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Study of GSK1363089 in Metastatic Gastric Cancer

A Phase 2 Study of GSK1363089 (XL880) Administered Orally to Subjects With Metastatic Gastric Cancer

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00725712
Enrollment
74
Registered
2008-07-30
Start date
2007-03-31
Completion date
2009-11-30
Last updated
2017-08-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Neoplasms, Gastrointestinal Tract

Keywords

c-Met, Metastatic Gastric Carcinoma, adenocarcinoma, Gastric cancer, GSK1363089, XL880, MET inhibitor

Brief summary

This clinical study is being conducted at multiple sites to determine the best confirmed response rate, safety, and tolerability of GSK1363089 treatment in metastatic gastric carcinoma.

Interventions

c-MET tyrosine kinase inhibitor

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* histologically confirmed diagnosis of advanced or metastatic gastric carcinoma, or adenocarcinoma of the gastroesophageal junction or of the distal esophagus. Subjects with tumors of the gastroesophageal junction or of the distal esophagus may be eligible provided that the tumor is not of squamous or sarcomatous histology * Measurable disease * The subject consents to provide paired tumor biopsies, directly prior to commencing study treatment and then between Days 5 and 8. * The subject has an ECOG performance status ≤2. * The subject is able to ingest the GSK1363089 capsules. * In the adrenocorticotropic hormone (ACTH) stimulation test, the subject has a serum cortisol level ≥20 μg/dL (552 nmol/L) 30-90 minutes after injection of ACTH. * The subject has liver, kidney and marrow function. * The subject is capable of understanding and complying with the protocol and has signed the informed consent document. * Sexually active subjects (male and female) must use a medically-accepted method of contraception during the course of the study. * Female subjects of childbearing potential must have a negative serum pregnancy test at screening. * The subject has had no other diagnosis of malignancy (unless non-melanoma skin cancer or a malignancy diagnosed ≥5 years ago, and has no evidence of disease for 5 years prior to the screening for this study). * QTc \< 470 msec.

Exclusion criteria

* The subject has received more than two lines of prior cytotoxic chemotherapy for locally advanced or metastatic disease. For the purpose of this protocol, neoadjuvant therapy would not be considered to be prior cytotoxic chemotherapy. In addition, potential subjects who have received prior treatment with c-MET signaling inhibitor are excluded. * The subject has received an investigational drug within 14 days of the first dose of study drug. * The subject has received chemotherapy, immunotherapy, or radiation therapy (to ≥25% of his or her bone marrow) within 14 days or has received nitrosoureas or mitomycin C within 6 weeks prior to the scheduled first dose of GSK1363089. * The subject has AEs due to investigational drugs or other medications administered more than 21 days prior to enrollment that have not recovered to Grade ≤1 using NCI CTCAE v3.0, with the exception of alopecia greater than grade 1. * The subject has known brain metastases. * The subject has uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. * The subject is pregnant or breastfeeding. * The subject is known to be positive for the human immunodeficiency virus (HIV). * The subject has a previously identified allergy or hypersensitivity to components of the GSK1363089 formulation. * The subject is unable or unwilling to abide by the study protocol or cooperate fully with the investigator or designee.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Objective Response Rate (ORR), of GSK1363089, Per- Response Evaluation Criteria in Solid Tumors (RECIST) Criteria Version 1.0At every 8 Weeks upto 31 monthsORR is defined as the percentage of participants achieving best overall response of confirmed complete response (CR) or partial response (PR). Tumor response for participants with measurable lesions was assessed routinely (after 8 weeks of treatment and approximately every 8 weeks thereafter) using RECIST (version 1.0) criteria. The CR for target lesions was defined as disappearance of all target lesions (TLs) and the non-target lesions (NTLs). PR defined as at least 30% decrease in sum of the longest diameter (LD) of TLs, taking as reference baseline sum LD. The safety population included all participants who passed the screening criteria, enrolled in the study, and received at least 1 dose of study drug. Progressive disease will be used as PD.
Number of Participants With Adverse Event (AE) and Serious Adverse Event (SAE)Up to 31 monthsAn AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product whether or not it is considered drug related. This would include any side effect, injury, toxicity, sensitivity reaction, abnormal or worsening of a laboratory value, concurrent illness or sudden death. Pre-existing conditions that worsen during a study will be reported as AEs. SAE is an AE that results in death, is life-threatening, requires inpatient hospitalization or extends a current hospital stay, results in an ongoing or significant incapacity or interferes substantially with normal life functions, or causes a congenital anomaly or birth defect. Medical events that do not result in death, are not life-threatening, or do not require hospitalization may be considered SAEs if they put the participant in danger or require medical or surgical intervention to prevent one of the results listed above.
Change From Baseline in Vital Signs-Systolic and Diastolic Blood PressureBaseline (pre-dose, Day 1) and before 30-day follow- up (up to 2 years)Participants systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured in mm of mercury (mmHg). These were collected after the participant sat quietly for at least five minutes. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The data for minimum (min) and maximum (max) post-baseline has been reported. Baseline is defined as the last non-missing record on or before first dose.
Change From Baseline in Vital Signs-Pulse RateBaseline (pre-dose, Day 1) and before 30-day follow- up (up to 2 years)The pulse rate or heart rate (HR) for the participant's, were collected after the participant sat quietly for at least five minutes. Baseline evaluations were performed within 72 hours before the first dose. If performed within 24 hours of the first dose, baseline evaluations may serve as the pre-dose Day 1 visit evaluations. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. Baseline was defined as pre-dose, Day 1. The HR was measured in beats per minute (bpm). The min and max values have been reported.
Change From Baseline in TemperatureBaseline (pre-dose, Day 1) and before 30-day follow- up (up to 2 years)The body temperature for the participants was assessed. These were collected after the participant sat quietly for at least five minutes. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. Baseline is defined as the last non-missing record on or before first dose.
Change From Baseline in Respiratory Rate (RR)Baseline (pre-dose, Day 1) and before 30-day follow- up (up to 2 years)The RR for the participant's, were collected after the participant sat quietly for at least five minutes. Baseline evaluations should be performed within 72 hours before the first dose. If performed within 24 hours of the first dose, baseline evaluations may serve as the pre-dose Day 1 visit evaluations. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. Baseline was defined as pre-dose, Day 1 . The RR was measured in breaths per minute. Min and max post-baseline values are reported.
Number of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedFrom Day 1 and before 30-day follow- up (up to 2 years)The data for serum chemistry parameters like albumin, alanine aminotransferase (ALT), alkaline phosphatase (ALP), amylase, aspartate amino transferase (AST), calcium, carbon dioxide, creatinine, gamma glutamyl transferase (GGT), glucose, blood urea nitrogen (BUN), chloride, free thyroxine, free triiodothyronine, lipase, phosphorous, potassium, sodium, total bilirubin, lactate dehydrogenase, total protein. The abnormal values have been reported wherein data for normal to low and normal to high has been reported.
Number of Participants With Shift From Baseline in Serum Chemistry- GradedFrom Day 1 to up to 30-day follow-up visit (up to 2 years)The worst overall common terminology criteria for adverse events version 3.0 (CTCAE) grade (G) shift post baseline for each parameter was mentioned. Only worst case scenarios are presented. CTCAE grading is done as per intensity namely mild moderate severe life-threatening or Death. Analysis was done for Alanine aminotransferases, aspartate aminotransferases, Albumin, alkaline phosphatase, calcium, sodium, potassium, glucose, amylase, amylase, bilirubin, creatinine, phosphate, gamma glutamyl transferases (GGT), and triglycerol lipase. Worst Overall defined as worst post baseline out of normal range flag in the order of (high, low, normal) before 30 day follow up. Data for G3 and G4 is reported.
Number of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersFrom Day 1 and before 30-day follow- up (up to 2 years)The hematology parameters worst case overall CTCAE grade shift post Baseline for each parameter was mentioned. CTCAE grading for version 3.0 was used and done as per intensity namely mild moderate severe life-threatening or Death. Participants were analyzed for basophils, eosinophils, erythrocytes, hematocrit, and monocytes were analyzed. Only the abnormal values were reported where normal to high and normal to low changes were reported. Worst Overall was defined as highest post baseline CTCAE grade before 30 day follow up.
Number of Participants With Grade Shift for Urinalysis ParametersFrom Day 1 and before 30-day follow- up (up to 2 years)The urinalysis parameters by worst case overall CTCAE grade shift post Baseline for each parameter were mentioned as per the CTCAE grading for version 3.0 and done as per intensity namely mild moderate severe life-threatening or Death. Participants were analyzed for abnormal values for bilirubin, ketones, nitrites, occult blood, pH, protein, specific gravity, and urobilinogen.
Number of Participants With Shift From Baseline by Grade for Hematology ParametersBaseline (pre-dose) and before 30-day follow- up (up to 2 years)The worst overall grading by CTCAE version 3.0, was used to report the shift from baseline for hematology parameters namely hemoglobin, platelets and lymphocytes. The grades were namely G0, G1, G2, G3 and G4. The data for shifts from G2 to G3 and G0 to G4, mainly the shifts to higher grades G3 and G4 have been reported.
Number of Participants Who Required Concomitant MedicationsBaseline (pre-dose) and before 30-day follow- up (up to 2 years)The number of participants who received concomitant medication during the study were reported. The data has been reported for the participants who have received subsequent chemotherapy, subsequent radiation therapy or other therapy.

Secondary

MeasureTime frameDescription
Median Progression Free Survival (PFS) of GSK1363089At every 8 Weeks upto 31 monthsDuration of PFS in months is defined as (Date of Disease Progression/Death - Date of First Dose + 1)/30.44. For participants who did not reach an event (disease progression or death) at the time of data cut-off, duration of PFS is censored at date of last available tumor assessment that is not 'Unable to Evaluate'. For participants who did not have any post-baseline tumor assessments, PFS was censored at Day 1. For any participants who received subsequent anti-cancer therapy, PFS will be right censored at the date of last adequate tumor assessment on or prior to the date of anti-cancer therapy initiation. For any participants who died or progressed after an extended lost-to-follow-up time (greater than 17 weeks), PFS was censored at the date of last adequate assessment prior to extended lost-to follow-up.
Duration of Stable Disease of GSK1363089At every 8 Weeks upto 31 monthsDuration of stable disease, was defined as the time between the date of first dose and death or disease progression, in participants whose best overall response was not progressive disease
Disease Stabilization Rate of GSK 1363089At every 8 Weeks upto 31 monthsIt is defined as the number of participants achieving best overall response of confirmed CR or PR or stable disease (SD). It was assessed using RECIST criteria 1.0. The CR for target lesions was defined as disappearance of all TLs and the NTLs. PR is at least 30% decrease in sum of the LD of TLs, taking as reference baseline sum LD. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as a reference, the smallest sum LD since the treatment started.
Median Duration of Overall Survival (OS)of GSK1363089At every 8 Weeks upto 31 monthsDuration of OS is defined as (Date of Death \[due to any cause\]) minus Date of first dose. For the participants who were alive at the time of data cut-off, duration of overall survival was censored at the date of last contact. The upper value of the full range was censored observation.

Countries

United States

Participant flow

Recruitment details

A total of 74 participants with Metastatic gastric cancer were enrolled in this sequential cohort study at 15 sites in the United States of America. The study was conducted from 23 March 2007 to 20 October 2009.

Participants by arm

ArmCount
GSK1363089, Intermittent 5 and 9 Dosing
The eligible participants in this arm were administered GSK1363089 at 240 mg per dosing day orally( viz. foretinib solid capsules of 20, 100 and 200mg) , as 5 days on and 9 days off cycle (no drug for 9-days) every 2 weeks for treatment period of 8 weeks. Participants fasted 2 hours before the dose, followed by a glass of water (after the intake of GSK1363089) and continued to fast 1 hour after each dose.
48
GSK136308, Daily Dosing
The eligible participants in this arm were administered GSK1363089 at 80 mg daily for treatment period of 8 weeks. Participants fasted 2 hours before the dose, followed by a glass of water (after the intake of GSK1363089) and continued to fast 1 hour after each dose. The enrollment in this cohort was started until the enrollment completion in the Intermittent 5 & 9 dosing arm.
26
Total74

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event55
Overall StudyClinical progression not based on RECIST03
Overall StudyDeath20
Overall StudyHospitalized, unable to continue01
Overall StudyOther: Death10
Overall StudyProgressive disease3716
Overall StudyProtocol Violation10
Overall StudyWithdrawal by Subject21

Baseline characteristics

CharacteristicGSK136308, Daily DosingTotalGSK1363089, Intermittent 5 and 9 Dosing
Age, Continuous59.5 Years
STANDARD_DEVIATION 15.35
59.3 Years
STANDARD_DEVIATION 13.57
59.1 Years
STANDARD_DEVIATION 12.68
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants2 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants4 Participants2 Participants
Race (NIH/OMB)
Black or African American
2 Participants4 Participants2 Participants
Race (NIH/OMB)
More than one race
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants3 Participants1 Participants
Race (NIH/OMB)
White
18 Participants60 Participants42 Participants
Sex: Female, Male
Female
6 Participants19 Participants13 Participants
Sex: Female, Male
Male
20 Participants55 Participants35 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
1 / 480 / 26
other
Total, other adverse events
47 / 4823 / 26
serious
Total, serious adverse events
22 / 4816 / 26

Outcome results

Primary

Change From Baseline in Respiratory Rate (RR)

The RR for the participant's, were collected after the participant sat quietly for at least five minutes. Baseline evaluations should be performed within 72 hours before the first dose. If performed within 24 hours of the first dose, baseline evaluations may serve as the pre-dose Day 1 visit evaluations. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. Baseline was defined as pre-dose, Day 1 . The RR was measured in breaths per minute. Min and max post-baseline values are reported.

Time frame: Baseline (pre-dose, Day 1) and before 30-day follow- up (up to 2 years)

Population: Safety population. Only those participants available at the specified time-points were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
GSK1363089, Intermittent 5 and 9 DosingChange From Baseline in Respiratory Rate (RR)RR, maximum post baseline1.6 breaths per minuteStandard Deviation 2.44
GSK1363089, Intermittent 5 and 9 DosingChange From Baseline in Respiratory Rate (RR)RR, minimum post baseline-1.3 breaths per minuteStandard Deviation 1.86
GSK136308, Daily DosingChange From Baseline in Respiratory Rate (RR)RR, maximum post baseline1.9 breaths per minuteStandard Deviation 1.89
GSK136308, Daily DosingChange From Baseline in Respiratory Rate (RR)RR, minimum post baseline-1.3 breaths per minuteStandard Deviation 2.13
Primary

Change From Baseline in Temperature

The body temperature for the participants was assessed. These were collected after the participant sat quietly for at least five minutes. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. Baseline is defined as the last non-missing record on or before first dose.

Time frame: Baseline (pre-dose, Day 1) and before 30-day follow- up (up to 2 years)

Population: Safety population. Only those participants available at the specified time points were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
GSK1363089, Intermittent 5 and 9 DosingChange From Baseline in TemperatureTemperature, max.post baseline0.46 degree celsiusStandard Deviation 0.405
GSK1363089, Intermittent 5 and 9 DosingChange From Baseline in TemperatureTemperature, min.post baseline-0.48 degree celsiusStandard Deviation 0.626
GSK136308, Daily DosingChange From Baseline in TemperatureTemperature, max.post baseline2.81 degree celsiusStandard Deviation 12.3
GSK136308, Daily DosingChange From Baseline in TemperatureTemperature, min.post baseline-0.56 degree celsiusStandard Deviation 0.629
Primary

Change From Baseline in Vital Signs-Pulse Rate

The pulse rate or heart rate (HR) for the participant's, were collected after the participant sat quietly for at least five minutes. Baseline evaluations were performed within 72 hours before the first dose. If performed within 24 hours of the first dose, baseline evaluations may serve as the pre-dose Day 1 visit evaluations. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. Baseline was defined as pre-dose, Day 1. The HR was measured in beats per minute (bpm). The min and max values have been reported.

Time frame: Baseline (pre-dose, Day 1) and before 30-day follow- up (up to 2 years)

Population: Safety population. Only those participants available at the specified time points were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
GSK1363089, Intermittent 5 and 9 DosingChange From Baseline in Vital Signs-Pulse RateHR, maximum post baseline15.4 beats per minuteStandard Deviation 17.16
GSK1363089, Intermittent 5 and 9 DosingChange From Baseline in Vital Signs-Pulse RateHR, minimum post baseline-9.4 beats per minuteStandard Deviation 11
GSK136308, Daily DosingChange From Baseline in Vital Signs-Pulse RateHR, maximum post baseline10.7 beats per minuteStandard Deviation 11.83
GSK136308, Daily DosingChange From Baseline in Vital Signs-Pulse RateHR, minimum post baseline-10.8 beats per minuteStandard Deviation 13.17
Primary

Change From Baseline in Vital Signs-Systolic and Diastolic Blood Pressure

Participants systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured in mm of mercury (mmHg). These were collected after the participant sat quietly for at least five minutes. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The data for minimum (min) and maximum (max) post-baseline has been reported. Baseline is defined as the last non-missing record on or before first dose.

Time frame: Baseline (pre-dose, Day 1) and before 30-day follow- up (up to 2 years)

Population: Safety population. Only those participants available at the specified time points were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
GSK1363089, Intermittent 5 and 9 DosingChange From Baseline in Vital Signs-Systolic and Diastolic Blood PressureSBP, max.post baseline25.7 mmHgStandard Deviation 17.15
GSK1363089, Intermittent 5 and 9 DosingChange From Baseline in Vital Signs-Systolic and Diastolic Blood PressureSBP, min.post baseline-6.3 mmHgStandard Deviation 18.41
GSK1363089, Intermittent 5 and 9 DosingChange From Baseline in Vital Signs-Systolic and Diastolic Blood PressureDBP, max.post baseline16.8 mmHgStandard Deviation 9.21
GSK1363089, Intermittent 5 and 9 DosingChange From Baseline in Vital Signs-Systolic and Diastolic Blood PressureDBP, min.post baseline-3.7 mmHgStandard Deviation 9.99
GSK136308, Daily DosingChange From Baseline in Vital Signs-Systolic and Diastolic Blood PressureDBP, min.post baseline-3.0 mmHgStandard Deviation 9.65
GSK136308, Daily DosingChange From Baseline in Vital Signs-Systolic and Diastolic Blood PressureSBP, max.post baseline23.0 mmHgStandard Deviation 18.87
GSK136308, Daily DosingChange From Baseline in Vital Signs-Systolic and Diastolic Blood PressureDBP, max.post baseline15.4 mmHgStandard Deviation 9.53
GSK136308, Daily DosingChange From Baseline in Vital Signs-Systolic and Diastolic Blood PressureSBP, min.post baseline-5.9 mmHgStandard Deviation 18.25
Primary

Number of Participants Who Required Concomitant Medications

The number of participants who received concomitant medication during the study were reported. The data has been reported for the participants who have received subsequent chemotherapy, subsequent radiation therapy or other therapy.

Time frame: Baseline (pre-dose) and before 30-day follow- up (up to 2 years)

Population: Safety population.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants Who Required Concomitant MedicationsSubsequent Chemotherapy22 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants Who Required Concomitant MedicationsSubsequent Radiation therapy2 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants Who Required Concomitant MedicationsOther1 Participants
GSK136308, Daily DosingNumber of Participants Who Required Concomitant MedicationsSubsequent Chemotherapy10 Participants
GSK136308, Daily DosingNumber of Participants Who Required Concomitant MedicationsSubsequent Radiation therapy1 Participants
GSK136308, Daily DosingNumber of Participants Who Required Concomitant MedicationsOther1 Participants
Primary

Number of Participants With Adverse Event (AE) and Serious Adverse Event (SAE)

An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product whether or not it is considered drug related. This would include any side effect, injury, toxicity, sensitivity reaction, abnormal or worsening of a laboratory value, concurrent illness or sudden death. Pre-existing conditions that worsen during a study will be reported as AEs. SAE is an AE that results in death, is life-threatening, requires inpatient hospitalization or extends a current hospital stay, results in an ongoing or significant incapacity or interferes substantially with normal life functions, or causes a congenital anomaly or birth defect. Medical events that do not result in death, are not life-threatening, or do not require hospitalization may be considered SAEs if they put the participant in danger or require medical or surgical intervention to prevent one of the results listed above.

Time frame: Up to 31 months

Population: Safety population included all participants who passed the screening criteria, enrolled in the study, and received at least 1 dose of study drug.

ArmMeasureGroupValue (NUMBER)
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Adverse Event (AE) and Serious Adverse Event (SAE)Any AE48 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Adverse Event (AE) and Serious Adverse Event (SAE)Any SAE22 participants
GSK136308, Daily DosingNumber of Participants With Adverse Event (AE) and Serious Adverse Event (SAE)Any AE26 participants
GSK136308, Daily DosingNumber of Participants With Adverse Event (AE) and Serious Adverse Event (SAE)Any SAE16 participants
Primary

Number of Participants With Grade Shift for Urinalysis Parameters

The urinalysis parameters by worst case overall CTCAE grade shift post Baseline for each parameter were mentioned as per the CTCAE grading for version 3.0 and done as per intensity namely mild moderate severe life-threatening or Death. Participants were analyzed for abnormal values for bilirubin, ketones, nitrites, occult blood, pH, protein, specific gravity, and urobilinogen.

Time frame: From Day 1 and before 30-day follow- up (up to 2 years)

Population: Safety population. Only those participants available at the specified timepoints were reported.

ArmMeasureGroupValue (NUMBER)
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Grade Shift for Urinalysis ParametersBilirubin, normal to abnormal8 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Grade Shift for Urinalysis ParametersKetones, normal to abnormal8 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Grade Shift for Urinalysis ParametersNitrites, normal to abnormal1 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Grade Shift for Urinalysis ParametersOccult blood, normal to abnormal11 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Grade Shift for Urinalysis ParameterspH, normal to abnormal0 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Grade Shift for Urinalysis ParametersProtein, normal to abnormal13 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Grade Shift for Urinalysis ParametersSpecific gravity, normal to abnormal3 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Grade Shift for Urinalysis ParametersUrobilinogen, normal to abnormal3 participants
GSK136308, Daily DosingNumber of Participants With Grade Shift for Urinalysis ParametersUrobilinogen, normal to abnormal2 participants
GSK136308, Daily DosingNumber of Participants With Grade Shift for Urinalysis ParametersBilirubin, normal to abnormal3 participants
GSK136308, Daily DosingNumber of Participants With Grade Shift for Urinalysis ParameterspH, normal to abnormal1 participants
GSK136308, Daily DosingNumber of Participants With Grade Shift for Urinalysis ParametersKetones, normal to abnormal11 participants
GSK136308, Daily DosingNumber of Participants With Grade Shift for Urinalysis ParametersSpecific gravity, normal to abnormal5 participants
GSK136308, Daily DosingNumber of Participants With Grade Shift for Urinalysis ParametersNitrites, normal to abnormal1 participants
GSK136308, Daily DosingNumber of Participants With Grade Shift for Urinalysis ParametersProtein, normal to abnormal7 participants
GSK136308, Daily DosingNumber of Participants With Grade Shift for Urinalysis ParametersOccult blood, normal to abnormal9 participants
Primary

Number of Participants With Objective Response Rate (ORR), of GSK1363089, Per- Response Evaluation Criteria in Solid Tumors (RECIST) Criteria Version 1.0

ORR is defined as the percentage of participants achieving best overall response of confirmed complete response (CR) or partial response (PR). Tumor response for participants with measurable lesions was assessed routinely (after 8 weeks of treatment and approximately every 8 weeks thereafter) using RECIST (version 1.0) criteria. The CR for target lesions was defined as disappearance of all target lesions (TLs) and the non-target lesions (NTLs). PR defined as at least 30% decrease in sum of the longest diameter (LD) of TLs, taking as reference baseline sum LD. The safety population included all participants who passed the screening criteria, enrolled in the study, and received at least 1 dose of study drug. Progressive disease will be used as PD.

Time frame: At every 8 Weeks upto 31 months

Population: Evaluable population included participants from safety population who had received atleast 75% of protocol mandated doses at treatment period, had BL and post BL tumor assessment, with no extended lost to followup (17 wks or more) or who had received atleast 75% of protocol mandated doses at treatment period and discontinued study drug due to PD.

ArmMeasureValue (NUMBER)
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Objective Response Rate (ORR), of GSK1363089, Per- Response Evaluation Criteria in Solid Tumors (RECIST) Criteria Version 1.00 participants
GSK136308, Daily DosingNumber of Participants With Objective Response Rate (ORR), of GSK1363089, Per- Response Evaluation Criteria in Solid Tumors (RECIST) Criteria Version 1.00 participants
Primary

Number of Participants With Shift From Baseline by Grade for Hematology Parameters

The worst overall grading by CTCAE version 3.0, was used to report the shift from baseline for hematology parameters namely hemoglobin, platelets and lymphocytes. The grades were namely G0, G1, G2, G3 and G4. The data for shifts from G2 to G3 and G0 to G4, mainly the shifts to higher grades G3 and G4 have been reported.

Time frame: Baseline (pre-dose) and before 30-day follow- up (up to 2 years)

Population: Safety population. Only those participants available at the specified time points were analyzed.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by Grade for Hematology ParametersHemoglobin, G2 to G30 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by Grade for Hematology ParametersLymphocytes, G2 to G32 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by Grade for Hematology ParametersPlatelet, G0 to G40 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by Grade for Hematology ParametersHemoglobin, G2 to G31 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by Grade for Hematology ParametersLymphocytes, G2 to G31 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by Grade for Hematology ParametersPlatelet, G0 to G41 Participants
Primary

Number of Participants With Shift From Baseline by High/Low Flag for Hematology Paramaters

The hematology parameters worst case overall CTCAE grade shift post Baseline for each parameter was mentioned. CTCAE grading for version 3.0 was used and done as per intensity namely mild moderate severe life-threatening or Death. Participants were analyzed for basophils, eosinophils, erythrocytes, hematocrit, and monocytes were analyzed. Only the abnormal values were reported where normal to high and normal to low changes were reported. Worst Overall was defined as highest post baseline CTCAE grade before 30 day follow up.

Time frame: From Day 1 and before 30-day follow- up (up to 2 years)

Population: Safety population. Only those participants available at the specified time points were analyzed.

ArmMeasureGroupValue (NUMBER)
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersBasophils, Normal to high2 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersEosinophils, Normal to low2 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersEosinophils, Normal to high3 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersErythrocytes, Normal to low1 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersErythrocytes, Normal to high1 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersErythrocytes, Low to high0 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersHematocrit, Normal to low3 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersHematocrit, Normal to high3 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersMonocytes, Normal to low5 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersMonocytes, Normal to high2 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersHematocrit, Normal to high0 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersBasophils, Normal to high0 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersErythrocytes, Low to high1 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersEosinophils, Normal to low1 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersMonocytes, Normal to high1 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersEosinophils, Normal to high2 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersHematocrit, Normal to low1 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersErythrocytes, Normal to low2 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersMonocytes, Normal to low3 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline by High/Low Flag for Hematology ParamatersErythrocytes, Normal to high2 participants
Primary

Number of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- Ungraded

The data for serum chemistry parameters like albumin, alanine aminotransferase (ALT), alkaline phosphatase (ALP), amylase, aspartate amino transferase (AST), calcium, carbon dioxide, creatinine, gamma glutamyl transferase (GGT), glucose, blood urea nitrogen (BUN), chloride, free thyroxine, free triiodothyronine, lipase, phosphorous, potassium, sodium, total bilirubin, lactate dehydrogenase, total protein. The abnormal values have been reported wherein data for normal to low and normal to high has been reported.

Time frame: From Day 1 and before 30-day follow- up (up to 2 years)

Population: Safety population. Only those participants available at the specified time points we re analyzed.

ArmMeasureGroupValue (NUMBER)
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedBUN, Normal to low5 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedBUN, Normal to high8 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedChloride, Normal to low10 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedChloride, Normal to high5 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedFree Thyroxine , Normal to lowNA participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedFree Thyroxine , Normal to highNA participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedFree Triiodothyronine, Normal to lowNA participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedFree Triiodothyronine, Normal to highNA participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedFree Triiodothyronine, High to lowNA participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedLactate Dehydrogenase, Normal to high28 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedProtein, Normal to low7 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedProtein, Normal to high1 participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedTSH, Normal to lowNA participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedTSH, Normal to highNA participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedProtein, Normal to low11 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedBUN, Normal to low1 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedFree Triiodothyronine, Normal to high0 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedBUN, Normal to high9 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedTSH, Normal to low0 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedChloride, Normal to low3 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedFree Triiodothyronine, High to low1 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedChloride, Normal to high2 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedProtein, Normal to high0 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedFree Thyroxine , Normal to low2 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedLactate Dehydrogenase, Normal to high13 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedFree Thyroxine , Normal to high0 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedTSH, Normal to high7 participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in by High/Low Flag for Serum Chemistry- UngradedFree Triiodothyronine, Normal to low1 participants
Primary

Number of Participants With Shift From Baseline in Serum Chemistry- Graded

The worst overall common terminology criteria for adverse events version 3.0 (CTCAE) grade (G) shift post baseline for each parameter was mentioned. Only worst case scenarios are presented. CTCAE grading is done as per intensity namely mild moderate severe life-threatening or Death. Analysis was done for Alanine aminotransferases, aspartate aminotransferases, Albumin, alkaline phosphatase, calcium, sodium, potassium, glucose, amylase, amylase, bilirubin, creatinine, phosphate, gamma glutamyl transferases (GGT), and triglycerol lipase. Worst Overall defined as worst post baseline out of normal range flag in the order of (high, low, normal) before 30 day follow up. Data for G3 and G4 is reported.

Time frame: From Day 1 to up to 30-day follow-up visit (up to 2 years)

Population: Safety population. Only those participants available at the specified time points were analyzed .

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAlanine aminotransferase, G0 to G30 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAlanine aminotransferase, G0 to G41 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAlbumin, G0 to G30 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAlbumin, G1 to G31 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAlbumin G2 to G31 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAlkaline phosphatase, G0 to G31 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAmylase, G0 to G31 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAspartate aminotransferase, G1 to G34 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAspartate aminotransferase, G0 to G41 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAspartate aminotransferase, G2 to G32 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedBilirubin, G0 to G31 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedCreatinine, G0 to G31 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedGGT, G1 to G33 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedGGT, G2 to G32 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedPhosphate, G0 to G31 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedTriacylglycerol Lipase, G0 to G32 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedTriacylglycerol Lipase, G3 to G41 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedSodium, G0 to G31 Participants
GSK1363089, Intermittent 5 and 9 DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedSodium, G1 to G30 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedTriacylglycerol Lipase, G3 to G40 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAlanine aminotransferase, G0 to G31 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAspartate aminotransferase, G2 to G30 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAlanine aminotransferase, G0 to G40 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedPhosphate, G0 to G30 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAlbumin, G0 to G31 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedSodium, G1 to G31 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAlbumin, G1 to G30 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedCreatinine, G0 to G30 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAlbumin G2 to G30 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedTriacylglycerol Lipase, G0 to G31 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAlkaline phosphatase, G0 to G30 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedGGT, G1 to G31 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAmylase, G0 to G30 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedBilirubin, G0 to G30 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedSodium, G0 to G30 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAspartate aminotransferase, G1 to G30 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedGGT, G2 to G30 Participants
GSK136308, Daily DosingNumber of Participants With Shift From Baseline in Serum Chemistry- GradedAspartate aminotransferase, G0 to G40 Participants
Secondary

Disease Stabilization Rate of GSK 1363089

It is defined as the number of participants achieving best overall response of confirmed CR or PR or stable disease (SD). It was assessed using RECIST criteria 1.0. The CR for target lesions was defined as disappearance of all TLs and the NTLs. PR is at least 30% decrease in sum of the LD of TLs, taking as reference baseline sum LD. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as a reference, the smallest sum LD since the treatment started.

Time frame: At every 8 Weeks upto 31 months

Population: Safety population

ArmMeasureValue (NUMBER)
GSK1363089, Intermittent 5 and 9 DosingDisease Stabilization Rate of GSK 136308920.8 percentage of participants
GSK136308, Daily DosingDisease Stabilization Rate of GSK 136308919.2 percentage of participants
Secondary

Duration of Stable Disease of GSK1363089

Duration of stable disease, was defined as the time between the date of first dose and death or disease progression, in participants whose best overall response was not progressive disease

Time frame: At every 8 Weeks upto 31 months

Population: Evaluable population. Only those participants available at the specified time-points were analyzed.

ArmMeasureValue (MEDIAN)
GSK1363089, Intermittent 5 and 9 DosingDuration of Stable Disease of GSK13630893.27 months
GSK136308, Daily DosingDuration of Stable Disease of GSK13630892.69 months
Secondary

Median Duration of Overall Survival (OS)of GSK1363089

Duration of OS is defined as (Date of Death \[due to any cause\]) minus Date of first dose. For the participants who were alive at the time of data cut-off, duration of overall survival was censored at the date of last contact. The upper value of the full range was censored observation.

Time frame: At every 8 Weeks upto 31 months

Population: Evaluable population

ArmMeasureValue (MEDIAN)
GSK1363089, Intermittent 5 and 9 DosingMedian Duration of Overall Survival (OS)of GSK13630897.36 months
GSK136308, Daily DosingMedian Duration of Overall Survival (OS)of GSK13630894.34 months
Secondary

Median Progression Free Survival (PFS) of GSK1363089

Duration of PFS in months is defined as (Date of Disease Progression/Death - Date of First Dose + 1)/30.44. For participants who did not reach an event (disease progression or death) at the time of data cut-off, duration of PFS is censored at date of last available tumor assessment that is not 'Unable to Evaluate'. For participants who did not have any post-baseline tumor assessments, PFS was censored at Day 1. For any participants who received subsequent anti-cancer therapy, PFS will be right censored at the date of last adequate tumor assessment on or prior to the date of anti-cancer therapy initiation. For any participants who died or progressed after an extended lost-to-follow-up time (greater than 17 weeks), PFS was censored at the date of last adequate assessment prior to extended lost-to follow-up.

Time frame: At every 8 Weeks upto 31 months

Population: Safety population

ArmMeasureValue (MEDIAN)
GSK1363089, Intermittent 5 and 9 DosingMedian Progression Free Survival (PFS) of GSK13630891.64 months
GSK136308, Daily DosingMedian Progression Free Survival (PFS) of GSK13630891.77 months

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026