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A Phase II Study of GSK1363089 (Formerly XL880) for Papillary Renal-Cell Carcinoma (PRC)

A Phase II Study of the c-MET RTK Inhibitor XL880 in Subjects With Papillary Renal-Cell Carcinoma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00726323
Enrollment
74
Registered
2008-07-31
Start date
2006-06-30
Completion date
2010-08-18
Last updated
2017-12-11

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

Conditions

Carcinoma, Renal Cell

Keywords

c-Met, Papillary Renal Cell Carcinoma(PRC), Sporadic papillary renal cell carcinoma,, Clear cell renal carcinoma, Hereditary papillary renal cell carcinoma,

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 papillary renal cell carcinoma. Papillary renal cell carcinoma may be classified into hereditary and sporadic forms; subjects with either classification will be accepted into this study.

Interventions

DRUGforetinib (formerly GSK1363089 or XL880)

treatment with oral foretinib on one of 2 dosing regimens: 240 mg on a 5 day on / 9 day off schedule every 14 days, or 80 mg on a daily dosing schedule

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 PRC with metastatic disease or bilateral multifocal renal tumors localized to kidneys. Measurable disease, ECOG performance status of \</= 2. * Adequate bone marrow reserve, hepatic, renal, and cardiovascular function.

Exclusion criteria

* Radiation to \>/=25% of bone marrow within 14 days of GSK1363089, more than 1 prior anti-cancer therapy, received prior treatment with a c-met inhibitor, brain metastases, * Any uncontrolled intercurrent illness, * Pregnant or breastfeeding, * HIV positive

Design outcomes

Primary

MeasureTime frameDescription
Overall Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) Criteria Version 1.0At the end of forth yearOverall response rate is the percentage of participants for whom the best overall response to the study drug was a confirmed partial response (PR) or confirmed complete response (CR). Best overall response and its associated confirmation criteria, RECIST; Version 1.0) was based on the Investigator's assessment of the target and non target lesions.

Secondary

MeasureTime frameDescription
Progression Free Survival (PFS)At the end of forth yearProgression free survival is defined as the time between the date of first dose of study drug and the date of the first occurrence of either tumor progression per RECIST or clinical assessment of progression as assessed by Investigator or Death due to any cause, whichever occurs the first. For participants who did not reach an event (disease progression or death) at the time of data cutoff, PFS was censored at the date of the last available tumor measurement. For participants who did not have any post-baseline tumor assessments, PFS was right censored at Day 1. For any participants who received subsequent anticancer therapy, PFS was right censored at the date of last adequate tumor assessment on or prior to the date of anticancer initiation. For any participants, who died or progressed after an extended follow-up, PFS was censored at the date of last adequate assessment prior to the extended loss to follow-up.
Time to Response (TTR) Over PeriodUp to 4 yearsTime to response is the time between the date of first dose of study drug and the date of first response (for participants who had overall responses that were later confirmed as CR/PR). For the 6 participants in the daily dosing cohort who did not reach a response as of data cutoff, the time to response was censored at the date of the last visit. The median time to response was not estimable in either of the dosing cohorts or in the overall safety population using the Kaplan-Meier method.
Duration of Response (DOR)Up to 4 yearsDuration of response is defined as the time between the date of first response (later confirmed CR or confirmed PR) and the date of the first occurrence of one of the events as tumor progression per RECIST as assessed by Investigator, termination of the study drug due to disease progression, death due to any cause, disease progression as documented on the follow-up or participant status form Initiation of subsequent anticancer therapy. For the 6 participants in the daily dosing cohort who did not reach a response as of data cutoff, the duration of response was censored at the date of the last available tumor measurement.
Duration of Stable Disease (SD)Up to 4 yearsDuration of SD is defined as the time between the date of first dose of study drug and the date of the first occurrence of one of the tumor progression per RECIST as assessed by Investigator, termination of the study drug due to disease progression, death due to disease progression, or disease progression as documented on the follow-up participants status form Initiation of subsequent anticancer therapy. For the 6 participants in the daily dosing cohort who did not reach a response as of data cutoff, the duration of stable disease was right censored at the date of the last available tumor measurement.
Disease Stabilization Rate Over PeriodUp to 4 yearsThe percentage of participants for whom the best overall response was a confirmed PR, confirmed CR, or stable disease. Exact confidence intervals were obtained using the Clopper-Pearson method. Exact confidence intervals were obtained using the Clopper-Pearson method.
Number of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodUp to 4 yearsThe worst case overall common terminology criteria for adverse events (CTCAE) grade shift post Baseline for each parameter was mentioned. Only worst case scenarios are presented. CTCAE grading was done as per intensity namely mild moderate severe life-threatening or Death. Analysis was done for Alanine aminotransferases (ALT), aspartate aminotransferases (AST), Albumin, alkaline phosphatase (ALP), calcium, sodium, potassium, glucose, amylase, carbon dioxide, phosphate, gamma glutamyl transferases (GGT), and triglycerol lipase. High (H) levels and low (L) levels were measured.
Number of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Up to 4 yearsCTCAE gradation The worst case overall CTCAE grade shift post Baseline for each parameter was mentioned. Only worst case scenarios are presented. CTCAE grading was done as per intensity namely mild moderate severe life-threatening or Death. Participants were analyzed for hemoglobin, leukocytes, platelets, percentage of lymphocytes, and percentage of neutrophils.
Number of Participants With Adverse Events, Serious Adverse Events, and DeathsUp to 4 yearsAdverse event (AE) is an unfavorable change in the health of a participant, including abnormal laboratory findings, that happens during a clinical study or within a certain time period after the study has ended. This change may or may not be caused by the intervention being studied. Serious adverse event (SAE) is an adverse event 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 serious adverse events if they put the participant in danger or require medical or surgical intervention to prevent one of the results listed above.
Overall SurvivalUp to 4 yearsOverall survival, which is defined as the time between the date of first dose of study drug and the date of death (due to any cause). For participants who were alive at the time of data cutoff, duration of overall survival was right censored at the date of last contact. Duration of overall survival = date of death/censoring - date of first dose +1. Percentiles and confidence intervals are calculated using Kaplan-Meier methods.

Countries

United States

Participant flow

Recruitment details

This study was conducted from 30 June 2006 till 18 August 2010 across 10 centers in the United States (US). A total of 60 participants with papillary renal-cell carcinoma (PRC) were planned to be enrolled.

Pre-assignment details

A total of 74 participants with PRC were enrolled in the study.

Participants by arm

ArmCount
Intermittent 5 & 9 Dosing Regimen
Eligible participants received oral foretinib bisphosphate 240 mg on Days 1 to 5 of every 14-day cycle. Participants continued this schedule for 8 weeks. The treatment drug was supposed to be stopped any time in case of disease progression. All participants were followed-up up to 8 weeks after the last dose of the study drug for tumor assessment.
37
Daily Dosing Regimen
Eligible participants received oral foretinib bisphosphate 80 mg daily of every 14-day cycle. Participants continued this schedule for 8 weeks. treatment drug was supposed to be stopped any time in case of disease progression. All participants were followed-up up to 8 weeks after the last dose of the study drug for tumor assessment.
37
Total74

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event99
Overall StudyClinical progression03
Overall StudyDeath10
Overall StudyMetastatic lesions inferred cyst01
Overall StudyParticipant wished to discontinue01
Overall StudyPhysician Decision10
Overall StudyProgressive disease2316
Overall StudyWithdrawal by Subject31

Baseline characteristics

CharacteristicDaily Dosing RegimenTotalIntermittent 5 & 9 Dosing Regimen
Age, Continuous56.2 Years
STANDARD_DEVIATION 14.32
55.6 Years
STANDARD_DEVIATION 13.06
55.1 Years
STANDARD_DEVIATION 11.84
Race/Ethnicity, Customized
Asian
1 Participants2 Participants1 Participants
Race/Ethnicity, Customized
Black or African American
3 Participants5 Participants2 Participants
Race/Ethnicity, Customized
Multiple
1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
Other
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Unknown
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
32 Participants64 Participants32 Participants
Sex: Female, Male
Female
8 Participants15 Participants7 Participants
Sex: Female, Male
Male
29 Participants59 Participants30 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
14 / 376 / 37
other
Total, other adverse events
37 / 3737 / 37
serious
Total, serious adverse events
20 / 3722 / 37

Outcome results

Primary

Overall Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) Criteria Version 1.0

Overall response rate is the percentage of participants for whom the best overall response to the study drug was a confirmed partial response (PR) or confirmed complete response (CR). Best overall response and its associated confirmation criteria, RECIST; Version 1.0) was based on the Investigator's assessment of the target and non target lesions.

Time frame: At the end of forth year

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

ArmMeasureValue (NUMBER)
Intermittent 5 & 9 Dosing RegimenOverall Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) Criteria Version 1.013.5 Percentage of participants
Daily Dosing RegimenOverall Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) Criteria Version 1.013.5 Percentage of participants
Secondary

Disease Stabilization Rate Over Period

The percentage of participants for whom the best overall response was a confirmed PR, confirmed CR, or stable disease. Exact confidence intervals were obtained using the Clopper-Pearson method. Exact confidence intervals were obtained using the Clopper-Pearson method.

Time frame: Up to 4 years

Population: Safety population

ArmMeasureValue (NUMBER)
Intermittent 5 & 9 Dosing RegimenDisease Stabilization Rate Over Period91.9 Percentage of participants
Daily Dosing RegimenDisease Stabilization Rate Over Period83.8 Percentage of participants
Secondary

Duration of Response (DOR)

Duration of response is defined as the time between the date of first response (later confirmed CR or confirmed PR) and the date of the first occurrence of one of the events as tumor progression per RECIST as assessed by Investigator, termination of the study drug due to disease progression, death due to any cause, disease progression as documented on the follow-up or participant status form Initiation of subsequent anticancer therapy. For the 6 participants in the daily dosing cohort who did not reach a response as of data cutoff, the duration of response was censored at the date of the last available tumor measurement.

Time frame: Up to 4 years

Population: Safety Population- All Objective Responders (those who did not reach an event by the time of data cut-off as defined in protocol)

ArmMeasureValue (MEDIAN)
Intermittent 5 & 9 Dosing RegimenDuration of Response (DOR)20.50 Months
Daily Dosing RegimenDuration of Response (DOR)18.46 Months
Secondary

Duration of Stable Disease (SD)

Duration of SD is defined as the time between the date of first dose of study drug and the date of the first occurrence of one of the tumor progression per RECIST as assessed by Investigator, termination of the study drug due to disease progression, death due to disease progression, or disease progression as documented on the follow-up participants status form Initiation of subsequent anticancer therapy. For the 6 participants in the daily dosing cohort who did not reach a response as of data cutoff, the duration of stable disease was right censored at the date of the last available tumor measurement.

Time frame: Up to 4 years

Population: Safety population. All participants with Best overall response, not progressive disease were considered.

ArmMeasureValue (MEDIAN)
Intermittent 5 & 9 Dosing RegimenDuration of Stable Disease (SD)12.88 Months
Daily Dosing RegimenDuration of Stable Disease (SD)9.26 Months
Secondary

Number of Participants With Adverse Events, Serious Adverse Events, and Deaths

Adverse event (AE) is an unfavorable change in the health of a participant, including abnormal laboratory findings, that happens during a clinical study or within a certain time period after the study has ended. This change may or may not be caused by the intervention being studied. Serious adverse event (SAE) is an adverse event 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 serious adverse events 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 4 years

Population: Safety population

ArmMeasureGroupValue (NUMBER)
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Adverse Events, Serious Adverse Events, and DeathsAny AE37 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Adverse Events, Serious Adverse Events, and DeathsAny SAE20 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Adverse Events, Serious Adverse Events, and DeathsDeath14 Participants
Daily Dosing RegimenNumber of Participants With Adverse Events, Serious Adverse Events, and DeathsAny AE37 Participants
Daily Dosing RegimenNumber of Participants With Adverse Events, Serious Adverse Events, and DeathsAny SAE22 Participants
Daily Dosing RegimenNumber of Participants With Adverse Events, Serious Adverse Events, and DeathsDeath6 Participants
Secondary

Number of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over Period

The worst case overall common terminology criteria for adverse events (CTCAE) grade shift post Baseline for each parameter was mentioned. Only worst case scenarios are presented. CTCAE grading was done as per intensity namely mild moderate severe life-threatening or Death. Analysis was done for Alanine aminotransferases (ALT), aspartate aminotransferases (AST), Albumin, alkaline phosphatase (ALP), calcium, sodium, potassium, glucose, amylase, carbon dioxide, phosphate, gamma glutamyl transferases (GGT), and triglycerol lipase. High (H) levels and low (L) levels were measured.

Time frame: Up to 4 years

Population: Safety population

ArmMeasureGroupValue (NUMBER)
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGGT, Grade 1 to 00 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAlbumin, Grade 0 to 28 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGGT, Grade 2 to 00 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGGT, Grade 2 to 10 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPhosphate, Grade 0 to 11 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAmylase, Grade 0 to 21 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPhosphate, Grade 0 to 313 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPhosphate, Grade 0 to 28 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPhosphate, Grade 2 to 00 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAmylase, Grade 0 to 31 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPhosphate, Grade 2 to 30 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAlbumin, Grade 0 to 31 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPhosphate, Grade 2 to 41 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAmylase, Grade 1 to 20 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 0 to 16 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALT, Grade 0 to 24 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 0 to 21 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAmylase, Grade 2 to 31 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 0 to 34 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAlbumin, Grade 1 to 26 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 0 to 40 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAST, Grade 0 to 123 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 1 to 31 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, L, Grade 0 to 110 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 1 to 41 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAST, Grade 0 to 28 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 2 to 31 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCalcium, L, Grade 0 to 112 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAlbumin, Grade 1 to 30 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCalcium, L, Grade 0 to 27 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAST, Grade 0 to 30 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCalcium, L, Grade 0 to 31 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALT, Grade 0 to 30 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAST, Grade 1 to 22 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, L, Grade 0 to 21 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALP, Grade 0 to 112 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAST, Grade 2 to 31 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, L, Grade 1 to 30 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, L, Grade 0 to 30 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPotassium, L, Grade 0 to 15 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodBlilirubin, Grade 0 to 17 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPotassium, L, Grade 1 to 01 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALP, Grade 0 to 21 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodSodium, L, Grade 0 to 33 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodBlilirubin, Grade 0 to 31 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodSodium, L, Grade 1 to 31 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCalcium, H, Grade 0 to 12 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodBlilirubin, Grade 1 to 21 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, H, Grade 0 to 116 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALT, Grade 1 to 21 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, H, Grade 0 to 26 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCarbon di oxide, Grade 0 to 111 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, H, Grade 1 to 00 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALP, Grade 0 to 30 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, H, Grade 1 to 24 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCreatinine, Grade 0 to 16 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, H, Grade 1 to 31 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodSodium, L, Grade 0 to 111 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCreatinine, Grade 0 to 23 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPotassium, H, Grade 0 to 15 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALP, Grade 0 to 40 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPotassium, H, Grade 0 to 28 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCreatinine, Grade 0 to 32 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPotaasium, H, Grade 0 to 30 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAlbumin, Grade 0 to 19 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPotassium, H, Grade 1 to 31 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodSodium, H, Grade 0 to 16 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCreatinine, Grade 1 to 01 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALP, Grade 1 to 20 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCreatinine, Grade 1 to 22 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALT, Grade 0 to 124 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGGT, Grade 0 to 17 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAmylase, Grade 0 to 19 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodSodium, H, Grade 1 to 01 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPhosphate, Grade 0 to 11 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALT, Grade 0 to 121 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALT, Grade 0 to 21 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALT, Grade 0 to 31 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALT, Grade 1 to 22 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAlbumin, Grade 0 to 112 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAlbumin, Grade 0 to 211 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAlbumin, Grade 0 to 32 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAlbumin, Grade 1 to 25 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAlbumin, Grade 1 to 31 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALP, Grade 0 to 116 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALP, Grade 0 to 20 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALP, Grade 0 to 30 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALP, Grade 0 to 40 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodALP, Grade 1 to 22 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAmylase, Grade 0 to 16 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAmylase, Grade 0 to 22 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAmylase, Grade 0 to 31 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAmylase, Grade 1 to 21 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAmylase, Grade 2 to 30 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAST, Grade 0 to 127 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAST, Grade 0 to 23 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAST, Grade 0 to 31 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAST, Grade 1 to 20 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodAST, Grade 2 to 30 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodBlilirubin, Grade 0 to 11 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodBlilirubin, Grade 1 to 20 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCarbon di oxide, Grade 0 to 19 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCreatinine, Grade 0 to 111 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCreatinine, Grade 0 to 20 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCreatinine, Grade 0 to 30 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCreatinine, Grade 1 to 00 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCreatinine, Grade 1 to 28 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGGT, Grade 0 to 16 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGGT, Grade 1 to 00 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPhosphate, Grade 0 to 210 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPhosphate, Grade 0 to 38 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPhosphate, Grade 2 to 01 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPhosphate, Grade 2 to 31 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPhosphate, Grade 2 to 40 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 0 to 19 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 0 to 26 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 0 to 34 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 0 to 41 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 1 to 31 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodTriglycerol lipase, Grade 1 to 40 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCalcium, L, Grade 0 to 114 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCalcium, L, Grade 0 to 213 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCalcium, L, Grade 0 to 32 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, L, Grade 0 to 111 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, L, Grade 0 to 24 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, L, Grade 0 to 31 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, L, Grade 1 to 31 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPotassium, L, Grade 0 to 12 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodSodium, L, Grade 0 to 114 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodSodium, L, Grade 0 to 36 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodCalcium, H, Grade 0 to 10 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, H, Grade 0 to 110 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, H, Grade 0 to 24 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, H, Grade 1 to 01 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, H, Grade 1 to 22 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, H, Grade 1 to 30 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodGlucose, H, Grade 2 to 31 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPotassium, H, Grade 0 to 111 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPotassium, H, Grade 0 to 26 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodPotaasium, H, Grade 0 to 31 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodSodium, H, Grade 0 to 17 Participants
Daily Dosing RegimenNumber of Participants With Change in Common Terminology Criteria for Adverse Events (CTCAE) Grade of Clinical Chemistry Parameters Over PeriodBlilirubin, Grade 0 to 30 Participants
Secondary

Number of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)

CTCAE gradation The worst case overall CTCAE grade shift post Baseline for each parameter was mentioned. Only worst case scenarios are presented. CTCAE grading was done as per intensity namely mild moderate severe life-threatening or Death. Participants were analyzed for hemoglobin, leukocytes, platelets, percentage of lymphocytes, and percentage of neutrophils.

Time frame: Up to 4 years

Population: Safety population

ArmMeasureGroupValue (NUMBER)
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Hemoglobin, Grade 0 to 112 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Hemoglobin, Grade 1 to 23 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Hemoglobin, Grade 1 to 31 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Hemoglobin, Grade 2 to 11 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Leukocytes, Grade 0 to 15 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Leukocytes, Grade 0 to 22 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Leukocytes, Grade 1 to 21 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Leukocytes, Grade 2 to 01 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 0 to 15 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 0 to 24 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 0 to 33 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 1 to 00 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 1 to 21 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 2 to 01 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 2 to 10 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 2 to 33 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 3 to 41 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage neutrophils, Grade 0 to 14 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage neutrophils, Grade 0 to 21 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage neutrophils, Grade 0 to 40 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage neutrophils, Grade 1 to 01 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Platelets, Grade 0 to 112 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Platelets, Grade 0 to 21 Participants
Intermittent 5 & 9 Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Hemoglobin, Grade 0 to 21 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Hemoglobin, Grade 0 to 17 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 1 to 01 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Hemoglobin, Grade 0 to 20 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Platelets, Grade 0 to 22 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Hemoglobin, Grade 1 to 22 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 1 to 22 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Hemoglobin, Grade 1 to 31 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage neutrophils, Grade 0 to 21 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Hemoglobin, Grade 2 to 11 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 2 to 00 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Leukocytes, Grade 0 to 110 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Platelets, Grade 0 to 118 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Leukocytes, Grade 0 to 20 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 2 to 11 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage neutrophils, Grade 0 to 41 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 2 to 30 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 0 to 18 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Platelets, Grade 1 to 21 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 0 to 20 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage neutrophils, Grade 1 to 00 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage lymphocytes, Grade 0 to 32 Participants
Daily Dosing RegimenNumber of Participants With Change in CTCAE Grade of Hematological Parameters Over Period (Only Worst Case)Percentage neutrophils, Grade 0 to 14 Participants
Secondary

Overall Survival

Overall survival, which is defined as the time between the date of first dose of study drug and the date of death (due to any cause). For participants who were alive at the time of data cutoff, duration of overall survival was right censored at the date of last contact. Duration of overall survival = date of death/censoring - date of first dose +1. Percentiles and confidence intervals are calculated using Kaplan-Meier methods.

Time frame: Up to 4 years

Population: Safety population

ArmMeasureValue (MEDIAN)
Intermittent 5 & 9 Dosing RegimenOverall SurvivalNA Months
Daily Dosing RegimenOverall SurvivalNA Months
Secondary

Progression Free Survival (PFS)

Progression free survival is defined as the time between the date of first dose of study drug and the date of the first occurrence of either tumor progression per RECIST or clinical assessment of progression as assessed by Investigator or Death due to any cause, whichever occurs the first. For participants who did not reach an event (disease progression or death) at the time of data cutoff, PFS was censored at the date of the last available tumor measurement. For participants who did not have any post-baseline tumor assessments, PFS was right censored at Day 1. For any participants who received subsequent anticancer therapy, PFS was right censored at the date of last adequate tumor assessment on or prior to the date of anticancer initiation. For any participants, who died or progressed after an extended follow-up, PFS was censored at the date of last adequate assessment prior to the extended loss to follow-up.

Time frame: At the end of forth year

Population: Safety population

ArmMeasureValue (MEDIAN)
Intermittent 5 & 9 Dosing RegimenProgression Free Survival (PFS)11.56 Months
Daily Dosing RegimenProgression Free Survival (PFS)9.07 Months
Secondary

Time to Response (TTR) Over Period

Time to response is the time between the date of first dose of study drug and the date of first response (for participants who had overall responses that were later confirmed as CR/PR). For the 6 participants in the daily dosing cohort who did not reach a response as of data cutoff, the time to response was censored at the date of the last visit. The median time to response was not estimable in either of the dosing cohorts or in the overall safety population using the Kaplan-Meier method.

Time frame: Up to 4 years

Population: Safety population

ArmMeasureValue (MEDIAN)
Intermittent 5 & 9 Dosing RegimenTime to Response (TTR) Over PeriodNA Months
Daily Dosing RegimenTime to Response (TTR) Over PeriodNA Months

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