosphane
  • Cyclophosphanum
  • Cyclostin
  • Cyclostine
  • Cytophosphan
  • Cytophosphane
  • Cytoxan
  • Fosfaseron
  • Genoxal
  • Genuxal
  • Ledoxina
  • Mitoxan
  • Neosar
  • Revimmune
  • Syklofosfamid
  • WR- 138719
  • Drug: Cytarabine
    Given IT, IV, or SC
    Other Names:
  • .beta.-Cytosine arabinoside
  • 1-.beta.-D-Arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-.beta.-D-Arabinofuranosylcytosine
  • 1-Beta-D-arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-Beta-D-arabinofuranosylcytosine
  • 1.beta.-D-Arabinofuranosylcytosine
  • 2(1H)-Pyrimidinone, 4-Amino-1-beta-D-arabinofuranosyl-
  • 2(1H)-Pyrimidinone, 4-amino-1.beta.-D-arabinofuranosyl-
  • Alexan
  • Ara-C
  • ARA-cell
  • Arabine
  • Arabinofuranosylcytosine
  • Arabinosylcytosine
  • Aracytidine
  • Aracytin
  • Aracytine
  • Beta-Cytosine Arabinoside
  • CHX-3311
  • Cytarabinum
  • Cytarbel
  • Cytosar
  • Cytosine Arabinoside
  • Cytosine-.beta.-arabinoside
  • Cytosine-beta-arabinoside
  • Erpalfa
  • Starasid
  • Tarabine PFS
  • U 19920
  • U-19920
  • Udicil
  • WR-28453
  • Drug: Leucovorin Calcium
    Given PO
    Other Names:
  • Adinepar
  • Calcifolin
  • Calcium (6S)-Folinate
  • Calcium Folinate
  • Calcium Leucovorin
  • Calfolex
  • Calinat
  • Cehafolin
  • Citofolin
  • Citrec
  • Citrovorum Factor
  • Cromatonbic Folinico
  • Dalisol
  • Disintox
  • Divical
  • Ecofol
  • Emovis
  • Factor, Citrovorum
  • Flynoken A
  • Folaren
  • Folaxin
  • FOLI-cell
  • Foliben
  • Folidan
  • Folidar
  • Folinac
  • Folinate Calcium
  • folinic acid
  • Folinic Acid Calcium Salt Pentahydrate
  • Folinoral
  • Folinvit
  • Foliplus
  • Folix
  • Imo
  • Lederfolat
  • Lederfolin
  • Leucosar
  • leucovorin
  • Rescufolin
  • Rescuvolin
  • Tonofolin
  • Wellcovorin
  • Drug: Mercaptopurine
    Given PO
    Other Names:
  • 3H-Purine-6-thiol
  • 6 MP
  • 6 Thiohypoxanthine
  • 6 Thiopurine
  • 6-Mercaptopurine
  • 6-Mercaptopurine Monohydrate
  • 6-MP
  • 6-Purinethiol
  • 6-Thiopurine
  • 6-Thioxopurine
  • 6H-Purine-6-thione, 1,7-dihydro- (9CI)
  • 7-Mercapto-1,3,4,6-tetrazaindene
  • Alti-Mercaptopurine
  • Azathiopurine
  • Bw 57-323H
  • Flocofil
  • Ismipur
  • Leukerin
  • Leupurin
  • Mercaleukim
  • Mercaleukin
  • Mercaptina
  • Mercaptopurinum
  • Mercapurin
  • Mern
  • NCI-C04886
  • Puri-Nethol
  • Purimethol
  • Purine, 6-mercapto-
  • Purine-6-thiol (8CI)
  • Purine-6-thiol, monohydrate
  • Purinethiol
  • Purinethol
  • U-4748
  • WR-2785
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Pegaspargase
    Given IM or IV
    Other Names:
  • L-Asparaginase with Polyethylene Glycol
  • Oncaspar
  • Oncaspar-IV
  • PEG-Asparaginase
  • PEG-L-Asparaginase
  • PEG-L-Asparaginase (Enzon - Kyowa Hakko)
  • PEGLA
  • Polyethylene Glycol L-Asparaginase
  • Polyethylene Glycol-L-Asparaginase
  • Radiation: Radiation Therapy
    Some patients undergo testicular and/or prophylactic cranial RT
    Other Names:
  • Cancer Radiotherapy
  • ENERGY_TYPE
  • Irradiate
  • Irradiated
  • Irradiation
  • Radiation
  • Radiation Therapy, NOS
  • Radiotherapeutics
  • Radiotherapy
  • RT
  • Therapy, Radiation
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm III (Delayed intensification chemotherapy)

    Patients receive vincristine sulfate IV on days 1, 8, 15, 43, and 50; dexamethasone IV or PO BID on days 1-21 (for patients < 10 years of age) OR on days 1-7 and 15-21 (for patients >= 10 years of age and for patients with DS); doxorubicin hydrochloride IV on days 1, 8, and 15; pegaspargase IM or IV over 1-2 hours on day 4, 5, OR 6, AND day 43; methotrexate IT on days 1, 29, and 36; cyclophosphamide IV over 30 minutes on day 29; cytarabine IV over 15-30 minutes or SC on days 29-32 and 36-39; and thioguanine PO on days 29-42. Patients with DS also receive leucovorin calcium PO at 48 and 60 hours after each methotrexate dose (DS patients excluded as of 09/29/10).

    Drug: Cyclophosphamide
    Given IV
    Other Names:
  • (-)-Cyclophosphamide
  • 2H-1,3,2-Oxazaphosphorine, 2-[bis(2-chloroethyl)amino]tetrahydro-, 2-oxide, monohydrate
  • Carloxan
  • Ciclofosfamida
  • Ciclofosfamide
  • Cicloxal
  • Clafen
  • Claphene
  • CP monohydrate
  • CTX
  • CYCLO-cell
  • Cycloblastin
  • Cycloblastine
  • Cyclophospham
  • Cyclophosphamid monohydrate
  • Cyclophosphamide Monohydrate
  • Cyclophosphamidum
  • Cyclophosphan
  • Cyclophosphane
  • Cyclophosphanum
  • Cyclostin
  • Cyclostine
  • Cytophosphan
  • Cytophosphane
  • Cytoxan
  • Fosfaseron
  • Genoxal
  • Genuxal
  • Ledoxina
  • Mitoxan
  • Neosar
  • Revimmune
  • Syklofosfamid
  • WR- 138719
  • Drug: Cytarabine
    Given IT, IV, or SC
    Other Names:
  • .beta.-Cytosine arabinoside
  • 1-.beta.-D-Arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-.beta.-D-Arabinofuranosylcytosine
  • 1-Beta-D-arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-Beta-D-arabinofuranosylcytosine
  • 1.beta.-D-Arabinofuranosylcytosine
  • 2(1H)-Pyrimidinone, 4-Amino-1-beta-D-arabinofuranosyl-
  • 2(1H)-Pyrimidinone, 4-amino-1.beta.-D-arabinofuranosyl-
  • Alexan
  • Ara-C
  • ARA-cell
  • Arabine
  • Arabinofuranosylcytosine
  • Arabinosylcytosine
  • Aracytidine
  • Aracytin
  • Aracytine
  • Beta-Cytosine Arabinoside
  • CHX-3311
  • Cytarabinum
  • Cytarbel
  • Cytosar
  • Cytosine Arabinoside
  • Cytosine-.beta.-arabinoside
  • Cytosine-beta-arabinoside
  • Erpalfa
  • Starasid
  • Tarabine PFS
  • U 19920
  • U-19920
  • Udicil
  • WR-28453
  • Drug: Dexamethasone
    Given IV or PO
    Other Names:
  • Aacidexam
  • Adexone
  • Aknichthol Dexa
  • Alba-Dex
  • Alin
  • Alin Depot
  • Alin Oftalmico
  • Amplidermis
  • Anemul mono
  • Auricularum
  • Auxiloson
  • Baycadron
  • Baycuten
  • Baycuten N
  • Cortidexason
  • Cortisumman
  • Decacort
  • Decadrol
  • Decadron
  • Decadron DP
  • Decalix
  • Decameth
  • Decasone R.p.
  • Dectancyl
  • Dekacort
  • Deltafluorene
  • Deronil
  • Desamethasone
  • Desameton
  • Dexa-Mamallet
  • Dexa-Rhinosan
  • Dexa-Scheroson
  • Dexa-sine
  • Dexacortal
  • Dexacortin
  • Dexafarma
  • Dexafluorene
  • Dexalocal
  • Dexamecortin
  • Dexameth
  • Dexamethasone Intensol
  • Dexamethasonum
  • Dexamonozon
  • Dexapos
  • Dexinoral
  • Dexone
  • Dinormon
  • Dxevo
  • Fluorodelta
  • Fortecortin
  • Gammacorten
  • Hemady
  • Hexadecadrol
  • Hexadrol
  • Lokalison-F
  • Loverine
  • Methylfluorprednisolone
  • Millicorten
  • Mymethasone
  • Orgadrone
  • Spersadex
  • TaperDex
  • Visumetazone
  • ZoDex
  • Drug: Doxorubicin Hydrochloride
    Given IV
    Other Names:
  • 5,12-Naphthacenedione, 10-[(3-amino-2,3,6-trideoxy-alpha-L-lyxo-hexopyranosyl)oxy]-7,8, 9,10-tetrahydro-6,8,11-trihydroxy-8-(hydroxyacetyl)-1-methoxy-, hydrochloride, (8S-cis)- (9CI)
  • ADM
  • Adriacin
  • Adriamycin
  • Adriamycin Hydrochloride
  • Adriamycin PFS
  • Adriamycin RDF
  • ADRIAMYCIN, HYDROCHLORIDE
  • Adriamycine
  • Adriblastina
  • Adriblastine
  • Adrimedac
  • Chloridrato de Doxorrubicina
  • DOX
  • DOXO-CELL
  • Doxolem
  • Doxorubicin HCl
  • Doxorubicin.HCl
  • Doxorubin
  • Farmiblastina
  • FI 106
  • FI-106
  • hydroxydaunorubicin
  • Rubex
  • Drug: Leucovorin Calcium
    Given PO
    Other Names:
  • Adinepar
  • Calcifolin
  • Calcium (6S)-Folinate
  • Calcium Folinate
  • Calcium Leucovorin
  • Calfolex
  • Calinat
  • Cehafolin
  • Citofolin
  • Citrec
  • Citrovorum Factor
  • Cromatonbic Folinico
  • Dalisol
  • Disintox
  • Divical
  • Ecofol
  • Emovis
  • Factor, Citrovorum
  • Flynoken A
  • Folaren
  • Folaxin
  • FOLI-cell
  • Foliben
  • Folidan
  • Folidar
  • Folinac
  • Folinate Calcium
  • folinic acid
  • Folinic Acid Calcium Salt Pentahydrate
  • Folinoral
  • Folinvit
  • Foliplus
  • Folix
  • Imo
  • Lederfolat
  • Lederfolin
  • Leucosar
  • leucovorin
  • Rescufolin
  • Rescuvolin
  • Tonofolin
  • Wellcovorin
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Pegaspargase
    Given IM or IV
    Other Names:
  • L-Asparaginase with Polyethylene Glycol
  • Oncaspar
  • Oncaspar-IV
  • PEG-Asparaginase
  • PEG-L-Asparaginase
  • PEG-L-Asparaginase (Enzon - Kyowa Hakko)
  • PEGLA
  • Polyethylene Glycol L-Asparaginase
  • Polyethylene Glycol-L-Asparaginase
  • Drug: Thioguanine
    Given PO
    Other Names:
  • 2-Amino 6MP
  • 2-Amino-1,7-dihydro-6H-purine-6-thione
  • 2-Amino-6-mercaptopurine
  • 2-Amino-6-purinethiol
  • 2-Aminopurin-6-thiol
  • 2-Aminopurine-6(1H)-thione
  • 2-Aminopurine-6-thiol
  • 2-Aminopurine-6-thiol Hemihydrate
  • 2-Mercapto-6-aminopurine
  • 6-Amino-2-mercaptopurine
  • 6-Mercapto-2-aminopurine
  • 6-Mercaptoguanine
  • 6-TG
  • 6H-Purine-6-thione, 2-amino-1,7-dihydro- (9CI)
  • BW 5071
  • Lanvis
  • Tabloid
  • Thioguanine Hemihydrate
  • Thioguanine Hydrate
  • Tioguanin
  • Tioguanine
  • Wellcome U3B
  • WR-1141
  • X 27
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm III (Interim maintenance chemotherapy)

    Patients receive HDMTX IV over 24 hours and vincristine sulfate IV on days 1, 15, 29, and 43; mercaptopurine PO on days 1-56; and methotrexate IT on days 1 and 29. Beginning 42 hours after the start of HDMTX, patients also receive leucovorin calcium IV or PO once every 6 hours for 3 doses.

    Other: Laboratory Biomarker Analysis
    Correlative studies

    Drug: Leucovorin Calcium
    Given PO
    Other Names:
  • Adinepar
  • Calcifolin
  • Calcium (6S)-Folinate
  • Calcium Folinate
  • Calcium Leucovorin
  • Calfolex
  • Calinat
  • Cehafolin
  • Citofolin
  • Citrec
  • Citrovorum Factor
  • Cromatonbic Folinico
  • Dalisol
  • Disintox
  • Divical
  • Ecofol
  • Emovis
  • Factor, Citrovorum
  • Flynoken A
  • Folaren
  • Folaxin
  • FOLI-cell
  • Foliben
  • Folidan
  • Folidar
  • Folinac
  • Folinate Calcium
  • folinic acid
  • Folinic Acid Calcium Salt Pentahydrate
  • Folinoral
  • Folinvit
  • Foliplus
  • Folix
  • Imo
  • Lederfolat
  • Lederfolin
  • Leucosar
  • leucovorin
  • Rescufolin
  • Rescuvolin
  • Tonofolin
  • Wellcovorin
  • Drug: Mercaptopurine
    Given PO
    Other Names:
  • 3H-Purine-6-thiol
  • 6 MP
  • 6 Thiohypoxanthine
  • 6 Thiopurine
  • 6-Mercaptopurine
  • 6-Mercaptopurine Monohydrate
  • 6-MP
  • 6-Purinethiol
  • 6-Thiopurine
  • 6-Thioxopurine
  • 6H-Purine-6-thione, 1,7-dihydro- (9CI)
  • 7-Mercapto-1,3,4,6-tetrazaindene
  • Alti-Mercaptopurine
  • Azathiopurine
  • Bw 57-323H
  • Flocofil
  • Ismipur
  • Leukerin
  • Leupurin
  • Mercaleukim
  • Mercaleukin
  • Mercaptina
  • Mercaptopurinum
  • Mercapurin
  • Mern
  • NCI-C04886
  • Puri-Nethol
  • Purimethol
  • Purine, 6-mercapto-
  • Purine-6-thiol (8CI)
  • Purine-6-thiol, monohydrate
  • Purinethiol
  • Purinethol
  • U-4748
  • WR-2785
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm III (Maintenance chemotherapy)

    Patients receive vincristine sulfate IV on days 1, 29, and 57; prednisone PO BID on days 1-5, 29-33, and 57-61; mercaptopurine PO QD on days 1-84; methotrexate PO on days 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, and 78; and methotrexate IT on day 1. Treatment repeats every 84 days until the total duration of study treatment is 2 years from the start of interim maintenance therapy (approximately week 119) (for girls with T-ALL) and all patients with T-LLy, and 3 years from the start of interim maintenance therapy (approximately week 171) (for boys with T-ALL).

    Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Prednisone
    Given IV or PO
    Other Names:
  • .delta.1-Cortisone
  • 1, 2-Dehydrocortisone
  • Adasone
  • Cortancyl
  • Dacortin
  • DeCortin
  • Decortisyl
  • Decorton
  • Delta 1-Cortisone
  • Delta-Dome
  • Deltacortene
  • Deltacortisone
  • Deltadehydrocortisone
  • Deltasone
  • Deltison
  • Deltra
  • Econosone
  • Lisacort
  • Meprosona-F
  • Metacortandracin
  • Meticorten
  • Ofisolona
  • Orasone
  • Panafcort
  • Panasol-S
  • Paracort
  • Perrigo Prednisone
  • PRED
  • Predicor
  • Predicorten
  • Prednicen-M
  • Prednicort
  • Prednidib
  • Prednilonga
  • Predniment
  • Prednisone Intensol
  • Prednisonum
  • Prednitone
  • Promifen
  • Rayos
  • Servisone
  • SK-Prednisone
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm IV (Delayed intensification chemotherapy)

    Patients receive vincristine sulfate IV on days 1, 8, 15, and 50; dexamethasone IV or PO BID on days 1-21 (for patients < 10 years of age) OR on days 1-7 and 15-21 (for patients >= 10 years of age); doxorubicin IV on days 1, 8, and 15; pegaspargase IM or IV over 1-2 hours on day 4, 5, OR 6 AND day 50; methotrexate IT on days 1, 36, and 43; nelarabine IV over 60 minutes on days 29-33; cyclophosphamide IV over 30 minutes on day 36; cytarabine IV over 15-30 minutes or SC on days 36-39 and 43-46; and thioguanine PO on days 36-49.

    Drug: Cyclophosphamide
    Given IV
    Other Names:
  • (-)-Cyclophosphamide
  • 2H-1,3,2-Oxazaphosphorine, 2-[bis(2-chloroethyl)amino]tetrahydro-, 2-oxide, monohydrate
  • Carloxan
  • Ciclofosfamida
  • Ciclofosfamide
  • Cicloxal
  • Clafen
  • Claphene
  • CP monohydrate
  • CTX
  • CYCLO-cell
  • Cycloblastin
  • Cycloblastine
  • Cyclophospham
  • Cyclophosphamid monohydrate
  • Cyclophosphamide Monohydrate
  • Cyclophosphamidum
  • Cyclophosphan
  • Cyclophosphane
  • Cyclophosphanum
  • Cyclostin
  • Cyclostine
  • Cytophosphan
  • Cytophosphane
  • Cytoxan
  • Fosfaseron
  • Genoxal
  • Genuxal
  • Ledoxina
  • Mitoxan
  • Neosar
  • Revimmune
  • Syklofosfamid
  • WR- 138719
  • Drug: Cytarabine
    Given IT, IV, or SC
    Other Names:
  • .beta.-Cytosine arabinoside
  • 1-.beta.-D-Arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-.beta.-D-Arabinofuranosylcytosine
  • 1-Beta-D-arabinofuranosyl-4-amino-2(1H)pyrimidinone
  • 1-Beta-D-arabinofuranosylcytosine
  • 1.beta.-D-Arabinofuranosylcytosine
  • 2(1H)-Pyrimidinone, 4-Amino-1-beta-D-arabinofuranosyl-
  • 2(1H)-Pyrimidinone, 4-amino-1.beta.-D-arabinofuranosyl-
  • Alexan
  • Ara-C
  • ARA-cell
  • Arabine
  • Arabinofuranosylcytosine
  • Arabinosylcytosine
  • Aracytidine
  • Aracytin
  • Aracytine
  • Beta-Cytosine Arabinoside
  • CHX-3311
  • Cytarabinum
  • Cytarbel
  • Cytosar
  • Cytosine Arabinoside
  • Cytosine-.beta.-arabinoside
  • Cytosine-beta-arabinoside
  • Erpalfa
  • Starasid
  • Tarabine PFS
  • U 19920
  • U-19920
  • Udicil
  • WR-28453
  • Drug: Dexamethasone
    Given IV or PO
    Other Names:
  • Aacidexam
  • Adexone
  • Aknichthol Dexa
  • Alba-Dex
  • Alin
  • Alin Depot
  • Alin Oftalmico
  • Amplidermis
  • Anemul mono
  • Auricularum
  • Auxiloson
  • Baycadron
  • Baycuten
  • Baycuten N
  • Cortidexason
  • Cortisumman
  • Decacort
  • Decadrol
  • Decadron
  • Decadron DP
  • Decalix
  • Decameth
  • Decasone R.p.
  • Dectancyl
  • Dekacort
  • Deltafluorene
  • Deronil
  • Desamethasone
  • Desameton
  • Dexa-Mamallet
  • Dexa-Rhinosan
  • Dexa-Scheroson
  • Dexa-sine
  • Dexacortal
  • Dexacortin
  • Dexafarma
  • Dexafluorene
  • Dexalocal
  • Dexamecortin
  • Dexameth
  • Dexamethasone Intensol
  • Dexamethasonum
  • Dexamonozon
  • Dexapos
  • Dexinoral
  • Dexone
  • Dinormon
  • Dxevo
  • Fluorodelta
  • Fortecortin
  • Gammacorten
  • Hemady
  • Hexadecadrol
  • Hexadrol
  • Lokalison-F
  • Loverine
  • Methylfluorprednisolone
  • Millicorten
  • Mymethasone
  • Orgadrone
  • Spersadex
  • TaperDex
  • Visumetazone
  • ZoDex
  • Drug: Doxorubicin Hydrochloride
    Given IV
    Other Names:
  • 5,12-Naphthacenedione, 10-[(3-amino-2,3,6-trideoxy-alpha-L-lyxo-hexopyranosyl)oxy]-7,8, 9,10-tetrahydro-6,8,11-trihydroxy-8-(hydroxyacetyl)-1-methoxy-, hydrochloride, (8S-cis)- (9CI)
  • ADM
  • Adriacin
  • Adriamycin
  • Adriamycin Hydrochloride
  • Adriamycin PFS
  • Adriamycin RDF
  • ADRIAMYCIN, HYDROCHLORIDE
  • Adriamycine
  • Adriblastina
  • Adriblastine
  • Adrimedac
  • Chloridrato de Doxorrubicina
  • DOX
  • DOXO-CELL
  • Doxolem
  • Doxorubicin HCl
  • Doxorubicin.HCl
  • Doxorubin
  • Farmiblastina
  • FI 106
  • FI-106
  • hydroxydaunorubicin
  • Rubex
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Nelarabine
    Given IV
    Other Names:
  • 2-Amino-6-methoxypurine arabinoside
  • 506U78
  • Arranon
  • Compound 506U78
  • GW506U78
  • Drug: Pegaspargase
    Given IM or IV
    Other Names:
  • L-Asparaginase with Polyethylene Glycol
  • Oncaspar
  • Oncaspar-IV
  • PEG-Asparaginase
  • PEG-L-Asparaginase
  • PEG-L-Asparaginase (Enzon - Kyowa Hakko)
  • PEGLA
  • Polyethylene Glycol L-Asparaginase
  • Polyethylene Glycol-L-Asparaginase
  • Drug: Thioguanine
    Given PO
    Other Names:
  • 2-Amino 6MP
  • 2-Amino-1,7-dihydro-6H-purine-6-thione
  • 2-Amino-6-mercaptopurine
  • 2-Amino-6-purinethiol
  • 2-Aminopurin-6-thiol
  • 2-Aminopurine-6(1H)-thione
  • 2-Aminopurine-6-thiol
  • 2-Aminopurine-6-thiol Hemihydrate
  • 2-Mercapto-6-aminopurine
  • 6-Amino-2-mercaptopurine
  • 6-Mercapto-2-aminopurine
  • 6-Mercaptoguanine
  • 6-TG
  • 6H-Purine-6-thione, 2-amino-1,7-dihydro- (9CI)
  • BW 5071
  • Lanvis
  • Tabloid
  • Thioguanine Hemihydrate
  • Thioguanine Hydrate
  • Tioguanin
  • Tioguanine
  • Wellcome U3B
  • WR-1141
  • X 27
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm IV (Interim maintenance chemotherapy)

    Patients receive HDMTX IV over 24 hours and vincristine IV on days 1, 15, 29, and 43; mercaptopurine PO on days 1-56; and methotrexate IT on days 1 and 29. Beginning 42 hours after the start of HDMTX, patients also receive leucovorin calcium IV or PO once every 6 hours for 3 doses.

    Other: Laboratory Biomarker Analysis
    Correlative studies

    Drug: Leucovorin Calcium
    Given PO
    Other Names:
  • Adinepar
  • Calcifolin
  • Calcium (6S)-Folinate
  • Calcium Folinate
  • Calcium Leucovorin
  • Calfolex
  • Calinat
  • Cehafolin
  • Citofolin
  • Citrec
  • Citrovorum Factor
  • Cromatonbic Folinico
  • Dalisol
  • Disintox
  • Divical
  • Ecofol
  • Emovis
  • Factor, Citrovorum
  • Flynoken A
  • Folaren
  • Folaxin
  • FOLI-cell
  • Foliben
  • Folidan
  • Folidar
  • Folinac
  • Folinate Calcium
  • folinic acid
  • Folinic Acid Calcium Salt Pentahydrate
  • Folinoral
  • Folinvit
  • Foliplus
  • Folix
  • Imo
  • Lederfolat
  • Lederfolin
  • Leucosar
  • leucovorin
  • Rescufolin
  • Rescuvolin
  • Tonofolin
  • Wellcovorin
  • Drug: Mercaptopurine
    Given PO
    Other Names:
  • 3H-Purine-6-thiol
  • 6 MP
  • 6 Thiohypoxanthine
  • 6 Thiopurine
  • 6-Mercaptopurine
  • 6-Mercaptopurine Monohydrate
  • 6-MP
  • 6-Purinethiol
  • 6-Thiopurine
  • 6-Thioxopurine
  • 6H-Purine-6-thione, 1,7-dihydro- (9CI)
  • 7-Mercapto-1,3,4,6-tetrazaindene
  • Alti-Mercaptopurine
  • Azathiopurine
  • Bw 57-323H
  • Flocofil
  • Ismipur
  • Leukerin
  • Leupurin
  • Mercaleukim
  • Mercaleukin
  • Mercaptina
  • Mercaptopurinum
  • Mercapurin
  • Mern
  • NCI-C04886
  • Puri-Nethol
  • Purimethol
  • Purine, 6-mercapto-
  • Purine-6-thiol (8CI)
  • Purine-6-thiol, monohydrate
  • Purinethiol
  • Purinethol
  • U-4748
  • WR-2785
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Active Comparator: Group I Arm IV (Maintenance chemotherapy)

    Patients receive vincristine sulfate, prednisone, mercaptopurine, methotrexate PO, methotrexate IT, and nelarabine in Cycles 1, 2 and 3. Patients then receive treatment (without nelarabine) as follows: vincristine, prednisone, mercaptopurine, methotrexate PO, and methotrexate IT as in arm II. Treatment (without nelarabine) repeats every 84 days until the total duration of study treatment is 2 years from the start of interim maintenance therapy (approximately week 121) (for girls with T-ALL), and for those with T-LLY, and 3 years from the start of interim maintenance therapy (approximately week 173) (for boys with T-ALL).

    Drug: Mercaptopurine
    Given PO
    Other Names:
  • 3H-Purine-6-thiol
  • 6 MP
  • 6 Thiohypoxanthine
  • 6 Thiopurine
  • 6-Mercaptopurine
  • 6-Mercaptopurine Monohydrate
  • 6-MP
  • 6-Purinethiol
  • 6-Thiopurine
  • 6-Thioxopurine
  • 6H-Purine-6-thione, 1,7-dihydro- (9CI)
  • 7-Mercapto-1,3,4,6-tetrazaindene
  • Alti-Mercaptopurine
  • Azathiopurine
  • Bw 57-323H
  • Flocofil
  • Ismipur
  • Leukerin
  • Leupurin
  • Mercaleukim
  • Mercaleukin
  • Mercaptina
  • Mercaptopurinum
  • Mercapurin
  • Mern
  • NCI-C04886
  • Puri-Nethol
  • Purimethol
  • Purine, 6-mercapto-
  • Purine-6-thiol (8CI)
  • Purine-6-thiol, monohydrate
  • Purinethiol
  • Purinethol
  • U-4748
  • WR-2785
  • Drug: Methotrexate
    Given IT or PO
    Other Names:
  • Abitrexate
  • Alpha-Methopterin
  • Amethopterin
  • Brimexate
  • CL 14377
  • CL-14377
  • Emtexate
  • Emthexat
  • Emthexate
  • Farmitrexat
  • Fauldexato
  • Folex
  • Folex PFS
  • Lantarel
  • Ledertrexate
  • Lumexon
  • Maxtrex
  • Medsatrexate
  • Metex
  • Methoblastin
  • Methotrexate LPF
  • Methotrexate Methylaminopterin
  • Methotrexatum
  • Metotrexato
  • Metrotex
  • Mexate
  • Mexate-AQ
  • MTX
  • Novatrex
  • Rheumatrex
  • Texate
  • Tremetex
  • Trexeron
  • Trixilem
  • WR-19039
  • Drug: Nelarabine
    Given IV
    Other Names:
  • 2-Amino-6-methoxypurine arabinoside
  • 506U78
  • Arranon
  • Compound 506U78
  • GW506U78
  • Drug: Prednisone
    Given IV or PO
    Other Names:
  • .delta.1-Cortisone
  • 1, 2-Dehydrocortisone
  • Adasone
  • Cortancyl
  • Dacortin
  • DeCortin
  • Decortisyl
  • Decorton
  • Delta 1-Cortisone
  • Delta-Dome
  • Deltacortene
  • Deltacortisone
  • Deltadehydrocortisone
  • Deltasone
  • Deltison
  • Deltra
  • Econosone
  • Lisacort
  • Meprosona-F
  • Metacortandracin
  • Meticorten
  • Ofisolona
  • Orasone
  • Panafcort
  • Panasol-S
  • Paracort
  • Perrigo Prednisone
  • PRED
  • Predicor
  • Predicorten
  • Prednicen-M
  • Prednicort
  • Prednidib
  • Prednilonga
  • Predniment
  • Prednisone Intensol
  • Prednisonum
  • Prednitone
  • Promifen
  • Rayos
  • Servisone
  • SK-Prednisone
  • Drug: Vincristine Sulfate
    Given IV
    Other Names:
  • Kyocristine
  • Leurocristine Sulfate
  • Leurocristine, sulfate
  • Oncovin
  • Vincasar
  • Vincosid
  • Vincrex
  • Vincristine, sulfate
  • Outcome Measures

    Primary Outcome Measures

    1. Disease-free Survival (DFS) for Randomized Nelarabine T-ALL Cohort (Arm I vs. Arm II vs. Arm III vs. Arm IV) [4 years from randomization at the end of induction]

      Disease Free Probability where DFS time is defined as time from randomization end of induction to first event (relapse, second malignant neoplasm, death) or date of last contact for patients who are event-free.

    2. Disease-free Survival (DFS) for Randomized Nelarabine T-ALL Cohort (Arm I + Arm III vs. Arm II + Arm IV) [4 years from randomization at the end of induction]

      Disease Free Probability where DFS time is defined as time from randomization end of induction to first event (relapse, second malignant neoplasm, death) or date of last contact for patients who are event

    3. Disease-free Survival (DFS) for Randomized Methotrexate T-ALL Cohort (Arm I vs. Arm II vs. Arm III vs. Arm IV) [4 years from randomization at the end of induction]

      Disease-free survival defined as time from randomization end of induction to first event (relapse, second malignant neoplasm, remission death) or date of last contact for those who are event-free.

    4. Disease-free Survival (DFS) for Randomized Methotrexate T-ALL Cohort (Arm I + Arm II vs. Arm III + Arm IV) [4 years from randomization at the end of induction]

      Disease Free Probability where DFS time is defined as time from randomization end of induction to first event (relapse, second malignant neoplasm, death) or date of last contact for patients who are event-free.

    5. Disease-free Survival (DFS) for T-cell Lymphoblastic Lymphoma (T-LLy) Cohort [4 years from end of induction]

      Disease Free Probability where DFS time is defined as time from randomization end of induction to first event (relapse, second malignant neoplasm, death) or date of last contact for patients who are event-free.

    Secondary Outcome Measures

    1. Cumulative Incidence of CNS Relapse for T-ALL by Risk Group [4 years from randomization at the end of induction]

      Cumulative incidence of CNS relapse adjusting for DFS events, was calculated using the method Gray et. al. High risk patients receive cranial radiation and low risk patients receive no cranial radiation.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    1 Year to 30 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • T-ALL patients must be enrolled on AALL08B1 prior to treatment and enrollment on AALL0434

    • Patients must have newly diagnosed T-ALL or T-lineage lymphoblastic lymphoma (T-NHL) stage II-IV; B-lineage lymphoblastic lymphoma will not be eligible for this study; a diagnosis of T-ALL is established when leukemic blasts lack myeloperoxidase or evidence of B-lineage derivation (cluster of differentiation [CD]19/CD22/CD20), and express either surface or cytoplasmic CD3 or two or more of the antigens CD8, CD7, CD5, CD4, CD2 or CD1a; if surface CD3 is expressed on all leukemic cells, additional markers of immaturity, including transmission disequilibrium test (TdT), CD34 or CD99 will be assessed for expression; cases with uncertain expression will receive additional review within the appropriate Children's Oncology Group (COG) reference laboratory

    • T-NHL PATIENTS:

    • For T-NHL patients with tissue available for flow cytometry, the criterion for diagnosis should be analogous to T-ALL; for tissue processed by other means (i.e. paraffin blocks), the methodology and criteria for immunophenotypic analysis to establish the diagnosis of T-NHL defined by the submitting institution will be accepted

    • Prior therapy restrictions

    • Patients shall have had no prior cytotoxic chemotherapy with the exception of steroids and/or IT cytarabine

    • IT chemotherapy with cytarabine is allowed prior to registration for patient convenience; this is usually done at the time of the diagnostic bone marrow or venous line placement to avoid a second lumbar puncture; (Note: the CNS status must be determined based on a sample obtained prior to administration of any systemic or intrathecal chemotherapy, except for steroid pretreatment); systemic chemotherapy must begin within 72 hours of this IT therapy

    • Patients diagnosed as having T-NHL or T-ALL with respiratory distress or hyperleukocytosis may require steroids prior to the initiation of additional systemic therapy; they are eligible for AALL0434 and will be stratified, based on the initial complete blood count (CBC); steroid pretreatment may alter the risk group assessment; if the T-ALL patient's clinical status precludes a lumbar puncture within 48 hours of the initiation of steroid therapy, T-ALL patients CANNOT be classified as low risk and will be Intermediate or high risk based on the results of the day 29 marrow as above; patients with T-NHL who receive steroid pre-treatment will be classified as high risk; the dose and duration of previous steroid therapy should be carefully documented

    • For the management of airway compromise, patients who have received emergent chest irradiation up to 600 cGy will be eligible for this study

    • Patients with a prior seizure disorder requiring anti-convulsant therapy are not eligible to receive nelarabine; in addition, patients with pre-existing grade 2 (or greater) peripheral neurotoxicity, as determined prior to Induction treatment by the treating physician or a neurologist, are not eligible to receive nelarabine; these restrictions in eligibility are designed to prevent excessive nelarabine-induced central and peripheral neurotoxicity in at-risk patients; for the purposes of this study, this includes any patient that has received anticonvulsant therapy to prevent/treat seizures in the prior two years

    Exclusion Criteria:
    • Pregnant or lactating females are ineligible

    • Patients with Down syndrome are ineligible to enroll onto this study

    • For T-NHL patients the following additional exclusion criteria apply:

    • B-precursor lymphoblastic lymphoma

    • Morphologically unclassifiable lymphoma

    • Absence of both B-cell and T-cell phenotype markers in a case submitted as lymphoblastic lymphoma

    • CNS3-positive or testicular involvement

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Children's Hospital of Alabama Birmingham Alabama United States 35233
    2 University of Alabama at Birmingham Cancer Center Birmingham Alabama United States 35233
    3 USA Health Strada Patient Care Center Mobile Alabama United States 36604
    4 Phoenix Childrens Hospital Phoenix Arizona United States 85016
    5 Banner University Medical Center - Tucson Tucson Arizona United States 85719
    6 Arkansas Children's Hospital Little Rock Arkansas United States 72202-3591
    7 University of Arkansas for Medical Sciences Little Rock Arkansas United States 72205
    8 Kaiser Permanente Downey Medical Center Downey California United States 90242
    9 City of Hope Comprehensive Cancer Center Duarte California United States 91010
    10 Loma Linda University Medical Center Loma Linda California United States 92354
    11 Miller Children's and Women's Hospital Long Beach Long Beach California United States 90806
    12 Children's Hospital Los Angeles Los Angeles California United States 90027
    13 Cedars Sinai Medical Center Los Angeles California United States 90048
    14 Valley Children's Hospital Madera California United States 93636
    15 UCSF Benioff Children's Hospital Oakland Oakland California United States 94609
    16 Kaiser Permanente-Oakland Oakland California United States 94611
    17 Children's Hospital of Orange County Orange California United States 92868
    18 Lucile Packard Children's Hospital Stanford University Palo Alto California United States 94304
    19 Sutter Medical Center Sacramento Sacramento California United States 95816
    20 University of California Davis Comprehensive Cancer Center Sacramento California United States 95817
    21 Rady Children's Hospital - San Diego San Diego California United States 92123
    22 UCSF Medical Center-Parnassus San Francisco California United States 94143
    23 UCSF Medical Center-Mission Bay San Francisco California United States 94158
    24 Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center Torrance California United States 90502
    25 Children's Hospital Colorado Aurora Colorado United States 80045
    26 Rocky Mountain Hospital for Children-Presbyterian Saint Luke's Medical Center Denver Colorado United States 80218
    27 Connecticut Children's Medical Center Hartford Connecticut United States 06106
    28 Yale University New Haven Connecticut United States 06520
    29 Alfred I duPont Hospital for Children Wilmington Delaware United States 19803
    30 MedStar Georgetown University Hospital Washington District of Columbia United States 20007
    31 Children's National Medical Center Washington District of Columbia United States 20010
    32 Broward Health Medical Center Fort Lauderdale Florida United States 33316
    33 Lee Memorial Health System Fort Myers Florida United States 33901
    34 Golisano Children's Hospital of Southwest Florida Fort Myers Florida United States 33908
    35 University of Florida Health Science Center - Gainesville Gainesville Florida United States 32610
    36 Memorial Regional Hospital/Joe DiMaggio Children's Hospital Hollywood Florida United States 33021
    37 Nemours Children's Clinic-Jacksonville Jacksonville Florida United States 32207
    38 University of Miami Miller School of Medicine-Sylvester Cancer Center Miami Florida United States 33136
    39 Nicklaus Children's Hospital Miami Florida United States 33155
    40 Miami Cancer Institute Miami Florida United States 33176
    41 AdventHealth Orlando Orlando Florida United States 32803
    42 Arnold Palmer Hospital for Children Orlando Florida United States 32806
    43 Nemours Children's Clinic - Orlando Orlando Florida United States 32806
    44 Orlando Health Cancer Institute Orlando Florida United States 32806
    45 Nemours Children's Hospital Orlando Florida United States 32827
    46 Nemours Children's Clinic - Pensacola Pensacola Florida United States 32504
    47 Johns Hopkins All Children's Hospital Saint Petersburg Florida United States 33701
    48 Saint Joseph's Hospital/Children's Hospital-Tampa Tampa Florida United States 33607
    49 Saint Mary's Hospital West Palm Beach Florida United States 33407
    50 Children's Healthcare of Atlanta - Egleston Atlanta Georgia United States 30322
    51 Augusta University Medical Center Augusta Georgia United States 30912
    52 Memorial Health University Medical Center Savannah Georgia United States 31404
    53 University of Hawaii Cancer Center Honolulu Hawaii United States 96813
    54 Kapiolani Medical Center for Women and Children Honolulu Hawaii United States 96826
    55 Tripler Army Medical Center Honolulu Hawaii United States 96859
    56 Saint Luke's Cancer Institute - Boise Boise Idaho United States 83712
    57 Lurie Children's Hospital-Chicago Chicago Illinois United States 60611
    58 University of Illinois Chicago Illinois United States 60612
    59 University of Chicago Comprehensive Cancer Center Chicago Illinois United States 60637
    60 Loyola University Medical Center Maywood Illinois United States 60153
    61 Advocate Children's Hospital-Oak Lawn Oak Lawn Illinois United States 60453
    62 Advocate Children's Hospital-Park Ridge Park Ridge Illinois United States 60068
    63 Advocate Lutheran General Hospital Park Ridge Illinois United States 60068
    64 Saint Jude Midwest Affiliate Peoria Illinois United States 61637
    65 Southern Illinois University School of Medicine Springfield Illinois United States 62702
    66 Riley Hospital for Children Indianapolis Indiana United States 46202
    67 Saint Vincent Hospital and Health Care Center Indianapolis Indiana United States 46260
    68 Blank Children's Hospital Des Moines Iowa United States 50309
    69 University of Iowa/Holden Comprehensive Cancer Center Iowa City Iowa United States 52242
    70 University of Kansas Cancer Center Kansas City Kansas United States 66160
    71 University of Kentucky/Markey Cancer Center Lexington Kentucky United States 40536
    72 Norton Children's Hospital Louisville Kentucky United States 40202
    73 Tulane University Health Sciences Center New Orleans Louisiana United States 70112
    74 Children's Hospital New Orleans New Orleans Louisiana United States 70118
    75 Ochsner Medical Center Jefferson New Orleans Louisiana United States 70121
    76 Eastern Maine Medical Center Bangor Maine United States 04401
    77 Maine Children's Cancer Program Scarborough Maine United States 04074
    78 University of Maryland/Greenebaum Cancer Center Baltimore Maryland United States 21201
    79 Sinai Hospital of Baltimore Baltimore Maryland United States 21215
    80 Johns Hopkins University/Sidney Kimmel Cancer Center Baltimore Maryland United States 21287
    81 Walter Reed National Military Medical Center Bethesda Maryland United States 20889-5600
    82 Massachusetts General Hospital Cancer Center Boston Massachusetts United States 02114
    83 Baystate Medical Center Springfield Massachusetts United States 01199
    84 UMass Memorial Medical Center - University Campus Worcester Massachusetts United States 01655
    85 C S Mott Children's Hospital Ann Arbor Michigan United States 48109
    86 Wayne State University/Karmanos Cancer Institute Detroit Michigan United States 48201
    87 Ascension Saint John Hospital Detroit Michigan United States 48236
    88 Michigan State University Clinical Center East Lansing Michigan United States 48824-7016
    89 Hurley Medical Center Flint Michigan United States 48503
    90 Helen DeVos Children's Hospital at Spectrum Health Grand Rapids Michigan United States 49503
    91 Bronson Methodist Hospital Kalamazoo Michigan United States 49007
    92 Kalamazoo Center for Medical Studies Kalamazoo Michigan United States 49008
    93 Beaumont Children's Hospital-Royal Oak Royal Oak Michigan United States 48073
    94 Children's Hospitals and Clinics of Minnesota - Minneapolis Minneapolis Minnesota United States 55404
    95 University of Minnesota/Masonic Cancer Center Minneapolis Minnesota United States 55455
    96 Mayo Clinic in Rochester Rochester Minnesota United States 55905
    97 University of Mississippi Medical Center Jackson Mississippi United States 39216
    98 Columbia Regional Columbia Missouri United States 65201
    99 Children's Mercy Hospitals and Clinics Kansas City Missouri United States 64108
    100 Washington University School of Medicine Saint Louis Missouri United States 63110
    101 Mercy Hospital Saint Louis Saint Louis Missouri United States 63141
    102 Children's Hospital and Medical Center of Omaha Omaha Nebraska United States 68114
    103 University of Nebraska Medical Center Omaha Nebraska United States 68198
    104 Alliance for Childhood Diseases/Cure 4 the Kids Foundation Las Vegas Nevada United States 89135
    105 Summerlin Hospital Medical Center Las Vegas Nevada United States 89144
    106 Nevada Cancer Research Foundation NCORP Las Vegas Nevada United States 89169
    107 Dartmouth Hitchcock Medical Center Lebanon New Hampshire United States 03756
    108 Hackensack University Medical Center Hackensack New Jersey United States 07601
    109 Saint Barnabas Medical Center Livingston New Jersey United States 07039
    110 Morristown Medical Center Morristown New Jersey United States 07960
    111 Saint Peter's University Hospital New Brunswick New Jersey United States 08901
    112 Rutgers Cancer Institute of New Jersey-Robert Wood Johnson University Hospital New Brunswick New Jersey United States 08903
    113 Newark Beth Israel Medical Center Newark New Jersey United States 07112
    114 Saint Joseph's Regional Medical Center Paterson New Jersey United States 07503
    115 Overlook Hospital Summit New Jersey United States 07902
    116 University of New Mexico Cancer Center Albuquerque New Mexico United States 87102
    117 Albany Medical Center Albany New York United States 12208
    118 Montefiore Medical Center - Moses Campus Bronx New York United States 10467
    119 Brooklyn Hospital Center Brooklyn New York United States 11201
    120 Roswell Park Cancer Institute Buffalo New York United States 14263
    121 NYU Winthrop Hospital Mineola New York United States 11501
    122 The Steven and Alexandra Cohen Children's Medical Center of New York New Hyde Park New York United States 11040
    123 Laura and Isaac Perlmutter Cancer Center at NYU Langone New York New York United States 10016
    124 Mount Sinai Hospital New York New York United States 10029
    125 NYP/Weill Cornell Medical Center New York New York United States 10065
    126 University of Rochester Rochester New York United States 14642
    127 State University of New York Upstate Medical University Syracuse New York United States 13210
    128 New York Medical College Valhalla New York United States 10595
    129 Mission Hospital Asheville North Carolina United States 28801
    130 UNC Lineberger Comprehensive Cancer Center Chapel Hill North Carolina United States 27599
    131 Carolinas Medical Center/Levine Cancer Institute Charlotte North Carolina United States 28203
    132 Novant Health Presbyterian Medical Center Charlotte North Carolina United States 28204
    133 Duke University Medical Center Durham North Carolina United States 27710
    134 East Carolina University Greenville North Carolina United States 27834
    135 Wake Forest University Health Sciences Winston-Salem North Carolina United States 27157
    136 Sanford Broadway Medical Center Fargo North Dakota United States 58122
    137 Children's Hospital Medical Center of Akron Akron Ohio United States 44308
    138 Cincinnati Children's Hospital Medical Center Cincinnati Ohio United States 45229
    139 Rainbow Babies and Childrens Hospital Cleveland Ohio United States 44106
    140 Cleveland Clinic Foundation Cleveland Ohio United States 44195
    141 Nationwide Children's Hospital Columbus Ohio United States 43205
    142 Dayton Children's Hospital Dayton Ohio United States 45404
    143 ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital Toledo Ohio United States 43606
    144 Mercy Children's Hospital Toledo Ohio United States 43608
    145 University of Oklahoma Health Sciences Center Oklahoma City Oklahoma United States 73104
    146 Natalie Warren Bryant Cancer Center at Saint Francis Tulsa Oklahoma United States 74136
    147 Legacy Emanuel Children's Hospital Portland Oregon United States 97227
    148 Legacy Emanuel Hospital and Health Center Portland Oregon United States 97227
    149 Oregon Health and Science University Portland Oregon United States 97239
    150 Lehigh Valley Hospital - Muhlenberg Bethlehem Pennsylvania United States 18017
    151 Geisinger Medical Center Danville Pennsylvania United States 17822
    152 Penn State Children's Hospital Hershey Pennsylvania United States 17033
    153 Children's Hospital of Philadelphia Philadelphia Pennsylvania United States 19104
    154 Saint Christopher's Hospital for Children Philadelphia Pennsylvania United States 19134
    155 Children's Hospital of Pittsburgh of UPMC Pittsburgh Pennsylvania United States 15224
    156 Medical University of South Carolina Charleston South Carolina United States 29425
    157 Prisma Health Richland Hospital Columbia South Carolina United States 29203
    158 BI-LO Charities Children's Cancer Center Greenville South Carolina United States 29605
    159 Greenville Cancer Treatment Center Greenville South Carolina United States 29605
    160 Sanford USD Medical Center - Sioux Falls Sioux Falls South Dakota United States 57117-5134
    161 T C Thompson Children's Hospital Chattanooga Tennessee United States 37403
    162 East Tennessee Childrens Hospital Knoxville Tennessee United States 37916
    163 Vanderbilt University/Ingram Cancer Center Nashville Tennessee United States 37232
    164 Texas Tech University Health Sciences Center-Amarillo Amarillo Texas United States 79106
    165 Dell Children's Medical Center of Central Texas Austin Texas United States 78723
    166 Driscoll Children's Hospital Corpus Christi Texas United States 78411
    167 Medical City Dallas Hospital Dallas Texas United States 75230
    168 UT Southwestern/Simmons Cancer Center-Dallas Dallas Texas United States 75390
    169 Cook Children's Medical Center Fort Worth Texas United States 76104
    170 Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center Houston Texas United States 77030
    171 Covenant Children's Hospital Lubbock Texas United States 79410
    172 Children's Hospital of San Antonio San Antonio Texas United States 78207
    173 Methodist Children's Hospital of South Texas San Antonio Texas United States 78229
    174 University of Texas Health Science Center at San Antonio San Antonio Texas United States 78229
    175 Scott and White Memorial Hospital Temple Texas United States 76508
    176 Primary Children's Hospital Salt Lake City Utah United States 84113
    177 University of Vermont and State Agricultural College Burlington Vermont United States 05405
    178 University of Virginia Cancer Center Charlottesville Virginia United States 22908
    179 Inova Fairfax Hospital Falls Church Virginia United States 22042
    180 Children's Hospital of The King's Daughters Norfolk Virginia United States 23507
    181 Virginia Commonwealth University/Massey Cancer Center Richmond Virginia United States 23298
    182 Carilion Children's Roanoke Virginia United States 24014
    183 Seattle Children's Hospital Seattle Washington United States 98105
    184 Providence Sacred Heart Medical Center and Children's Hospital Spokane Washington United States 99204
    185 Mary Bridge Children's Hospital and Health Center Tacoma Washington United States 98405
    186 Madigan Army Medical Center Tacoma Washington United States 98431
    187 West Virginia University Charleston Division Charleston West Virginia United States 25304
    188 Saint Vincent Hospital Cancer Center Green Bay Green Bay Wisconsin United States 54301
    189 University of Wisconsin Carbone Cancer Center Madison Wisconsin United States 53792
    190 Marshfield Medical Center-Marshfield Marshfield Wisconsin United States 54449
    191 Children's Hospital of Wisconsin Milwaukee Wisconsin United States 53226
    192 Royal Brisbane and Women's Hospital Herston Queensland Australia 4029
    193 Royal Children's Hospital-Brisbane Herston Queensland Australia 4029
    194 Queensland Children's Hospital South Brisbane Queensland Australia 4101
    195 Women's and Children's Hospital-Adelaide North Adelaide South Australia Australia 5006
    196 Monash Medical Center-Clayton Campus Clayton Victoria Australia 3168
    197 Royal Children's Hospital Parkville Victoria Australia 3052
    198 Princess Margaret Hospital for Children Perth Western Australia Australia 6008
    199 Alberta Children's Hospital Calgary Alberta Canada T3B 6A8
    200 University of Alberta Hospital Edmonton Alberta Canada T6G 2B7
    201 British Columbia Children's Hospital Vancouver British Columbia Canada V6H 3V4
    202 CancerCare Manitoba Winnipeg Manitoba Canada R3E 0V9
    203 Janeway Child Health Centre Saint John's Newfoundland and Labrador Canada A1B 3V6
    204 IWK Health Centre Halifax Nova Scotia Canada B3K 6R8
    205 Kingston Health Sciences Centre Kingston Ontario Canada K7L 2V7
    206 Children's Hospital London Ontario Canada N6A 5W9
    207 Children's Hospital of Eastern Ontario Ottawa Ontario Canada K1H 8L1
    208 Hospital for Sick Children Toronto Ontario Canada M5G 1X8
    209 The Montreal Children's Hospital of the MUHC Montreal Quebec Canada H3H 1P3
    210 Allan Blair Cancer Centre Regina Saskatchewan Canada S4T 7T1
    211 Saskatoon Cancer Centre Saskatoon Saskatchewan Canada S7N 4H4
    212 Starship Children's Hospital Grafton Auckland New Zealand 1145
    213 Christchurch Hospital Christchurch New Zealand 8011
    214 Swiss Pediatric Oncology Group - Geneva Geneva Switzerland 1205
    215 Swiss Pediatric Oncology Group - Lausanne Lausanne Switzerland 1011

    Sponsors and Collaborators

    • National Cancer Institute (NCI)

    Investigators

    • Principal Investigator: Stuart S Winter, Children's Oncology Group

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    National Cancer Institute (NCI)
    ClinicalTrials.gov Identifier:
    NCT00408005
    Other Study ID Numbers:
    • NCI-2009-00307
    • NCI-2009-00307
    • COG-AALL0434
    • 07-169
    • CDR0000514500
    • AALL0434
    • AALL0434
    • U10CA098543
    • U10CA180886
    First Posted:
    Dec 5, 2006
    Last Update Posted:
    Jul 28, 2022
    Last Verified:
    Mar 1, 2022

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail Patients were stratified between the 2 disease groups (T-ALL and T-LLy) for Induction and then risk assigned treatment based upon the patient's response.
    Arm/Group Title T-ALL Induction Therapy T-LLy Induction Therapy T-ALL: Capizzi MTX Without Nelarabine T-ALL: Capizzi MTX With Nelarabine T-ALL: High Dose MTX Without Nelarabine T-ALL: High Dose MTX With Nelarabine T-LLy: Capizzi MTX Without Nelarabine T-LLy: Capizzi MTX With Nelarabine
    Arm/Group Description All patients diagnosed as T-ALL for induction All patients diagnosed as T-LLy for induction T-All patients who received Capizzi MTX without Nelarabine T-All patients who received Capizzi MTX with Nelarabine T-All patients who received High Dose MTX without Nelarabine T-All patients who received High Dose MTX with Nelarabine T-LLy patients who received Capizzi MTX without Nelarabine T-LLy patients who received Capizzi MTX with Nelarabine
    Period Title: Induction
    STARTED 1596 299 0 0 0 0 0 0
    COMPLETED 1189 205 0 0 0 0 0 0
    NOT COMPLETED 407 94 0 0 0 0 0 0
    Period Title: Induction
    STARTED 0 0 372 147 451 219 143 62
    Low Risk 0 0 217 0 55 0 0 0
    Intermediate Risk 0 0 99 95 257 93 0 0
    High Risk 0 0 56 52 55 52 0 0
    CNS 3 and/or Testicular Disease 0 0 0 0 84 31 0 0
    T-ALL M3 Marrow End of Induction 0 0 0 0 0 43 0 0
    T-LLy Standard Risk 0 0 0 0 0 0 82 0
    T-LLy High Risk 0 0 0 0 0 0 61 60
    T-LLy Induction Failure 0 0 0 0 0 0 0 2
    COMPLETED 0 0 287 103 319 118 115 48
    NOT COMPLETED 0 0 85 44 132 101 28 14

    Baseline Characteristics

    Arm/Group Title T-ALL Induction Therapy T-LLy Induction Therapy Total
    Arm/Group Description All patients diagnosed as T-ALL for induction All patients diagnosed as T-LLy for induction Total of all reporting groups
    Overall Participants 1596 299 1895
    Age (Count of Participants)
    <=18 years
    1493
    93.5%
    268
    89.6%
    1761
    92.9%
    Between 18 and 65 years
    103
    6.5%
    31
    10.4%
    134
    7.1%
    >=65 years
    0
    0%
    0
    0%
    0
    0%
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    10.05
    (5.3)
    11.13
    (5.8)
    10.22
    (5.4)
    Sex: Female, Male (Count of Participants)
    Female
    407
    25.5%
    90
    30.1%
    497
    26.2%
    Male
    1189
    74.5%
    209
    69.9%
    1398
    73.8%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    227
    14.2%
    45
    15.1%
    272
    14.4%
    Not Hispanic or Latino
    1307
    81.9%
    244
    81.6%
    1551
    81.8%
    Unknown or Not Reported
    62
    3.9%
    10
    3.3%
    72
    3.8%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    6
    0.4%
    1
    0.3%
    7
    0.4%
    Asian
    87
    5.5%
    11
    3.7%
    98
    5.2%
    Native Hawaiian or Other Pacific Islander
    12
    0.8%
    4
    1.3%
    16
    0.8%
    Black or African American
    204
    12.8%
    50
    16.7%
    254
    13.4%
    White
    1122
    70.3%
    208
    69.6%
    1330
    70.2%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    165
    10.3%
    25
    8.4%
    190
    10%

    Outcome Measures

    1. Primary Outcome
    Title Disease-free Survival (DFS) for Randomized Nelarabine T-ALL Cohort (Arm I vs. Arm II vs. Arm III vs. Arm IV)
    Description Disease Free Probability where DFS time is defined as time from randomization end of induction to first event (relapse, second malignant neoplasm, death) or date of last contact for patients who are event-free.
    Time Frame 4 years from randomization at the end of induction

    Outcome Measure Data

    Analysis Population Description
    Includes only T-cell Acute Lymphoblastic Leukemia (T-ALL) patients randomized to Nelarabine versus No Nelarabine. T-LLY patients are excluded from this analysis. Induction failures non-randomly assigned to Arm IV were excluded from this analysis.
    Arm/Group Title ARM I (Combination Chemotherapy) ARM II (Combination Chemotherapy) ARM III (Combination Chemotherapy) ARM IV (Combination Chemotherapy)
    Arm/Group Description No Nelarabine, Capizzi Methotrexate Nelarabine, Capizzi Methotrexate No Nelarabine, High-Dose Methotrexate Nelarabine, High-Dose Methotrexate
    Measure Participants 151 147 185 176
    Number (95% Confidence Interval) [percent probability]
    89.01
    90.53
    78.07
    86.46
    2. Primary Outcome
    Title Disease-free Survival (DFS) for Randomized Nelarabine T-ALL Cohort (Arm I + Arm III vs. Arm II + Arm IV)
    Description Disease Free Probability where DFS time is defined as time from randomization end of induction to first event (relapse, second malignant neoplasm, death) or date of last contact for patients who are event
    Time Frame 4 years from randomization at the end of induction

    Outcome Measure Data

    Analysis Population Description
    Includes subjects randomized to Nelarabine versus No Nelarabine
    Arm/Group Title ARM I and ARM III (Combination Chemotherapy) ARM II and ARM IV (Combination Chemotherapy)
    Arm/Group Description No Nelarabine (Combined) Nelarabine (Combined)
    Measure Participants 336 323
    Number (95% Confidence Interval) [percent probability]
    82.96
    88.30
    3. Primary Outcome
    Title Disease-free Survival (DFS) for Randomized Methotrexate T-ALL Cohort (Arm I vs. Arm II vs. Arm III vs. Arm IV)
    Description Disease-free survival defined as time from randomization end of induction to first event (relapse, second malignant neoplasm, remission death) or date of last contact for those who are event-free.
    Time Frame 4 years from randomization at the end of induction

    Outcome Measure Data

    Analysis Population Description
    Includes only T-cell Acute Lymphoblastic Leukemia (T-ALL) patients randomized to Capizzi Methotrexate (CMTX) versus High-Dose Methotrexate (HDMTX). CNS3 patients non-randomly assigned to HDMTX (Arms III and IV) and Induction failures non-randomly assigned to Arm IV were excluded. T-LLY patients are excluded.
    Arm/Group Title ARM I (Combination Chemotherapy) ARM II (Combination Chemotherapy) ARM III (Combination Chemotherapy) ARM IV (Combination Chemotherapy)
    Arm/Group Description No Nelarabine, Capizzi Methotrexate Nelarabine, Capizzi Methotrexate No Nelarabine, High-Dose Methotrexate Nelarabine, High-Dose Methotrexate
    Measure Participants 372 147 367 145
    Number (95% Confidence Interval) [percent probability]
    91.76
    90.53
    86.06
    84.89
    4. Primary Outcome
    Title Disease-free Survival (DFS) for Randomized Methotrexate T-ALL Cohort (Arm I + Arm II vs. Arm III + Arm IV)
    Description Disease Free Probability where DFS time is defined as time from randomization end of induction to first event (relapse, second malignant neoplasm, death) or date of last contact for patients who are event-free.
    Time Frame 4 years from randomization at the end of induction

    Outcome Measure Data

    Analysis Population Description
    Includes subjects randomized to Capizzi Methotrexate versus High-Dose Methotrexate
    Arm/Group Title ARM I and ARM II (Combination Chemotherapy) ARM III and ARM IV (Combination Chemotherapy)
    Arm/Group Description Capizzi Methotrexate (Combined) High-Dose Methotrexate (Combined)
    Measure Participants 519 512
    Number (95% Confidence Interval) [percent probability]
    91.45
    85.78
    5. Primary Outcome
    Title Disease-free Survival (DFS) for T-cell Lymphoblastic Lymphoma (T-LLy) Cohort
    Description Disease Free Probability where DFS time is defined as time from randomization end of induction to first event (relapse, second malignant neoplasm, death) or date of last contact for patients who are event-free.
    Time Frame 4 years from end of induction

    Outcome Measure Data

    Analysis Population Description
    Includes T-cell lymphoblastic lymphoma (T-LLy) patients that are standard risk, high risk and induction failures. All Standard risk T-LLy patients only received Arm I. Induction failures were assigned to Arm II.
    Arm/Group Title ARM I (Combination Chemotherapy) ARM II (Combination Chemotherapy)
    Arm/Group Description No Nelarabine, Capizzi Methotrexate Nelarabine, Capizzi Methotrexate
    Measure Participants 143 62
    Standard Risk
    87.4
    High Risk
    85.1
    85.0
    Induction Failure
    100
    6. Secondary Outcome
    Title Cumulative Incidence of CNS Relapse for T-ALL by Risk Group
    Description Cumulative incidence of CNS relapse adjusting for DFS events, was calculated using the method Gray et. al. High risk patients receive cranial radiation and low risk patients receive no cranial radiation.
    Time Frame 4 years from randomization at the end of induction

    Outcome Measure Data

    Analysis Population Description
    Includes only low risk, intermediate risk and high risk T-cell Acute Lymphoblastic Leukemia (T-ALL) subjects. There were no low risk participants on Arm II and Arm IV. Patients with CNS3, and Induction Failures are excluded from this analysis.
    Arm/Group Title ARM I (Combination Chemotherapy) ARM II (Combination Chemotherapy) ARM III (Combination Chemotherapy) ARM IV (Combination Chemotherapy)
    Arm/Group Description No Nelarabine, Capizzi Methotrexate Nelarabine, Capizzi Methotrexate No Nelarabine, High-Dose Methotrexate Nelarabine, High-Dose Methotrexate
    Measure Participants 372 147 451 176
    Low Risk
    1.85
    1.92
    Intermediate Risk
    1.16
    1.08
    9.1
    0.85
    High Risk
    3.64
    0
    6.52
    3.45

    Adverse Events

    Time Frame From start of Induction therapy to end of Maintenance therapy, up to 10 years
    Adverse Event Reporting Description Adverse event reporting is collected routinely using case report forms. The SAE table reflects NCI Common Terminology Criteria for Adverse Events (CTCAEs) submitted by the institution, via expedited reporting (NCI AdEERs / CAeRs). The "AE Other" table reflects all CTCAEs collected excluding those that were reported as SAEs. Ineligible patients are excluded from reporting of adverse events.
    Arm/Group Title T-ALL Induction Therapy T-ALL Post Induction Therapy T-ALL: Capizzi MTX Without Nelarabine T-ALL: Capizzi MTX With Nelarabine T-ALL: High Dose MTX Without Nelarabine T-ALL: High Dose MTX With Nelarabine T-LLy Induction Therapy T-LLy Post Induction Therapy T-LLy: Capizzi MTX Without Nelarabine T-LLy: Capizzi MTX With Nelarabine
    Arm/Group Description All patients diagnosed as T-ALL for induction T-ALL patients who went off therapy at the end of induction, excluding patients who died at induction T-All patients who received Capizzi MTX without Nelarabine T-All patients who received Capizzi MTX with Nelarabine T-All patients who received High Dose MTX without Nelarabine T-All patients who received High Dose MTX with Nelarabine All patients diagnosed as T-LLy for induction T-LLy patients who went off therapy at the end of induction, excluding patients who died at induction T-LLy patients who received Capizzi MTX without Nelarabine T-LLy patients who received Capizzi MTX with Nelarabine
    All Cause Mortality
    T-ALL Induction Therapy T-ALL Post Induction Therapy T-ALL: Capizzi MTX Without Nelarabine T-ALL: Capizzi MTX With Nelarabine T-ALL: High Dose MTX Without Nelarabine T-ALL: High Dose MTX With Nelarabine T-LLy Induction Therapy T-LLy Post Induction Therapy T-LLy: Capizzi MTX Without Nelarabine T-LLy: Capizzi MTX With Nelarabine
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events 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 6/1563 (0.4%) 39/368 (10.6%) 26/372 (7%) 10/147 (6.8%) 45/451 (10%) 35/219 (16%) 0/285 (0%) 8/80 (10%) 17/143 (11.9%) 5/62 (8.1%)
    Serious Adverse Events
    T-ALL Induction Therapy T-ALL Post Induction Therapy T-ALL: Capizzi MTX Without Nelarabine T-ALL: Capizzi MTX With Nelarabine T-ALL: High Dose MTX Without Nelarabine T-ALL: High Dose MTX With Nelarabine T-LLy Induction Therapy T-LLy Post Induction Therapy T-LLy: Capizzi MTX Without Nelarabine T-LLy: Capizzi MTX With Nelarabine
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events 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 25/1563 (1.6%) 1/368 (0.3%) 18/372 (4.8%) 44/147 (29.9%) 23/451 (5.1%) 66/219 (30.1%) 1/285 (0.4%) 0/80 (0%) 10/143 (7%) 20/62 (32.3%)
    Blood and lymphatic system disorders
    Anemia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Blood and lymphatic system disorders - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Disseminated intravascular coagulation 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Febrile neutropenia 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 2 1/451 (0.2%) 1 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Leukocytosis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Cardiac disorders
    Atrial fibrillation 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Left ventricular systolic dysfunction 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pericardial effusion 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Sinus tachycardia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Eye disorders
    Blurred vision 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Optic nerve disorder 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Gastrointestinal disorders
    Abdominal distension 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Abdominal pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 4/219 (1.8%) 5 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Ascites 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Colitis 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Constipation 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Dysphagia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Gastrointestinal disorders - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 2/219 (0.9%) 3 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Ileal perforation 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Intra-abdominal hemorrhage 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Mucositis oral 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Nausea 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 3/219 (1.4%) 3 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Oral pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pancreatic necrosis 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pancreatitis 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 1/451 (0.2%) 1 5/219 (2.3%) 5 0/285 (0%) 0 0/80 (0%) 0 3/143 (2.1%) 3 1/62 (1.6%) 1
    Rectal ulcer 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Typhlitis 2/1563 (0.1%) 2 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 2/451 (0.4%) 2 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Upper gastrointestinal hemorrhage 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Vomiting 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    General disorders
    Death NOS 1/1563 (0.1%) 1 0/368 (0%) 0 3/372 (0.8%) 3 1/147 (0.7%) 1 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Facial pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Fatigue 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Fever 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 3/147 (2%) 3 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    General disorders and administration site conditions - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Multi-organ failure 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Pain 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Hepatobiliary disorders
    Hepatic failure 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hepatobiliary disorders - Other, specify 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Portal hypertension 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Immune system disorders
    Allergic reaction 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 1/451 (0.2%) 1 3/219 (1.4%) 3 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 2/62 (3.2%) 2
    Anaphylaxis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 5/147 (3.4%) 5 2/451 (0.4%) 2 8/219 (3.7%) 8 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 3/62 (4.8%) 3
    Immune system disorders - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Infections and infestations
    Appendicitis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Catheter related infection 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Enterocolitis infectious 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Infections and infestations - Other, specify 2/1563 (0.1%) 2 0/368 (0%) 0 3/372 (0.8%) 3 2/147 (1.4%) 2 4/451 (0.9%) 4 6/219 (2.7%) 7 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Lung infection 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Meningitis 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Sepsis 4/1563 (0.3%) 4 0/368 (0%) 0 0/372 (0%) 0 6/147 (4.1%) 7 2/451 (0.4%) 2 6/219 (2.7%) 8 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 2 2/62 (3.2%) 2
    Skin infection 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Tooth infection 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Upper respiratory infection 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Injury, poisoning and procedural complications
    Venous injury 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Investigations
    Alanine aminotransferase increased 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 1 5/147 (3.4%) 5 0/451 (0%) 0 8/219 (3.7%) 8 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 2/62 (3.2%) 2
    Alkaline phosphatase increased 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Aspartate aminotransferase increased 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 1 3/147 (2%) 3 0/451 (0%) 0 4/219 (1.8%) 4 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Blood bilirubin increased 5/1563 (0.3%) 5 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 2/451 (0.4%) 2 3/219 (1.4%) 3 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    CPK increased 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Creatinine increased 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Fibrinogen decreased 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    GGT increased 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    INR increased 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Investigations - Other, specify 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Lipase increased 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 3/147 (2%) 3 0/451 (0%) 0 7/219 (3.2%) 7 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 1/62 (1.6%) 1
    Lymphocyte count decreased 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Neutrophil count decreased 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Platelet count decreased 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Serum amylase increased 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Weight loss 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    White blood cell decreased 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Metabolism and nutrition disorders
    Acidosis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 1/62 (1.6%) 1
    Anorexia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Dehydration 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Glucose intolerance 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hyperglycemia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 3/219 (1.4%) 3 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Hyperkalemia 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypernatremia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypertriglyceridemia 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 0/451 (0%) 0 4/219 (1.8%) 4 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Hyperuricemia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypoalbuminemia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Hypocalcemia 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 3/219 (1.4%) 3 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypoglycemia 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypokalemia 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 3/147 (2%) 3 1/451 (0.2%) 1 4/219 (1.8%) 4 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hyponatremia 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypophosphatemia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Tumor lysis syndrome 4/1563 (0.3%) 4 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Musculoskeletal and connective tissue disorders
    Arthralgia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Avascular necrosis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Back pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Generalized muscle weakness 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Joint effusion 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Muscle weakness left-sided 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Muscle weakness lower limb 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Musculoskeletal and connective tissue disorder - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 3/147 (2%) 3 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Myalgia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Myositis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pain in extremity 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Leukemia secondary to oncology chemotherapy 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Treatment related secondary malignancy 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Nervous system disorders
    Arachnoiditis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Ataxia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Depressed level of consciousness 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 1/451 (0.2%) 1 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Dysarthria 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Dysphasia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Edema cerebral 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Encephalopathy 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 2/451 (0.4%) 2 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Extrapyramidal disorder 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Facial muscle weakness 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Facial nerve disorder 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Glossopharyngeal nerve disorder 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Headache 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypersomnia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypoglossal nerve disorder 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Intracranial hemorrhage 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Ischemia cerebrovascular 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Leukoencephalopathy 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 4/219 (1.8%) 4 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 2/62 (3.2%) 2
    Memory impairment 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Movements involuntary 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Nervous system disorders - Other, specify 1/1563 (0.1%) 3 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Neuralgia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Paresthesia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Peripheral motor neuropathy 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 3/147 (2%) 4 0/451 (0%) 0 4/219 (1.8%) 4 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Peripheral sensory neuropathy 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 3/147 (2%) 3 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Recurrent laryngeal nerve palsy 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Reversible posterior leukoencephalopathy syndrome 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Seizure 2/1563 (0.1%) 2 1/368 (0.3%) 1 0/372 (0%) 0 2/147 (1.4%) 2 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 4/62 (6.5%) 5
    Stroke 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Syncope 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Transient ischemic attacks 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Pregnancy, puerperium and perinatal conditions
    Pregnancy, puerperium and perinatal conditions - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Psychiatric disorders
    Agitation 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Anxiety 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Confusion 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Delirium 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Depression 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Insomnia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Suicidal ideation 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Renal and urinary disorders
    Acute kidney injury 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 4/219 (1.8%) 4 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 1/62 (1.6%) 1
    Cystitis noninfective 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hematuria 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Renal and urinary disorders - Other, specify 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Renal calculi 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Renal colic 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Urinary frequency 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Adult respiratory distress syndrome 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 3/451 (0.7%) 3 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Bronchopulmonary hemorrhage 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Dyspnea 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Epistaxis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypoxia 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 2/147 (1.4%) 2 0/451 (0%) 0 1/219 (0.5%) 1 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 1/62 (1.6%) 1
    Pleural effusion 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pneumonitis 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pulmonary edema 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Respiratory failure 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Respiratory, thoracic and mediastinal disorders - Other, specify 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 2/219 (0.9%) 3 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Sore throat 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Wheezing 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Skin and subcutaneous tissue disorders
    Rash maculo-papular 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Skin and subcutaneous tissue disorders - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Urticaria 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Vascular disorders
    Capillary leak syndrome 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hematoma 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypertension 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypotension 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 1 3/147 (2%) 3 2/451 (0.4%) 2 6/219 (2.7%) 9 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 1/62 (1.6%) 1
    Thromboembolic event 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 0/451 (0%) 0 2/219 (0.9%) 2 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Vascular disorders - Other, specify 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Other (Not Including Serious) Adverse Events
    T-ALL Induction Therapy T-ALL Post Induction Therapy T-ALL: Capizzi MTX Without Nelarabine T-ALL: Capizzi MTX With Nelarabine T-ALL: High Dose MTX Without Nelarabine T-ALL: High Dose MTX With Nelarabine T-LLy Induction Therapy T-LLy Post Induction Therapy T-LLy: Capizzi MTX Without Nelarabine T-LLy: Capizzi MTX With Nelarabine
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events 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 983/1563 (62.9%) 0/368 (0%) 357/372 (96%) 134/147 (91.2%) 436/451 (96.7%) 197/219 (90%) 152/285 (53.3%) 4/80 (5%) 140/143 (97.9%) 55/62 (88.7%)
    Blood and lymphatic system disorders
    Anemia 57/1563 (3.6%) 60 0/368 (0%) 0 87/372 (23.4%) 139 26/147 (17.7%) 37 93/451 (20.6%) 142 25/219 (11.4%) 29 2/285 (0.7%) 2 0/80 (0%) 0 23/143 (16.1%) 33 9/62 (14.5%) 12
    Blood and lymphatic system disorders - Other, specify 1/1563 (0.1%) 1 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 3/451 (0.7%) 5 1/219 (0.5%) 1 0/285 (0%) 0 1/80 (1.3%) 1 1/143 (0.7%) 1 0/62 (0%) 0
    Bone marrow hypocellular 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Disseminated intravascular coagulation 6/1563 (0.4%) 6 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Febrile neutropenia 96/1563 (6.1%) 101 0/368 (0%) 0 233/372 (62.6%) 504 87/147 (59.2%) 153 283/451 (62.7%) 614 102/219 (46.6%) 168 3/285 (1.1%) 3 2/80 (2.5%) 2 91/143 (63.6%) 160 27/62 (43.5%) 52
    Hemolysis 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hemolytic uremic syndrome 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Leukocytosis 5/1563 (0.3%) 5 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Cardiac disorders
    Asystole 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Cardiac disorders - Other, specify 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Chest pain - cardiac 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Left ventricular systolic dysfunction 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Pericardial effusion 6/1563 (0.4%) 6 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 2/285 (0.7%) 2 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pericardial tamponade 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Sinus bradycardia 1/1563 (0.1%) 1 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Sinus tachycardia 0/1563 (0%) 0 0/368 (0%) 0 3/372 (0.8%) 3 1/147 (0.7%) 1 1/451 (0.2%) 1 2/219 (0.9%) 3 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Supraventricular tachycardia 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Ventricular tachycardia 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Ear and labyrinth disorders
    Ear pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hearing impaired 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Middle ear inflammation 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Tinnitus 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Endocrine disorders
    Adrenal insufficiency 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 2/285 (0.7%) 2 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Cushingoid 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypothyroidism 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Eye disorders
    Blurred vision 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 0/451 (0%) 0 2/219 (0.9%) 2 2/285 (0.7%) 2 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Conjunctivitis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Extraocular muscle paresis 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Eye disorders - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Eyelid function disorder 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Night blindness 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Optic nerve disorder 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Papilledema 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Photophobia 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Vitreous hemorrhage 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Gastrointestinal disorders
    Abdominal distension 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 1/62 (1.6%) 1
    Abdominal pain 22/1563 (1.4%) 22 0/368 (0%) 0 28/372 (7.5%) 34 8/147 (5.4%) 13 19/451 (4.2%) 30 13/219 (5.9%) 15 3/285 (1.1%) 3 0/80 (0%) 0 6/143 (4.2%) 7 4/62 (6.5%) 6
    Anal mucositis 0/1563 (0%) 0 0/368 (0%) 0 5/372 (1.3%) 5 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Anal pain 1/1563 (0.1%) 1 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 2/451 (0.4%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Ascites 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Colitis 6/1563 (0.4%) 6 0/368 (0%) 0 4/372 (1.1%) 4 2/147 (1.4%) 2 9/451 (2%) 9 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 7/143 (4.9%) 7 1/62 (1.6%) 3
    Colonic perforation 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Constipation 18/1563 (1.2%) 18 0/368 (0%) 0 3/372 (0.8%) 3 0/147 (0%) 0 0/451 (0%) 0 4/219 (1.8%) 4 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 2/62 (3.2%) 3
    Dental caries 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Diarrhea 14/1563 (0.9%) 14 0/368 (0%) 0 20/372 (5.4%) 21 7/147 (4.8%) 7 26/451 (5.8%) 27 8/219 (3.7%) 8 2/285 (0.7%) 2 0/80 (0%) 0 2/143 (1.4%) 2 2/62 (3.2%) 6
    Duodenal obstruction 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Dyspepsia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Dysphagia 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 0/451 (0%) 0 2/219 (0.9%) 2 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Enterocolitis 2/1563 (0.1%) 2 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 2/451 (0.4%) 2 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Esophageal pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Esophagitis 2/1563 (0.1%) 2 0/368 (0%) 0 3/372 (0.8%) 3 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Gastritis 3/1563 (0.2%) 3 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 3/451 (0.7%) 3 1/219 (0.5%) 1 1/285 (0.4%) 1 0/80 (0%) 0 2/143 (1.4%) 2 1/62 (1.6%) 1
    Gastroesophageal reflux disease 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Gastrointestinal disorders - Other, specify 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 3/451 (0.7%) 3 2/219 (0.9%) 3 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 3 0/62 (0%) 0
    Gastroparesis 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Gingival pain 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hemorrhoidal hemorrhage 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hemorrhoids 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Ileus 10/1563 (0.6%) 10 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 3/451 (0.7%) 4 1/219 (0.5%) 1 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Intra-abdominal hemorrhage 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Lip pain 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Lower gastrointestinal hemorrhage 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Mucositis oral 17/1563 (1.1%) 17 0/368 (0%) 0 54/372 (14.5%) 64 19/147 (12.9%) 21 77/451 (17.1%) 83 35/219 (16%) 37 3/285 (1.1%) 3 0/80 (0%) 0 24/143 (16.8%) 28 9/62 (14.5%) 10
    Nausea 9/1563 (0.6%) 9 0/368 (0%) 0 32/372 (8.6%) 37 14/147 (9.5%) 18 20/451 (4.4%) 25 17/219 (7.8%) 18 5/285 (1.8%) 5 0/80 (0%) 0 13/143 (9.1%) 15 6/62 (9.7%) 9
    Oral hemorrhage 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Oral pain 4/1563 (0.3%) 4 0/368 (0%) 0 10/372 (2.7%) 12 1/147 (0.7%) 1 9/451 (2%) 9 3/219 (1.4%) 3 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Pancreatic duct stenosis 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pancreatic fistula 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pancreatic hemorrhage 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pancreatic necrosis 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pancreatitis 5/1563 (0.3%) 5 0/368 (0%) 0 9/372 (2.4%) 9 10/147 (6.8%) 13 15/451 (3.3%) 19 8/219 (3.7%) 8 1/285 (0.4%) 1 2/80 (2.5%) 2 9/143 (6.3%) 9 1/62 (1.6%) 1
    Proctitis 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Rectal fistula 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Rectal mucositis 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Rectal pain 0/1563 (0%) 0 0/368 (0%) 0 3/372 (0.8%) 5 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Small intestinal mucositis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Stomach pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Toothache 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Typhlitis 3/1563 (0.2%) 3 0/368 (0%) 0 12/372 (3.2%) 13 3/147 (2%) 3 7/451 (1.6%) 7 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 5/143 (3.5%) 5 1/62 (1.6%) 1
    Vomiting 14/1563 (0.9%) 14 0/368 (0%) 0 40/372 (10.8%) 51 14/147 (9.5%) 18 38/451 (8.4%) 47 19/219 (8.7%) 23 3/285 (1.1%) 3 0/80 (0%) 0 14/143 (9.8%) 16 9/62 (14.5%) 14
    General disorders
    Chills 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Facial pain 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Fatigue 2/1563 (0.1%) 2 0/368 (0%) 0 9/372 (2.4%) 10 0/147 (0%) 0 4/451 (0.9%) 4 4/219 (1.8%) 4 0/285 (0%) 0 0/80 (0%) 0 4/143 (2.8%) 4 3/62 (4.8%) 3
    Fever 12/1563 (0.8%) 12 0/368 (0%) 0 49/372 (13.2%) 62 16/147 (10.9%) 18 42/451 (9.3%) 48 15/219 (6.8%) 17 1/285 (0.4%) 1 1/80 (1.3%) 1 10/143 (7%) 11 7/62 (11.3%) 9
    Flu like symptoms 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 2/451 (0.4%) 2 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Gait disturbance 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    General disorders and administration site conditions - Other, specify 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 2 0/147 (0%) 0 2/451 (0.4%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypothermia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Infusion related reaction 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 2/451 (0.4%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Injection site reaction 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Irritability 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 2/451 (0.4%) 2 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Multi-organ failure 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Non-cardiac chest pain 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Pain 9/1563 (0.6%) 9 0/368 (0%) 0 5/372 (1.3%) 7 0/147 (0%) 0 10/451 (2.2%) 10 3/219 (1.4%) 3 4/285 (1.4%) 4 0/80 (0%) 0 6/143 (4.2%) 6 1/62 (1.6%) 1
    Hepatobiliary disorders
    Cholecystitis 0/1563 (0%) 0 0/368 (0%) 0 9/372 (2.4%) 9 1/147 (0.7%) 1 3/451 (0.7%) 3 2/219 (0.9%) 2 0/285 (0%) 0 1/80 (1.3%) 1 1/143 (0.7%) 1 0/62 (0%) 0
    Gallbladder obstruction 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Gallbladder pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hepatic failure 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Hepatic pain 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hepatobiliary disorders - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 5/451 (1.1%) 6 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 3/143 (2.1%) 3 0/62 (0%) 0
    Portal hypertension 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Immune system disorders
    Allergic reaction 3/1563 (0.2%) 3 0/368 (0%) 0 17/372 (4.6%) 18 6/147 (4.1%) 6 18/451 (4%) 18 8/219 (3.7%) 9 0/285 (0%) 0 1/80 (1.3%) 1 10/143 (7%) 10 5/62 (8.1%) 5
    Anaphylaxis 3/1563 (0.2%) 3 0/368 (0%) 0 40/372 (10.8%) 42 10/147 (6.8%) 10 51/451 (11.3%) 53 13/219 (5.9%) 13 0/285 (0%) 0 0/80 (0%) 0 10/143 (7%) 10 2/62 (3.2%) 2
    Immune system disorders - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 6/372 (1.6%) 9 1/147 (0.7%) 1 2/451 (0.4%) 6 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Infections and infestations
    Abdominal infection 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 3/451 (0.7%) 3 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Anorectal infection 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 1/451 (0.2%) 1 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Appendicitis 1/1563 (0.1%) 1 0/368 (0%) 0 2/372 (0.5%) 2 3/147 (2%) 3 6/451 (1.3%) 6 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Appendicitis perforated 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Biliary tract infection 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Bladder infection 1/1563 (0.1%) 1 0/368 (0%) 0 4/372 (1.1%) 4 2/147 (1.4%) 2 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Bone infection 1/1563 (0.1%) 1 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Bronchial infection 1/1563 (0.1%) 1 0/368 (0%) 0 4/372 (1.1%) 4 1/147 (0.7%) 1 0/451 (0%) 0 1/219 (0.5%) 1 2/285 (0.7%) 2 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Catheter related infection 12/1563 (0.8%) 13 0/368 (0%) 0 13/372 (3.5%) 17 3/147 (2%) 3 20/451 (4.4%) 27 9/219 (4.1%) 13 4/285 (1.4%) 4 0/80 (0%) 0 10/143 (7%) 12 3/62 (4.8%) 3
    Conjunctivitis infective 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 2/451 (0.4%) 2 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Cranial nerve infection 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Device related infection 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Duodenal infection 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Endocarditis infective 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Endophthalmitis 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Enterocolitis infectious 4/1563 (0.3%) 4 0/368 (0%) 0 18/372 (4.8%) 19 2/147 (1.4%) 2 15/451 (3.3%) 17 7/219 (3.2%) 8 1/285 (0.4%) 1 0/80 (0%) 0 3/143 (2.1%) 3 1/62 (1.6%) 1
    Esophageal infection 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Eye infection 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Gum infection 3/1563 (0.2%) 3 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Hepatic infection 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 3/451 (0.7%) 3 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hepatitis viral 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Infections and infestations - Other, specify 102/1563 (6.5%) 127 0/368 (0%) 0 145/372 (39%) 280 41/147 (27.9%) 61 184/451 (40.8%) 298 53/219 (24.2%) 77 15/285 (5.3%) 17 0/80 (0%) 0 31/143 (21.7%) 35 8/62 (12.9%) 10
    Infective myositis 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Joint infection 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Kidney infection 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Lip infection 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 2/147 (1.4%) 2 2/451 (0.4%) 2 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Lung infection 13/1563 (0.8%) 14 0/368 (0%) 0 38/372 (10.2%) 44 12/147 (8.2%) 15 41/451 (9.1%) 52 14/219 (6.4%) 16 1/285 (0.4%) 1 0/80 (0%) 0 9/143 (6.3%) 9 4/62 (6.5%) 4
    Lymph gland infection 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Mucosal infection 1/1563 (0.1%) 1 0/368 (0%) 0 8/372 (2.2%) 8 1/147 (0.7%) 1 3/451 (0.7%) 3 1/219 (0.5%) 1 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Nail infection 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Otitis externa 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Otitis media 2/1563 (0.1%) 2 0/368 (0%) 0 9/372 (2.4%) 11 4/147 (2.7%) 4 19/451 (4.2%) 21 6/219 (2.7%) 6 0/285 (0%) 0 0/80 (0%) 0 8/143 (5.6%) 9 2/62 (3.2%) 2
    Pancreas infection 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Paronychia 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 0/451 (0%) 0 2/219 (0.9%) 2 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pelvic infection 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Penile infection 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Periorbital infection 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Peripheral nerve infection 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Peritoneal infection 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pharyngitis 2/1563 (0.1%) 2 0/368 (0%) 0 5/372 (1.3%) 5 2/147 (1.4%) 2 2/451 (0.4%) 2 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Pleural infection 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 3/451 (0.7%) 3 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Rash pustular 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Rhinitis infective 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Salivary gland infection 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Sepsis 13/1563 (0.8%) 13 0/368 (0%) 0 7/372 (1.9%) 7 4/147 (2.7%) 5 7/451 (1.6%) 8 2/219 (0.9%) 3 0/285 (0%) 0 0/80 (0%) 0 6/143 (4.2%) 7 1/62 (1.6%) 1
    Sinusitis 2/1563 (0.1%) 2 0/368 (0%) 0 15/372 (4%) 20 7/147 (4.8%) 7 16/451 (3.5%) 17 4/219 (1.8%) 4 0/285 (0%) 0 0/80 (0%) 0 3/143 (2.1%) 3 2/62 (3.2%) 2
    Skin infection 18/1563 (1.2%) 19 0/368 (0%) 0 28/372 (7.5%) 33 8/147 (5.4%) 11 29/451 (6.4%) 29 13/219 (5.9%) 15 1/285 (0.4%) 1 0/80 (0%) 0 7/143 (4.9%) 8 3/62 (4.8%) 3
    Small intestine infection 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Soft tissue infection 5/1563 (0.3%) 5 0/368 (0%) 0 1/372 (0.3%) 2 1/147 (0.7%) 1 6/451 (1.3%) 7 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 1/62 (1.6%) 1
    Splenic infection 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Tooth infection 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 2/147 (1.4%) 2 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Tracheitis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 2 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Upper respiratory infection 7/1563 (0.4%) 8 0/368 (0%) 0 49/372 (13.2%) 63 17/147 (11.6%) 18 45/451 (10%) 55 20/219 (9.1%) 23 1/285 (0.4%) 1 0/80 (0%) 0 17/143 (11.9%) 23 8/62 (12.9%) 11
    Urethral infection 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Urinary tract infection 7/1563 (0.4%) 7 0/368 (0%) 0 15/372 (4%) 15 2/147 (1.4%) 2 10/451 (2.2%) 11 9/219 (4.1%) 11 1/285 (0.4%) 1 0/80 (0%) 0 8/143 (5.6%) 9 0/62 (0%) 0
    Vaginal infection 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 3 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Vulval infection 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Wound infection 5/1563 (0.3%) 6 0/368 (0%) 0 3/372 (0.8%) 4 0/147 (0%) 0 6/451 (1.3%) 7 2/219 (0.9%) 2 1/285 (0.4%) 1 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Injury, poisoning and procedural complications
    Bruising 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Fall 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Fracture 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 2/451 (0.4%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Injury to superior vena cava 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Injury, poisoning and procedural complications - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Postoperative thoracic procedure complication 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Prolapse of intestinal stoma 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Seroma 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Vascular access complication 12/1563 (0.8%) 12 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 2/451 (0.4%) 2 2/219 (0.9%) 2 4/285 (1.4%) 4 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Venous injury 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Wound complication 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Wound dehiscence 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Investigations
    Activated partial thromboplastin time prolonged 16/1563 (1%) 16 0/368 (0%) 0 6/372 (1.6%) 8 0/147 (0%) 0 1/451 (0.2%) 1 2/219 (0.9%) 2 1/285 (0.4%) 1 0/80 (0%) 0 4/143 (2.8%) 4 0/62 (0%) 0
    Alanine aminotransferase increased 133/1563 (8.5%) 133 0/368 (0%) 0 157/372 (42.2%) 456 62/147 (42.2%) 166 182/451 (40.4%) 493 83/219 (37.9%) 217 25/285 (8.8%) 25 1/80 (1.3%) 1 49/143 (34.3%) 97 21/62 (33.9%) 50
    Alkaline phosphatase increased 3/1563 (0.2%) 3 0/368 (0%) 0 7/372 (1.9%) 7 0/147 (0%) 0 2/451 (0.4%) 2 1/219 (0.5%) 1 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 1/62 (1.6%) 2
    Aspartate aminotransferase increased 72/1563 (4.6%) 72 0/368 (0%) 0 86/372 (23.1%) 133 35/147 (23.8%) 59 99/451 (22%) 145 36/219 (16.4%) 54 6/285 (2.1%) 6 1/80 (1.3%) 2 27/143 (18.9%) 40 10/62 (16.1%) 12
    Blood antidiuretic hormone abnormal 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Blood bilirubin increased 29/1563 (1.9%) 29 0/368 (0%) 0 42/372 (11.3%) 66 20/147 (13.6%) 31 52/451 (11.5%) 85 20/219 (9.1%) 40 4/285 (1.4%) 4 1/80 (1.3%) 1 25/143 (17.5%) 29 6/62 (9.7%) 8
    Blood gonadotrophin abnormal 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Blood prolactin abnormal 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    CPK increased 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Cholesterol high 4/1563 (0.3%) 4 0/368 (0%) 0 3/372 (0.8%) 5 0/147 (0%) 0 2/451 (0.4%) 3 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Creatinine increased 21/1563 (1.3%) 21 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 3/451 (0.7%) 3 1/219 (0.5%) 1 1/285 (0.4%) 1 0/80 (0%) 0 3/143 (2.1%) 3 0/62 (0%) 0
    Fibrinogen decreased 75/1563 (4.8%) 76 0/368 (0%) 0 2/372 (0.5%) 2 3/147 (2%) 4 3/451 (0.7%) 5 1/219 (0.5%) 1 8/285 (2.8%) 8 1/80 (1.3%) 1 5/143 (3.5%) 5 0/62 (0%) 0
    GGT increased 22/1563 (1.4%) 22 0/368 (0%) 0 14/372 (3.8%) 27 3/147 (2%) 4 12/451 (2.7%) 24 6/219 (2.7%) 9 1/285 (0.4%) 1 0/80 (0%) 0 6/143 (4.2%) 8 1/62 (1.6%) 2
    Growth hormone abnormal 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hemoglobin increased 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    INR increased 5/1563 (0.3%) 5 0/368 (0%) 0 3/372 (0.8%) 3 0/147 (0%) 0 4/451 (0.9%) 4 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Investigations - Other, specify 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 4/451 (0.9%) 4 2/219 (0.9%) 3 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Lipase increased 15/1563 (1%) 15 0/368 (0%) 0 15/372 (4%) 19 9/147 (6.1%) 13 26/451 (5.8%) 31 4/219 (1.8%) 4 3/285 (1.1%) 3 1/80 (1.3%) 1 10/143 (7%) 12 3/62 (4.8%) 3
    Lymphocyte count decreased 6/1563 (0.4%) 6 0/368 (0%) 0 24/372 (6.5%) 41 9/147 (6.1%) 15 28/451 (6.2%) 44 13/219 (5.9%) 18 3/285 (1.1%) 3 0/80 (0%) 0 7/143 (4.9%) 13 3/62 (4.8%) 5
    Neutrophil count decreased 97/1563 (6.2%) 98 0/368 (0%) 0 276/372 (74.2%) 710 89/147 (60.5%) 189 331/451 (73.4%) 1010 116/219 (53%) 277 8/285 (2.8%) 8 1/80 (1.3%) 1 100/143 (69.9%) 208 35/62 (56.5%) 76
    Platelet count decreased 61/1563 (3.9%) 61 0/368 (0%) 0 117/372 (31.5%) 201 29/147 (19.7%) 44 150/451 (33.3%) 251 50/219 (22.8%) 75 1/285 (0.4%) 1 0/80 (0%) 0 37/143 (25.9%) 53 13/62 (21%) 19
    Serum amylase increased 11/1563 (0.7%) 11 0/368 (0%) 0 11/372 (3%) 13 2/147 (1.4%) 4 17/451 (3.8%) 17 5/219 (2.3%) 5 1/285 (0.4%) 1 1/80 (1.3%) 1 5/143 (3.5%) 5 1/62 (1.6%) 2
    Urine output decreased 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Weight gain 3/1563 (0.2%) 3 0/368 (0%) 0 1/372 (0.3%) 6 0/147 (0%) 0 3/451 (0.7%) 3 1/219 (0.5%) 1 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Weight loss 17/1563 (1.1%) 17 0/368 (0%) 0 23/372 (6.2%) 25 6/147 (4.1%) 6 16/451 (3.5%) 17 5/219 (2.3%) 5 5/285 (1.8%) 5 0/80 (0%) 0 6/143 (4.2%) 8 3/62 (4.8%) 3
    White blood cell decreased 54/1563 (3.5%) 54 0/368 (0%) 0 110/372 (29.6%) 253 35/147 (23.8%) 62 125/451 (27.7%) 353 40/219 (18.3%) 70 2/285 (0.7%) 2 0/80 (0%) 0 38/143 (26.6%) 61 11/62 (17.7%) 18
    Metabolism and nutrition disorders
    Acidosis 7/1563 (0.4%) 7 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 2/451 (0.4%) 2 3/219 (1.4%) 3 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Alkalosis 4/1563 (0.3%) 4 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Anorexia 27/1563 (1.7%) 27 0/368 (0%) 0 38/372 (10.2%) 45 17/147 (11.6%) 35 32/451 (7.1%) 45 16/219 (7.3%) 21 4/285 (1.4%) 4 0/80 (0%) 0 12/143 (8.4%) 13 6/62 (9.7%) 7
    Dehydration 15/1563 (1%) 15 0/368 (0%) 0 51/372 (13.7%) 62 22/147 (15%) 25 30/451 (6.7%) 34 15/219 (6.8%) 18 9/285 (3.2%) 9 0/80 (0%) 0 11/143 (7.7%) 13 7/62 (11.3%) 7
    Glucose intolerance 8/1563 (0.5%) 8 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 2/451 (0.4%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypercalcemia 10/1563 (0.6%) 10 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Hyperglycemia 216/1563 (13.8%) 217 0/368 (0%) 0 14/372 (3.8%) 16 4/147 (2.7%) 7 42/451 (9.3%) 67 14/219 (6.4%) 22 17/285 (6%) 18 0/80 (0%) 0 15/143 (10.5%) 21 2/62 (3.2%) 2
    Hyperkalemia 80/1563 (5.1%) 80 0/368 (0%) 0 6/372 (1.6%) 8 3/147 (2%) 4 12/451 (2.7%) 12 3/219 (1.4%) 3 2/285 (0.7%) 2 0/80 (0%) 0 4/143 (2.8%) 4 1/62 (1.6%) 1
    Hypermagnesemia 8/1563 (0.5%) 8 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Hypernatremia 9/1563 (0.6%) 9 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 1/62 (1.6%) 1
    Hypertriglyceridemia 6/1563 (0.4%) 6 0/368 (0%) 0 10/372 (2.7%) 12 1/147 (0.7%) 1 6/451 (1.3%) 8 1/219 (0.5%) 1 3/285 (1.1%) 3 0/80 (0%) 0 2/143 (1.4%) 2 1/62 (1.6%) 1
    Hyperuricemia 37/1563 (2.4%) 37 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypoalbuminemia 19/1563 (1.2%) 19 0/368 (0%) 0 16/372 (4.3%) 18 4/147 (2.7%) 6 24/451 (5.3%) 26 10/219 (4.6%) 10 10/285 (3.5%) 10 0/80 (0%) 0 7/143 (4.9%) 9 2/62 (3.2%) 2
    Hypocalcemia 199/1563 (12.7%) 200 0/368 (0%) 0 16/372 (4.3%) 16 6/147 (4.1%) 6 14/451 (3.1%) 15 8/219 (3.7%) 8 6/285 (2.1%) 6 0/80 (0%) 0 5/143 (3.5%) 5 2/62 (3.2%) 3
    Hypoglycemia 2/1563 (0.1%) 2 0/368 (0%) 0 13/372 (3.5%) 18 4/147 (2.7%) 4 9/451 (2%) 11 6/219 (2.7%) 6 2/285 (0.7%) 2 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Hypokalemia 99/1563 (6.3%) 100 0/368 (0%) 0 58/372 (15.6%) 71 15/147 (10.2%) 20 101/451 (22.4%) 127 41/219 (18.7%) 48 10/285 (3.5%) 10 0/80 (0%) 0 14/143 (9.8%) 16 4/62 (6.5%) 5
    Hypomagnesemia 5/1563 (0.3%) 5 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hyponatremia 116/1563 (7.4%) 116 0/368 (0%) 0 16/372 (4.3%) 17 7/147 (4.8%) 9 26/451 (5.8%) 28 10/219 (4.6%) 10 21/285 (7.4%) 21 0/80 (0%) 0 11/143 (7.7%) 13 1/62 (1.6%) 1
    Hypophosphatemia 44/1563 (2.8%) 44 0/368 (0%) 0 9/372 (2.4%) 9 3/147 (2%) 3 13/451 (2.9%) 14 5/219 (2.3%) 5 6/285 (2.1%) 6 0/80 (0%) 0 6/143 (4.2%) 7 2/62 (3.2%) 2
    Iron overload 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 2/451 (0.4%) 4 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Metabolism and nutrition disorders - Other, specify 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Obesity 1/1563 (0.1%) 1 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 2/451 (0.4%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Tumor lysis syndrome 135/1563 (8.6%) 135 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 5/285 (1.8%) 5 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Musculoskeletal and connective tissue disorders
    Arthralgia 2/1563 (0.1%) 2 0/368 (0%) 0 3/372 (0.8%) 8 1/147 (0.7%) 1 1/451 (0.2%) 1 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 1/62 (1.6%) 1
    Avascular necrosis 0/1563 (0%) 0 0/368 (0%) 0 37/372 (9.9%) 66 5/147 (3.4%) 7 34/451 (7.5%) 51 9/219 (4.1%) 11 0/285 (0%) 0 0/80 (0%) 0 15/143 (10.5%) 26 7/62 (11.3%) 11
    Back pain 10/1563 (0.6%) 10 0/368 (0%) 0 9/372 (2.4%) 10 0/147 (0%) 0 10/451 (2.2%) 11 8/219 (3.7%) 10 4/285 (1.4%) 4 0/80 (0%) 0 5/143 (3.5%) 11 2/62 (3.2%) 2
    Bone pain 1/1563 (0.1%) 1 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 5/451 (1.1%) 7 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Buttock pain 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Chest wall pain 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Flank pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Generalized muscle weakness 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 2/451 (0.4%) 2 2/219 (0.9%) 2 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 1/62 (1.6%) 1
    Joint effusion 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Joint range of motion decreased 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Muscle weakness left-sided 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Muscle weakness lower limb 4/1563 (0.3%) 4 0/368 (0%) 0 4/372 (1.1%) 4 1/147 (0.7%) 1 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Muscle weakness right-sided 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Muscle weakness trunk 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Muscle weakness upper limb 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Musculoskeletal and connective tissue disorder - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Myalgia 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Myositis 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 1/451 (0.2%) 1 1/219 (0.5%) 1 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Neck pain 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Osteoporosis 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pain in extremity 11/1563 (0.7%) 11 0/368 (0%) 0 17/372 (4.6%) 17 6/147 (4.1%) 6 10/451 (2.2%) 12 5/219 (2.3%) 7 6/285 (2.1%) 6 0/80 (0%) 0 4/143 (2.8%) 4 1/62 (1.6%) 3
    Scoliosis 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 3 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Myelodysplastic syndrome 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Tumor pain 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Nervous system disorders
    Abducens nerve disorder 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Amnesia 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Ataxia 1/1563 (0.1%) 1 0/368 (0%) 0 3/372 (0.8%) 3 1/147 (0.7%) 2 3/451 (0.7%) 3 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Cerebrospinal fluid leakage 4/1563 (0.3%) 4 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 3/451 (0.7%) 3 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 1/62 (1.6%) 1
    Cognitive disturbance 2/1563 (0.1%) 2 0/368 (0%) 0 5/372 (1.3%) 5 1/147 (0.7%) 1 7/451 (1.6%) 8 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Concentration impairment 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Depressed level of consciousness 4/1563 (0.3%) 4 0/368 (0%) 0 9/372 (2.4%) 10 2/147 (1.4%) 2 7/451 (1.6%) 7 3/219 (1.4%) 3 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Dizziness 4/1563 (0.3%) 4 0/368 (0%) 0 9/372 (2.4%) 11 5/147 (3.4%) 12 4/451 (0.9%) 6 10/219 (4.6%) 14 2/285 (0.7%) 2 0/80 (0%) 0 2/143 (1.4%) 3 1/62 (1.6%) 1
    Dysarthria 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 1/451 (0.2%) 1 3/219 (1.4%) 4 0/285 (0%) 0 0/80 (0%) 0 3/143 (2.1%) 3 0/62 (0%) 0
    Dysesthesia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Dysgeusia 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Dysphasia 1/1563 (0.1%) 1 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 3/451 (0.7%) 3 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Encephalopathy 9/1563 (0.6%) 9 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 8/451 (1.8%) 8 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 3/143 (2.1%) 3 0/62 (0%) 0
    Extrapyramidal disorder 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 4/451 (0.9%) 4 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Facial muscle weakness 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Facial nerve disorder 1/1563 (0.1%) 1 0/368 (0%) 0 2/372 (0.5%) 3 0/147 (0%) 0 1/451 (0.2%) 1 2/219 (0.9%) 4 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Headache 43/1563 (2.8%) 44 0/368 (0%) 0 37/372 (9.9%) 65 16/147 (10.9%) 33 37/451 (8.2%) 68 34/219 (15.5%) 55 12/285 (4.2%) 12 1/80 (1.3%) 1 19/143 (13.3%) 32 9/62 (14.5%) 25
    Hydrocephalus 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypersomnia 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    IVth nerve disorder 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Intracranial hemorrhage 4/1563 (0.3%) 4 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Ischemia cerebrovascular 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 3/451 (0.7%) 3 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Lethargy 1/1563 (0.1%) 1 0/368 (0%) 0 2/372 (0.5%) 3 0/147 (0%) 0 2/451 (0.4%) 2 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Leukoencephalopathy 2/1563 (0.1%) 2 0/368 (0%) 0 6/372 (1.6%) 6 4/147 (2.7%) 4 10/451 (2.2%) 10 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 3/143 (2.1%) 3 2/62 (3.2%) 2
    Memory impairment 0/1563 (0%) 0 0/368 (0%) 0 4/372 (1.1%) 4 2/147 (1.4%) 2 1/451 (0.2%) 1 2/219 (0.9%) 2 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 2
    Meningismus 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Movements involuntary 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 3/451 (0.7%) 3 3/219 (1.4%) 3 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Nervous system disorders - Other, specify 3/1563 (0.2%) 3 0/368 (0%) 0 6/372 (1.6%) 6 1/147 (0.7%) 1 12/451 (2.7%) 13 3/219 (1.4%) 3 2/285 (0.7%) 2 0/80 (0%) 0 3/143 (2.1%) 3 0/62 (0%) 0
    Neuralgia 3/1563 (0.2%) 3 0/368 (0%) 0 6/372 (1.6%) 7 1/147 (0.7%) 1 2/451 (0.4%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Oculomotor nerve disorder 0/1563 (0%) 0 0/368 (0%) 0 3/372 (0.8%) 4 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Paresthesia 3/1563 (0.2%) 3 0/368 (0%) 0 3/372 (0.8%) 3 2/147 (1.4%) 2 1/451 (0.2%) 1 3/219 (1.4%) 3 1/285 (0.4%) 1 0/80 (0%) 0 4/143 (2.8%) 5 4/62 (6.5%) 6
    Peripheral motor neuropathy 87/1563 (5.6%) 87 0/368 (0%) 0 116/372 (31.2%) 335 45/147 (30.6%) 129 106/451 (23.5%) 273 57/219 (26%) 148 8/285 (2.8%) 8 1/80 (1.3%) 1 31/143 (21.7%) 72 23/62 (37.1%) 41
    Peripheral sensory neuropathy 181/1563 (11.6%) 183 0/368 (0%) 0 106/372 (28.5%) 273 41/147 (27.9%) 118 91/451 (20.2%) 262 46/219 (21%) 132 38/285 (13.3%) 38 0/80 (0%) 0 33/143 (23.1%) 98 20/62 (32.3%) 60
    Presyncope 2/1563 (0.1%) 2 0/368 (0%) 0 0/372 (0%) 0 2/147 (1.4%) 2 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pyramidal tract syndrome 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Reversible posterior leukoencephalopathy syndrome 6/1563 (0.4%) 6 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Seizure 31/1563 (2%) 32 0/368 (0%) 0 12/372 (3.2%) 20 2/147 (1.4%) 2 19/451 (4.2%) 20 4/219 (1.8%) 4 2/285 (0.7%) 2 1/80 (1.3%) 1 3/143 (2.1%) 3 3/62 (4.8%) 4
    Somnolence 6/1563 (0.4%) 6 0/368 (0%) 0 4/372 (1.1%) 4 8/147 (5.4%) 8 10/451 (2.2%) 10 11/219 (5%) 12 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Stroke 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Syncope 7/1563 (0.4%) 8 0/368 (0%) 0 2/372 (0.5%) 2 3/147 (2%) 3 3/451 (0.7%) 3 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 4/143 (2.8%) 4 4/62 (6.5%) 4
    Transient ischemic attacks 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 3 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Tremor 3/1563 (0.2%) 3 0/368 (0%) 0 5/372 (1.3%) 7 5/147 (3.4%) 6 3/451 (0.7%) 3 6/219 (2.7%) 6 2/285 (0.7%) 3 0/80 (0%) 0 1/143 (0.7%) 2 2/62 (3.2%) 2
    Trigeminal nerve disorder 6/1563 (0.4%) 6 0/368 (0%) 0 3/372 (0.8%) 3 0/147 (0%) 0 2/451 (0.4%) 2 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Vagus nerve disorder 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Vasovagal reaction 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Psychiatric disorders
    Agitation 4/1563 (0.3%) 4 0/368 (0%) 0 4/372 (1.1%) 4 2/147 (1.4%) 2 3/451 (0.7%) 3 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 2/62 (3.2%) 3
    Anxiety 2/1563 (0.1%) 2 0/368 (0%) 0 8/372 (2.2%) 8 1/147 (0.7%) 1 3/451 (0.7%) 3 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Confusion 3/1563 (0.2%) 3 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Delirium 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Depression 4/1563 (0.3%) 4 0/368 (0%) 0 7/372 (1.9%) 8 2/147 (1.4%) 2 4/451 (0.9%) 4 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Euphoria 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hallucinations 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Insomnia 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Personality change 3/1563 (0.2%) 3 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 2/451 (0.4%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Psychiatric disorders - Other, specify 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 2/451 (0.4%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Psychosis 3/1563 (0.2%) 3 0/368 (0%) 0 4/372 (1.1%) 4 0/147 (0%) 0 5/451 (1.1%) 5 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Suicidal ideation 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 4 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Suicide attempt 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Renal and urinary disorders
    Acute kidney injury 24/1563 (1.5%) 24 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 3/451 (0.7%) 3 2/219 (0.9%) 3 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 3 0/62 (0%) 0
    Chronic kidney disease 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Cystitis noninfective 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hematuria 1/1563 (0.1%) 1 0/368 (0%) 0 3/372 (0.8%) 3 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Proteinuria 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Renal and urinary disorders - Other, specify 4/1563 (0.3%) 4 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 3/451 (0.7%) 3 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Renal calculi 1/1563 (0.1%) 1 0/368 (0%) 0 4/372 (1.1%) 5 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 3
    Renal colic 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Renal hemorrhage 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Urinary frequency 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Urinary retention 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Urinary tract obstruction 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Urinary tract pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Reproductive system and breast disorders
    Pelvic pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Perineal pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Testicular pain 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Vaginal dryness 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Vaginal inflammation 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 2/451 (0.4%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Vaginal pain 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Adult respiratory distress syndrome 3/1563 (0.2%) 3 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 2/451 (0.4%) 2 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Allergic rhinitis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Aspiration 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Atelectasis 4/1563 (0.3%) 4 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 2/285 (0.7%) 2 0/80 (0%) 0 2/143 (1.4%) 3 0/62 (0%) 0
    Bronchial obstruction 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Bronchopulmonary hemorrhage 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Bronchospasm 1/1563 (0.1%) 1 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 3/451 (0.7%) 3 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Cough 1/1563 (0.1%) 1 0/368 (0%) 0 5/372 (1.3%) 5 0/147 (0%) 0 4/451 (0.9%) 4 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Dyspnea 6/1563 (0.4%) 6 0/368 (0%) 0 3/372 (0.8%) 3 3/147 (2%) 3 2/451 (0.4%) 2 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 1/62 (1.6%) 2
    Epistaxis 3/1563 (0.2%) 3 0/368 (0%) 0 5/372 (1.3%) 5 0/147 (0%) 0 2/451 (0.4%) 2 3/219 (1.4%) 4 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Hoarseness 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypoxia 31/1563 (2%) 31 0/368 (0%) 0 11/372 (3%) 12 3/147 (2%) 3 12/451 (2.7%) 12 3/219 (1.4%) 4 0/285 (0%) 0 0/80 (0%) 0 3/143 (2.1%) 3 1/62 (1.6%) 1
    Laryngeal edema 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Nasal congestion 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pharyngeal mucositis 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 2/451 (0.4%) 2 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Pharyngolaryngeal pain 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 3/451 (0.7%) 3 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pleural effusion 16/1563 (1%) 16 0/368 (0%) 0 4/372 (1.1%) 4 0/147 (0%) 0 4/451 (0.9%) 4 1/219 (0.5%) 2 10/285 (3.5%) 10 0/80 (0%) 0 5/143 (3.5%) 5 0/62 (0%) 0
    Pleural hemorrhage 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pneumonitis 7/1563 (0.4%) 7 0/368 (0%) 0 6/372 (1.6%) 6 2/147 (1.4%) 3 7/451 (1.6%) 7 2/219 (0.9%) 2 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 0/62 (0%) 0
    Pneumothorax 5/1563 (0.3%) 5 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 0/451 (0%) 0 1/219 (0.5%) 1 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pulmonary edema 5/1563 (0.3%) 5 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 1/285 (0.4%) 1 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Pulmonary fibrosis 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Respiratory failure 3/1563 (0.2%) 3 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 1/451 (0.2%) 1 3/219 (1.4%) 3 0/285 (0%) 0 0/80 (0%) 0 2/143 (1.4%) 2 1/62 (1.6%) 1
    Respiratory, thoracic and mediastinal disorders - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 1/451 (0.2%) 1 2/219 (0.9%) 2 1/285 (0.4%) 1 1/80 (1.3%) 2 0/143 (0%) 0 0/62 (0%) 0
    Sore throat 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 1/147 (0.7%) 1 2/451 (0.4%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Stridor 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Wheezing 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Skin and subcutaneous tissue disorders
    Erythema multiforme 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pain of skin 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Palmar-plantar erythrodysesthesia syndrome 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 2/451 (0.4%) 2 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Photosensitivity 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Pruritus 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 0/147 (0%) 0 7/451 (1.6%) 8 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Purpura 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Rash maculo-papular 4/1563 (0.3%) 4 0/368 (0%) 0 2/372 (0.5%) 4 1/147 (0.7%) 1 9/451 (2%) 9 1/219 (0.5%) 2 1/285 (0.4%) 1 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Skin and subcutaneous tissue disorders - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 2/372 (0.5%) 2 1/147 (0.7%) 1 2/451 (0.4%) 4 3/219 (1.4%) 5 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Skin ulceration 2/1563 (0.1%) 2 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 2/451 (0.4%) 2 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Stevens-Johnson syndrome 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Urticaria 1/1563 (0.1%) 1 0/368 (0%) 0 4/372 (1.1%) 4 2/147 (1.4%) 2 3/451 (0.7%) 3 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Social circumstances
    Social circumstances - Other, specify 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 0/143 (0%) 0 1/62 (1.6%) 1
    Surgical and medical procedures
    Surgical and medical procedures - Other, specify 0/1563 (0%) 0 0/368 (0%) 0 1/372 (0.3%) 1 1/147 (0.7%) 1 0/451 (0%) 0 1/219 (0.5%) 1 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Vascular disorders
    Capillary leak syndrome 0/1563 (0%) 0 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Hematoma 3/1563 (0.2%) 3 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 0/451 (0%) 0 0/219 (0%) 0 0/285 (0%) 0 0/80 (0%) 0 1/143 (0.7%) 1 0/62 (0%) 0
    Hypertension 62/1563 (4%) 62 0/368 (0%) 0 4/372 (1.1%) 14 1/147 (0.7%) 1 10/451 (2.2%) 11 3/219 (1.4%) 4 8/285 (2.8%) 8 0/80 (0%) 0 0/143 (0%) 0 0/62 (0%) 0
    Hypotension 20/1563 (1.3%) 20 0/368 (0%) 0 14/372 (3.8%) 14 4/147 (2.7%) 4 10/451 (2.2%) 11 6/219 (2.7%) 6 2/285 (0.7%) 2 0/80 (0%) 0 10/143 (7%) 10 6/62 (9.7%) 7
    Thromboembolic event 25/1563 (1.6%) 25 0/368 (0%) 0 7/372 (1.9%) 7 1/147 (0.7%) 1 3/451 (0.7%) 3 3/219 (1.4%) 3 16/285 (5.6%) 16 0/80 (0%) 0 6/143 (4.2%) 6 2/62 (3.2%) 2
    Vascular disorders - Other, specify 1/1563 (0.1%) 1 0/368 (0%) 0 0/372 (0%) 0 0/147 (0%) 0 1/451 (0.2%) 1 0/219 (0%) 0 2/285 (0.7%) 2 0/80 (0%) 0 0/143 (0%) 0 0/62 (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 less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Results Reporting Coordinator
    Organization Children's Oncology Group
    Phone 626-447-0064
    Email resultsreportingcoordinator@childrensoncologygroup.org
    Responsible Party:
    National Cancer Institute (NCI)
    ClinicalTrials.gov Identifier:
    NCT00408005
    Other Study ID Numbers:
    • NCI-2009-00307
    • NCI-2009-00307
    • COG-AALL0434
    • 07-169
    • CDR0000514500
    • AALL0434
    • AALL0434
    • U10CA098543
    • U10CA180886
    First Posted:
    Dec 5, 2006
    Last Update Posted:
    Jul 28, 2022
    Last Verified:
    Mar 1, 2022