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Docetaxel+Oxaliplatin+S-1 (DOS) Regimen as Neoadjuvant Chemotherapy in Advanced Gastric Cancer

A Phase III, Open-labelled, Randomised Study of Neoadjuvant Docetaxel+Oxaliplatin+S-1 (DOS) + Surgery + Adjuvant S-1 Versus Surgery + Adjuvant S-1 in Patients With Resectable Advanced Gastric Cancer

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01515748
Acronym
PRODIGY
Enrollment
530
Registered
2012-01-24
Start date
2011-12-30
Completion date
2021-12-13
Last updated
2023-12-13

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

Conditions

Gastric Cancer

Brief summary

Primary Objective: \- To compare the 3-year progression free survival (PFS) in the two treatment arms. Secondary Objectives: * Overall survival (OS). * Postoperative pathological stage and R0 (complete) resection rate. * Safety: Toxicities associated with neoadjuvant chemotherapy, surgery, morbidity/mortality, toxicity of adjuvant chemotherapy.

Detailed description

Participants in the neoadjuvant chemotherapy arm were treated for 3 cycles (1 cycle is 21 days) before surgery and treated for a year with S-1. Participants in the adjuvant chemotherapy arm underwent surgery and were treated for a year with S-1. All participants were followed during and after the study treatment until death or disease progression, whichever comes first.

Interventions

Pharmaceutical form:solution for infusion Route of administration: intravenous

Pharmaceutical form:solution for infusion Route of administration: intravenous

DRUGS-1 (1-(2-tetrahydrofuryl)-5-fluorouracil + 5-chloro-2, 4-dihydroxypyridine (CDHP) (Gimeracil) + Oxo (Oteracil)

Pharmaceutical form:Tablet Route of administration: Oral

Sponsors

Sanofi
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
20 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

: * Participants with new histologically confirmed, newly diagnosed, localized gastric or gastro-oesophageal adenocarcinoma, that is considered resectable. * Participants with clinical stage (T2-3/N(+), T4/N(+/-):N positive means greater than or equal to \[\>=\] 8 in hour axis). * Signed informed consent.

Exclusion criteria

* Aged less than (\<) 20 years or \>= 76 years. Performance status \>=2 in Eastern Cooperative Oncology Group (ECOG) scale * The participants who had the history of other malignancy within the last five years except cured basal cell carcinoma of skin and carcinoma in situ of uterine cervix which had been already successfully treated. * Previous surgery on neoplasm of stomach. * Participants who did not completely recovered from surgery. * Distant metastases (M1) to other organs including distant nodal groups (retropancreatic, para-aortic, portal, retroperitoneal, mesenteric node). severe/unstable angina, coronary artery bypass graft, congestive heart failure, transient ischemic attack within 6 months prior to enrollment in the study. * Any previous palliative, adjuvant or neoadjuvant chemotherapy and/or radiotherapy and/or immunotherapy, for the currently treated gastric cancer. * Participants with active infection or sepsis. * Intolerance of oral taking or malabsorption: lack of physical integrity of the upper gastrointestinal tract or those who have malabsorption syndrome likely to influence absorption of S-1. Ileus, chronic inflammatory intestinal disease or extensive resection of the small intestine and other disorders which limit drug resorption. This includes gastric dumping syndrome, indications of accelerated passage through the small intestine and indications of resorption disorders after intestinal surgery. * Greater than or equal to grade 2 severe tumour haemorrhage. * Simultaneous participation in another study, or participation in another study within 4 weeks of commencement of this study. * Pregnant or lactating participants. The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With 3-Year Progression-Free Survival (PFS), as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST)1.13 yearsPFS was defined as the time from randomization to objective tumor progression, or recurrence or death. Progressive disease (PD) was defined as follows: 1) In Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC) Arm, PD was determined according to the RECIST 1.1 Criteria during the neo-adjuvant chemotherapy period; 2) Irrespective of curative resection, if an intraoperative distant metastasis was observed or a distant metastasis was reported from pathology, it was considered PD; 3) If residual cancer cells were visually identified at the resection margin during surgery but could not be completely resected (R2), it was considered PD; 4) If residual cancer cells were finally confirmed at the resection margin during postoperative histology (R1), it was considered PD; 5) In case of finding a recurrence/distant metastasis or a new lesion during follow-up after R0 complete resection, it was defined as the first tumor assessment date when it was observed.

Secondary

MeasureTime frameDescription
Number of Participants With Post-Operative Pathological Stage ResponseUp to 10 yearsTNM pathological stage was determined according to standardized histopathology and the American Joint Committee on Cancer (AJCC) staging system 7th Edition (Stages 0,IA,IB,IIA,IIB,IIIA,IIIB,IIIC and IV). Stage 0=carcinoma in situ with no metastatic potential; Stage IA=T1N0M0; Stage IB=T2N0M0,T1N1M0; Stage IIA=T3N0M0,T2N1M0,T1N2M0;Stage IIB=T4aN0M0,T3N1M0,T2N2M0,T1N3M0;Stage IIIA=T4aN1M0,T3N2M0,T2N3M0;Stage IIIB=T4bN0-1M0,T4aN2M0,T3N3M0;Stage IIIC=T4bN2-3M0, T4aN3M0 and Stage IV= distant metastases (M1) at diagnosis; where T denotes tumor size where T1: tumor invades lamina propria, muscularis mucosae, or submucosa; T2: invades muscularis propria; T3: invasion of subserosa; T4: T4a: penetrate serosa (visceral peritoneum) T4b: invade adjacent tissue and N denotes nodes affected where N1:1-2 positive lymph nodes; N2:3-6 positive lymph nodes; N3: 7 or more positive lymph nodes and M denotes metastases where M0: no distant metastases. Higher stages indicates worse outcome.
Percentage of Participants With R0 ResectionUp to 10 yearsTumor condition was explained according to the Residual Tumor (R) Classification: R0; No residual cancer (negative cross-section), R1; Microscopically observed residual cancer (positive cross-section), R2; Macroscopically observed residual cancer.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)From randomization up to 30 days after last dose of study drug (maximum duration: up to 10 years)TEAEs were defined as adverse events (AE) that appeared or worsened during the treatment period (up to 30 days after the last dose of the investigational product). SAE was an AE or adverse drug reaction at any dose of the investigational product that corresponded to one of the following: resulting in death or is life threatening; requiring in-patient hospitalization or prolongation of existing hospitalization; resulting in persistent or significant disability of dysfunction; resulting in congenital anomaly or birth defect; important medical event.
Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3From Baseline up to 30 days after last dose of study drug (maximum duration: up to 10 years)NCI-CTCAE version 4.03 was used to determine Grade(Gr),where Gr refers to severity of AE:Gr 1:mild; asymptomatic/mild symptoms; Gr 2:moderate;minimal; Gr 3:severe/medically significant; Gr 4:life-threatening consequences, Gr 5:death related to AE. Abnormal values for Hemoglobin(Hb)(Anemia) were based on Gr1:\<lower limit of normal (LLN)-10.0g/dL; Gr2:\<10.0-8.0g/dL; Gr3:\<8.0g/dL; Gr4:life-threatening consequences;Gr5:death. Hb increased:Gr 1:increase(incr.) in \>0-2g/dL above upper limit of normal(ULN);Gr2: incr. in \>2-4g/dL above ULN; Gr3:incr. in \>4gm/dL above ULN. White blood cell (WBC) decreased: Gr1:\<LLN - 3000/mm\^3;Gr2: \<3000-2000/mm\^3; Gr3:\<2000-1000/mm\^3;Gr4:\<1000/mm\^3. WBC (Leukocytosis):Gr3:\>100,000/mm\^3, Gr4:clinical manifestations of leucostasis;Gr5:Death. Abnormal Neutrophil count (ANC):- Gr1:\<LLN-1500/mm\^3;Gr2:\<1500-1000/mm\^3; Gr3: \<1000-500/mm\^3; Gr4:\<500/mm\^3. Platelet count decreased: Gr1:\<LLN-75,000/mm\^3;Gr2:\<75,000-50,000/mm\^3;Gr3:\<50,000-25,000/mm\^3;Gr4:\<25,000/mm\^3.
Overall Survival (OS)From randomization to date of death due to any cause (maximum duration: up to 10 years)OS was defined as the time from randomization to death due to any cause. Analyzed using Kaplan-Meier method.
Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3From Baseline up to 30 days after last dose of study drug (maximum duration: up to 10 years)NCI-CTCAE version 4.03 was used to determine Gr,where Gr refers to severity of AE:Gr 1:mild; asymptomatic/mild symptoms; Gr 2:moderate;minimal; Gr 3:severe/medically significant; Gr 4:life-threatening consequences, Gr 5:death related to AE. Abnormal values for Calcium(Hypocalcemia) were based on Gr1: Corrected serum calcium of \<LLN-8.0 mg/dL; Gr2: Corrected serum calcium of \<8.0-7.0 mg/dL; Gr3: Corrected serum calcium of \<7.0-6.0 mg/dL ; Gr4: Corrected serum calcium of \<6.0 mg/dL;Gr5:death. Calcium(Hypercalcemia):Gr 1: Corrected serum calcium of \>ULN -11.5 mg/dL; Gr2: Corrected serum calcium of \>11.5-12.5 mg/dL; Gr3: Corrected serum calcium of \>12.5-13.5 mg/dL; Gr4: Corrected serum calcium of \>13.5 mg/dL;Gr5:Death. Creatinine increased: Gr 1: \>1-1.5\*baseline; \>ULN-1.5\*ULN; Gr2: \>1.5-3.0\*baseline; \>1.5-3.0\*ULN; Gr3: \>3.0 baseline; \>3.0-6.0\*ULN; Gr4: \>6.0 x ULN. Albumin(Hypoalbuminemia): Gr 1: \<LLN-3 g/dL; Gr2: \<3-2 g/dL; Gr3: \<2 g/dL; Gr4:life-threatening consequences;Gr5:Death.
Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3From Baseline up to 30 days after last dose of study drug (maximum duration: up to 10 years)NCI-CTCAE version 4.03 was used to determine Gr, where Gr refers to severity of AE: Gr 1:mild; asymptomatic/mild symptoms; Gr 2:moderate; minimal; Gr 3:severe/medically significant; Gr 4:life-threatening consequences, Gr 5:death related to AE. Abnormal values for Aspartate and alanine aminotransferase increased were based on Gr1: \>ULN-3.0\*ULN; Gr2: \>3.0-5.0\*ULN; Gr3: \>5.0-20.0\*ULN; Gr4: \>20.0\*ULN. Blood bilirubin increased: Gr1: \>ULN-1.5\*ULN; Gr2 \>1.5-3.0\*ULN; Gr3: \>3.0-10.0\*ULN; Gr4: \>10.0\*ULN. Alkaline phosphatase increased: Gr1: \>ULN-2.5\*ULN; Gr2: \>2.5-5.0\*ULN; Gr3: \>5.0-20.0\*ULN; Gr4: \>20.0\*ULN. Glucose (Hypoglycemia): Gr 1: \<LLN-55 mg/dL; Gr2: \<55-40 mg/dL;Gr3: \<40-30 mg/dL; Gr4: \<30 mg/dL; Gr5:Death. Glucose (Hyperglycemia): Gr 1: Fasting glucose value \>ULN-160 mg/dL; Gr2: Fasting glucose value \>160-250 mg/dL; Gr3: \>250-500 mg/dL; Gr4: \>500 mg/dL; Gr5: Death.
Number of Participants With Shift of Laboratory Parameters (Creatinine Clearance [Chronic Kidney Disease]) From Baseline Grade to Worst NCI-CTCAE Grade >=3From Baseline up to 30 days after last dose of study drug (maximum duration: up to 10 years)NCI-CTCAE version 4.03 was used to determine Gr, where Gr refers to severity of AE: Gr 1: mild; asymptomatic/mild symptoms; Gr 2: moderate; minimal; Gr 3: severe/medically significant; Gr 4:life-threatening consequences, Gr 5:death related to AE. Abnormal values for Creatinine Clearance(Chronic kidney disease) were based on: Gr 1: estimated glomerular filtration rate (eGFR) or creatinine clearance (CrCl) \<LLN-60ml/min/1.73 m\^2; Gr2: eGFR or CrCl 59-30 ml/min/1.73 m\^2; Gr3: eGFR or CrCl 29-15 ml/min/1.73 m\^2; Gr4: eGFR or CrCl \<15 ml/min/1.73 m\^2; Gr5: Death.
Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3From Baseline up to 30 days after last dose of study drug (maximum duration: up to 10 years)NCI-CTCAE version 4.03 was used to determine Gr,where Gr refers to severity of AE: Gr 1: mild; asymptomatic/mild symptoms; Gr 2: moderate; minimal; Gr 3:severe/medically significant; Gr 4:life-threatening consequences, Gr 5:death related to AE. Abnormal values for Sodium (Hyponatremia) were based on Gr1: \<LLN-130 mmol/L; Gr3: \<130-120 mmol/L; Gr4: \<120 mmol/L; life-threatening consequences; Gr5: death. Sodium (Hypernatremia):Gr 1: \>ULN-150 mmol/L; Gr2: \>150-155 mmol/L; Gr3:\>155-160 mmol/L;hospitalization; Gr4: \>160 mmol/L; life-threatening consequences; Gr5: Death. Potassium (Hypokalemia): Gr 1: \<LLN-3.0 mmol/L; Gr2: \<LLN-3.0 mmol/L; symptomatic; intervention indicated; Gr3: \<3.0-2.5 mmol/L; hospitalization indicated; Gr4: \<2.5 mmol/L; life-threatening consequences; Gr5: Death; Potassium(Hyperkalemia): Gr 1: \>ULN-5.5 mmol/L; Gr2: \>5.5-6.0 mmol/L; Gr3: \>6.0-7.0 mmol/L; hospitalization indicated; Gr4: \>7.0 mmol/L; life-threatening consequences; Gr5: Death.

Countries

South Korea

Participant flow

Recruitment details

The study was conducted at 18 sites in Korea. A total of 693 participants were screened between 30 December 2011 to 02 January 2019, of which, 163 were screen failures. Screen failures were mainly due to inclusion criteria not met.

Pre-assignment details

Total of 530 participants were enrolled and randomized in study. Assignment was done using Interactive Web-Response System (IWRS) in 1:1 to treatment arms. Randomization was stratified by site and Tumor size, Lymph Nodes affected, Metastases (TNM) \[T2/N+,T3-4/N+,T4/N-\] stage.

Participants by arm

ArmCount
Surgery + Adjuvant Chemotherapy (SC)
Participants underwent surgery within 2 weeks after randomization followed by adjuvant chemotherapy with S-1 \[(Gimeracil) + Oxo (Oteracil)\] 40 mg/m\^2 administered orally twice daily, from Day 1 to 28 of each cycle for 1 year, and were followed-up after EOT until disease progression or death or study cut-off date, whichever comes first (maximum duration: up to 10 years).
264
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)
Participants received neo-adjuvant chemotherapy with Docetaxel 50 mg/m\^2 IV for \>= 1 hr on Day 1 of each treatment cycle plus Oxaliplatin 100 mg/m\^2 IV for \>=2 hr on Day 1 of each treatment cycle plus S-1 \[(Gimeracil) + Oxo (Oteracil)\] 40 mg/m\^2 administered orally twice daily from Day 1 to 14, of each treatment cycle followed by surgery approximately 1-3 weeks after completion of neo-adjuvant chemotherapy and adjuvant chemotherapy with S-1 \[(Gimeracil) + Oxo (Oteracil)\] 40 mg/m\^2 administered orally twice daily, from Day 1 to 28 of each cycle for 1 year, and were followed-up after EOT until disease progression or death or study cut-off date, whichever comes first (maximum duration: up to 10 years).
266
Total530

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up24
Overall StudyOther than specified above510
Overall StudyWithdrawal by Subject3241

Baseline characteristics

CharacteristicSurgery + Adjuvant Chemotherapy (SC)Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Total
Age, Continuous57.28 years
STANDARD_DEVIATION 10.09
57.11 years
STANDARD_DEVIATION 10.03
57.19 years
STANDARD_DEVIATION 10.05
Race and Ethnicity Not Collected0 Participants
Sex: Female, Male
Female
50 Participants59 Participants109 Participants
Sex: Female, Male
Male
214 Participants207 Participants421 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
91 / 26478 / 266
other
Total, other adverse events
141 / 195201 / 241
serious
Total, serious adverse events
57 / 195102 / 241

Outcome results

Primary

Percentage of Participants With 3-Year Progression-Free Survival (PFS), as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST)1.1

PFS was defined as the time from randomization to objective tumor progression, or recurrence or death. Progressive disease (PD) was defined as follows: 1) In Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC) Arm, PD was determined according to the RECIST 1.1 Criteria during the neo-adjuvant chemotherapy period; 2) Irrespective of curative resection, if an intraoperative distant metastasis was observed or a distant metastasis was reported from pathology, it was considered PD; 3) If residual cancer cells were visually identified at the resection margin during surgery but could not be completely resected (R2), it was considered PD; 4) If residual cancer cells were finally confirmed at the resection margin during postoperative histology (R1), it was considered PD; 5) In case of finding a recurrence/distant metastasis or a new lesion during follow-up after R0 complete resection, it was defined as the first tumor assessment date when it was observed.

Time frame: 3 years

Population: Full Analysis Set (FAS): included all randomized participants who satisfied inclusion/exclusion criteria and had at least one tumor assessment after baseline visit (Day 0). The CSC Arm included all participants exposed to at least one dose of Docetaxel+Oxaliplatin+S-1 investigational products. The SC Arm included all participants who had surgery.

ArmMeasureValue (NUMBER)
Surgery + Adjuvant Chemotherapy (SC)Percentage of Participants With 3-Year Progression-Free Survival (PFS), as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST)1.160.24 percentage of participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Percentage of Participants With 3-Year Progression-Free Survival (PFS), as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST)1.166.82 percentage of participants
Comparison: Analysis was performed using Kaplan-Meier method. Comparison was stratified based on site and TNM classification (T4/N-, T2/N+, T3-4/N+).p-value: 0.0152Stratified Log Rank
Secondary

Number of Participants With Post-Operative Pathological Stage Response

TNM pathological stage was determined according to standardized histopathology and the American Joint Committee on Cancer (AJCC) staging system 7th Edition (Stages 0,IA,IB,IIA,IIB,IIIA,IIIB,IIIC and IV). Stage 0=carcinoma in situ with no metastatic potential; Stage IA=T1N0M0; Stage IB=T2N0M0,T1N1M0; Stage IIA=T3N0M0,T2N1M0,T1N2M0;Stage IIB=T4aN0M0,T3N1M0,T2N2M0,T1N3M0;Stage IIIA=T4aN1M0,T3N2M0,T2N3M0;Stage IIIB=T4bN0-1M0,T4aN2M0,T3N3M0;Stage IIIC=T4bN2-3M0, T4aN3M0 and Stage IV= distant metastases (M1) at diagnosis; where T denotes tumor size where T1: tumor invades lamina propria, muscularis mucosae, or submucosa; T2: invades muscularis propria; T3: invasion of subserosa; T4: T4a: penetrate serosa (visceral peritoneum) T4b: invade adjacent tissue and N denotes nodes affected where N1:1-2 positive lymph nodes; N2:3-6 positive lymph nodes; N3: 7 or more positive lymph nodes and M denotes metastases where M0: no distant metastases. Higher stages indicates worse outcome.

Time frame: Up to 10 years

Population: Analysis was performed on FAS population. Here, 'overall number of participants analyzed' = participants evaluable for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Post-Operative Pathological Stage ResponseStage IA9 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Post-Operative Pathological Stage ResponseStage IIIA35 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Post-Operative Pathological Stage ResponseStage IIA30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Post-Operative Pathological Stage ResponseStage IIIB49 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Post-Operative Pathological Stage ResponseStage IB18 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Post-Operative Pathological Stage ResponseStage IIIC46 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Post-Operative Pathological Stage ResponseStage IIB25 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Post-Operative Pathological Stage ResponseStage IV34 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Post-Operative Pathological Stage ResponseStage 00 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Post-Operative Pathological Stage ResponseStage IV5 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Post-Operative Pathological Stage ResponseStage 023 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Post-Operative Pathological Stage ResponseStage IA32 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Post-Operative Pathological Stage ResponseStage IB23 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Post-Operative Pathological Stage ResponseStage IIA47 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Post-Operative Pathological Stage ResponseStage IIB36 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Post-Operative Pathological Stage ResponseStage IIIA18 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Post-Operative Pathological Stage ResponseStage IIIB24 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Post-Operative Pathological Stage ResponseStage IIIC14 Participants
Secondary

Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3

NCI-CTCAE version 4.03 was used to determine Gr, where Gr refers to severity of AE: Gr 1:mild; asymptomatic/mild symptoms; Gr 2:moderate; minimal; Gr 3:severe/medically significant; Gr 4:life-threatening consequences, Gr 5:death related to AE. Abnormal values for Aspartate and alanine aminotransferase increased were based on Gr1: \>ULN-3.0\*ULN; Gr2: \>3.0-5.0\*ULN; Gr3: \>5.0-20.0\*ULN; Gr4: \>20.0\*ULN. Blood bilirubin increased: Gr1: \>ULN-1.5\*ULN; Gr2 \>1.5-3.0\*ULN; Gr3: \>3.0-10.0\*ULN; Gr4: \>10.0\*ULN. Alkaline phosphatase increased: Gr1: \>ULN-2.5\*ULN; Gr2: \>2.5-5.0\*ULN; Gr3: \>5.0-20.0\*ULN; Gr4: \>20.0\*ULN. Glucose (Hypoglycemia): Gr 1: \<LLN-55 mg/dL; Gr2: \<55-40 mg/dL;Gr3: \<40-30 mg/dL; Gr4: \<30 mg/dL; Gr5:Death. Glucose (Hyperglycemia): Gr 1: Fasting glucose value \>ULN-160 mg/dL; Gr2: Fasting glucose value \>160-250 mg/dL; Gr3: \>250-500 mg/dL; Gr4: \>500 mg/dL; Gr5: Death.

Time frame: From Baseline up to 30 days after last dose of study drug (maximum duration: up to 10 years)

Population: Analysis was performed on safety population.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alkaline phosphatase Gr 0 at Baseline to Gr >=33 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Aspartate aminotransferase Gr5 at Baseline toGr>=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alkaline phosphatase Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alanine aminotransferase Gr4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alkaline phosphatase Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Aspartate aminotransferase Gr3 at Baseline toGr>=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alkaline phosphatase Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alanine aminotransferase Gr5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alkaline phosphatase Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alanine aminotransferase Gr0 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alkaline phosphatase Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Bilirubin increased Gr 0 at Baseline to Gr >=32 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoglycemia Gr 0 at Baseline to Gr >=34 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Aspartate aminotransferase Gr2 at Baseline toGr>=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoglycemia Gr 1 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Bilirubin increased Gr 1 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoglycemia Gr 2 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alanine aminotransferase Gr1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoglycemia Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Bilirubin increased Gr 2 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoglycemia Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Aspartate aminotransferase Gr4 at Baseline toGr>=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoglycemia Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Bilirubin increased Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperglycemia Gr 0 at Baseline to Gr >=34 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alanine aminotransferase Gr2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperglycemia Gr 1 at Baseline to Gr >=313 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Bilirubin increased Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperglycemia Gr 2 at Baseline to Gr >=32 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Aspartate aminotransferase Gr1 at Baseline toGr>=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperglycemia Gr 3 at Baseline to Gr >=33 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Bilirubin increased Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperglycemia Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alanine aminotransferase Gr3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperglycemia Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Aspartate aminotransferase Gr0 at Baseline toGr>=31 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperglycemia Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Aspartate aminotransferase Gr0 at Baseline toGr>=31 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Aspartate aminotransferase Gr1 at Baseline toGr>=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Aspartate aminotransferase Gr2 at Baseline toGr>=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Aspartate aminotransferase Gr3 at Baseline toGr>=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Aspartate aminotransferase Gr4 at Baseline toGr>=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Aspartate aminotransferase Gr5 at Baseline toGr>=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alanine aminotransferase Gr0 at Baseline to Gr >=31 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alanine aminotransferase Gr1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alanine aminotransferase Gr2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alanine aminotransferase Gr3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alanine aminotransferase Gr4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alanine aminotransferase Gr5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Bilirubin increased Gr 0 at Baseline to Gr >=34 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Bilirubin increased Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Bilirubin increased Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Bilirubin increased Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Bilirubin increased Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Bilirubin increased Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alkaline phosphatase Gr 0 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alkaline phosphatase Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alkaline phosphatase Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alkaline phosphatase Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alkaline phosphatase Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Alkaline phosphatase Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoglycemia Gr 0 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoglycemia Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoglycemia Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoglycemia Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoglycemia Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoglycemia Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperglycemia Gr 0 at Baseline to Gr >=312 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperglycemia Gr 1 at Baseline to Gr >=313 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperglycemia Gr 2 at Baseline to Gr >=310 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperglycemia Gr 3 at Baseline to Gr >=32 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Aspartate Aminotransferase, Alanine Aminotransferase,Blood Bilirubin,Alkaline Phosphatase and Glucose Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperglycemia Gr 4 at Baseline to Gr >=30 Participants
Secondary

Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3

NCI-CTCAE version 4.03 was used to determine Gr,where Gr refers to severity of AE:Gr 1:mild; asymptomatic/mild symptoms; Gr 2:moderate;minimal; Gr 3:severe/medically significant; Gr 4:life-threatening consequences, Gr 5:death related to AE. Abnormal values for Calcium(Hypocalcemia) were based on Gr1: Corrected serum calcium of \<LLN-8.0 mg/dL; Gr2: Corrected serum calcium of \<8.0-7.0 mg/dL; Gr3: Corrected serum calcium of \<7.0-6.0 mg/dL ; Gr4: Corrected serum calcium of \<6.0 mg/dL;Gr5:death. Calcium(Hypercalcemia):Gr 1: Corrected serum calcium of \>ULN -11.5 mg/dL; Gr2: Corrected serum calcium of \>11.5-12.5 mg/dL; Gr3: Corrected serum calcium of \>12.5-13.5 mg/dL; Gr4: Corrected serum calcium of \>13.5 mg/dL;Gr5:Death. Creatinine increased: Gr 1: \>1-1.5\*baseline; \>ULN-1.5\*ULN; Gr2: \>1.5-3.0\*baseline; \>1.5-3.0\*ULN; Gr3: \>3.0 baseline; \>3.0-6.0\*ULN; Gr4: \>6.0 x ULN. Albumin(Hypoalbuminemia): Gr 1: \<LLN-3 g/dL; Gr2: \<3-2 g/dL; Gr3: \<2 g/dL; Gr4:life-threatening consequences;Gr5:Death.

Time frame: From Baseline up to 30 days after last dose of study drug (maximum duration: up to 10 years)

Population: Analysis was performed on safety population.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypercalcemia Gr 0 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypocalcemia Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypocalcemia Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypocalcemia Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypocalcemia Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypocalcemia Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypocalcemia Gr 0 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypercalcemia Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypercalcemia Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypercalcemia Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypercalcemia Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypercalcemia Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine increased Gr 0 at Baseline to Gr >=34 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine increased Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine increased Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine increased Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine increased Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine increased Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoalbuminemia Gr 0 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoalbuminemia Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoalbuminemia Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoalbuminemia Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoalbuminemia Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoalbuminemia Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoalbuminemia Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypocalcemia Gr 0 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine increased Gr 0 at Baseline to Gr >=38 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypocalcemia Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoalbuminemia Gr 0 at Baseline to Gr >=32 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypocalcemia Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine increased Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypocalcemia Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoalbuminemia Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypocalcemia Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine increased Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypocalcemia Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoalbuminemia Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypercalcemia Gr 0 at Baseline to Gr >=31 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine increased Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypercalcemia Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoalbuminemia Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypercalcemia Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine increased Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypercalcemia Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypoalbuminemia Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypercalcemia Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine increased Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Calcium, Creatinine and Albumin Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypercalcemia Gr 5 at Baseline to Gr >=30 Participants
Secondary

Number of Participants With Shift of Laboratory Parameters (Creatinine Clearance [Chronic Kidney Disease]) From Baseline Grade to Worst NCI-CTCAE Grade >=3

NCI-CTCAE version 4.03 was used to determine Gr, where Gr refers to severity of AE: Gr 1: mild; asymptomatic/mild symptoms; Gr 2: moderate; minimal; Gr 3: severe/medically significant; Gr 4:life-threatening consequences, Gr 5:death related to AE. Abnormal values for Creatinine Clearance(Chronic kidney disease) were based on: Gr 1: estimated glomerular filtration rate (eGFR) or creatinine clearance (CrCl) \<LLN-60ml/min/1.73 m\^2; Gr2: eGFR or CrCl 59-30 ml/min/1.73 m\^2; Gr3: eGFR or CrCl 29-15 ml/min/1.73 m\^2; Gr4: eGFR or CrCl \<15 ml/min/1.73 m\^2; Gr5: Death.

Time frame: From Baseline up to 30 days after last dose of study drug (maximum duration: up to 10 years)

Population: Analysis was performed on safety population. Data was planned to be collected and analyzed for Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC) arm only.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Creatinine Clearance [Chronic Kidney Disease]) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine Clearance Gr 0 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Creatinine Clearance [Chronic Kidney Disease]) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine Clearance Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Creatinine Clearance [Chronic Kidney Disease]) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine Clearance Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Creatinine Clearance [Chronic Kidney Disease]) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine Clearance Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Creatinine Clearance [Chronic Kidney Disease]) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine Clearance Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Creatinine Clearance [Chronic Kidney Disease]) From Baseline Grade to Worst NCI-CTCAE Grade >=3Creatinine Clearance Gr 5 at Baseline to Gr >=30 Participants
Secondary

Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3

NCI-CTCAE version 4.03 was used to determine Grade(Gr),where Gr refers to severity of AE:Gr 1:mild; asymptomatic/mild symptoms; Gr 2:moderate;minimal; Gr 3:severe/medically significant; Gr 4:life-threatening consequences, Gr 5:death related to AE. Abnormal values for Hemoglobin(Hb)(Anemia) were based on Gr1:\<lower limit of normal (LLN)-10.0g/dL; Gr2:\<10.0-8.0g/dL; Gr3:\<8.0g/dL; Gr4:life-threatening consequences;Gr5:death. Hb increased:Gr 1:increase(incr.) in \>0-2g/dL above upper limit of normal(ULN);Gr2: incr. in \>2-4g/dL above ULN; Gr3:incr. in \>4gm/dL above ULN. White blood cell (WBC) decreased: Gr1:\<LLN - 3000/mm\^3;Gr2: \<3000-2000/mm\^3; Gr3:\<2000-1000/mm\^3;Gr4:\<1000/mm\^3. WBC (Leukocytosis):Gr3:\>100,000/mm\^3, Gr4:clinical manifestations of leucostasis;Gr5:Death. Abnormal Neutrophil count (ANC):- Gr1:\<LLN-1500/mm\^3;Gr2:\<1500-1000/mm\^3; Gr3: \<1000-500/mm\^3; Gr4:\<500/mm\^3. Platelet count decreased: Gr1:\<LLN-75,000/mm\^3;Gr2:\<75,000-50,000/mm\^3;Gr3:\<50,000-25,000/mm\^3;Gr4:\<25,000/mm\^3.

Time frame: From Baseline up to 30 days after last dose of study drug (maximum duration: up to 10 years)

Population: Analysis was performed on safety population.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3ANC Gr 0 at Baseline to Gr >=314 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb(Anemia) Gr 0 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb(Anemia) Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb(Anemia) Gr 2 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb(Anemia) Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb(Anemia) Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb(Anemia) Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb increased Gr 0 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb increased Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb increased Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb increased Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb increased Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb increased Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC decreased Gr 0 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC decreased Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC decreased Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC decreased Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC decreased Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC decreased Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC (Leukocytosis) Gr 0 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC (Leukocytosis) Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC (Leukocytosis) Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC (Leukocytosis) Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC (Leukocytosis) Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC (Leukocytosis) Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3ANC Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3ANC Gr 2 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3ANC Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3ANC Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3ANC Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Platelet count decreased Gr0 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Platelet count decreased Gr1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Platelet count decreased Gr2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Platelet count decreased Gr3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Platelet count decreased Gr4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Platelet count decreased Gr5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC decreased Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3ANC Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb(Anemia) Gr 0 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC (Leukocytosis) Gr 0 at Baseline to Gr >=31 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb(Anemia) Gr 1 at Baseline to Gr >=34 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Platelet count decreased Gr5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb(Anemia) Gr 2 at Baseline to Gr >=31 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC (Leukocytosis) Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb(Anemia) Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3ANC Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb(Anemia) Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC (Leukocytosis) Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb(Anemia) Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Platelet count decreased Gr2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb increased Gr 0 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC (Leukocytosis) Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb increased Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3ANC Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb increased Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC (Leukocytosis) Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb increased Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Platelet count decreased Gr4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb increased Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC (Leukocytosis) Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Hb increased Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3ANC Gr 0 at Baseline to Gr >=340 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC decreased Gr 0 at Baseline to Gr >=38 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Platelet count decreased Gr0 at Baseline to Gr >=35 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC decreased Gr 1 at Baseline to Gr >=31 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3ANC Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC decreased Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Platelet count decreased Gr3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC decreased Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3ANC Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3WBC decreased Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Hematology) From Baseline Grade to Worst National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade >=3Platelet count decreased Gr1 at Baseline to Gr >=30 Participants
Secondary

Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3

NCI-CTCAE version 4.03 was used to determine Gr,where Gr refers to severity of AE: Gr 1: mild; asymptomatic/mild symptoms; Gr 2: moderate; minimal; Gr 3:severe/medically significant; Gr 4:life-threatening consequences, Gr 5:death related to AE. Abnormal values for Sodium (Hyponatremia) were based on Gr1: \<LLN-130 mmol/L; Gr3: \<130-120 mmol/L; Gr4: \<120 mmol/L; life-threatening consequences; Gr5: death. Sodium (Hypernatremia):Gr 1: \>ULN-150 mmol/L; Gr2: \>150-155 mmol/L; Gr3:\>155-160 mmol/L;hospitalization; Gr4: \>160 mmol/L; life-threatening consequences; Gr5: Death. Potassium (Hypokalemia): Gr 1: \<LLN-3.0 mmol/L; Gr2: \<LLN-3.0 mmol/L; symptomatic; intervention indicated; Gr3: \<3.0-2.5 mmol/L; hospitalization indicated; Gr4: \<2.5 mmol/L; life-threatening consequences; Gr5: Death; Potassium(Hyperkalemia): Gr 1: \>ULN-5.5 mmol/L; Gr2: \>5.5-6.0 mmol/L; Gr3: \>6.0-7.0 mmol/L; hospitalization indicated; Gr4: \>7.0 mmol/L; life-threatening consequences; Gr5: Death.

Time frame: From Baseline up to 30 days after last dose of study drug (maximum duration: up to 10 years)

Population: Analysis was performed on safety population.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypernatremia Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyponatremia Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyponatremia Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyponatremia Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypernatremia Gr 0 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypernatremia Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyponatremia Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypernatremia Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypernatremia Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypernatremia Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypokalemia Gr 0 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypokalemia Gr 1 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypokalemia Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypokalemia Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypokalemia Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypokalemia Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperkalemia Gr 0 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperkalemia Gr 1 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperkalemia Gr 2 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperkalemia Gr 3 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperkalemia Gr 4 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperkalemia Gr 5 at Baseline to Gr >=30 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyponatremia Gr 0 at Baseline to Gr >=31 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyponatremia Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyponatremia Gr 0 at Baseline to Gr >=37 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyponatremia Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypokalemia Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyponatremia Gr 3 at Baseline to Gr >=31 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperkalemia Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyponatremia Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypokalemia Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyponatremia Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperkalemia Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypernatremia Gr 0 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypokalemia Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypernatremia Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperkalemia Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypernatremia Gr 2 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypokalemia Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypernatremia Gr 3 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyponatremia Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypernatremia Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperkalemia Gr 0 at Baseline to Gr >=34 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypernatremia Gr 5 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperkalemia Gr 4 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypokalemia Gr 0 at Baseline to Gr >=32 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hyperkalemia Gr 1 at Baseline to Gr >=30 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Shift of Laboratory Parameters (Sodium and Potassium Levels) From Baseline Grade to Worst NCI-CTCAE Grade >=3Hypokalemia Gr 1 at Baseline to Gr >=31 Participants
Secondary

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

TEAEs were defined as adverse events (AE) that appeared or worsened during the treatment period (up to 30 days after the last dose of the investigational product). SAE was an AE or adverse drug reaction at any dose of the investigational product that corresponded to one of the following: resulting in death or is life threatening; requiring in-patient hospitalization or prolongation of existing hospitalization; resulting in persistent or significant disability of dysfunction; resulting in congenital anomaly or birth defect; important medical event.

Time frame: From randomization up to 30 days after last dose of study drug (maximum duration: up to 10 years)

Population: Analysis was performed on safety population which included participants who were administered at least one dose of the investigational product.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Any TEAE190 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Any treatment emergent SAE57 Participants
Surgery + Adjuvant Chemotherapy (SC)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)TEAEs leading to permanent discontinuation11 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Any TEAE237 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Any treatment emergent SAE102 Participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)TEAEs leading to permanent discontinuation25 Participants
Secondary

Overall Survival (OS)

OS was defined as the time from randomization to death due to any cause. Analyzed using Kaplan-Meier method.

Time frame: From randomization to date of death due to any cause (maximum duration: up to 10 years)

Population: Analysis was performed on FAS population.

ArmMeasureValue (MEDIAN)
Surgery + Adjuvant Chemotherapy (SC)Overall Survival (OS)NA months
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Overall Survival (OS)NA months
Secondary

Percentage of Participants With R0 Resection

Tumor condition was explained according to the Residual Tumor (R) Classification: R0; No residual cancer (negative cross-section), R1; Microscopically observed residual cancer (positive cross-section), R2; Macroscopically observed residual cancer.

Time frame: Up to 10 years

Population: Analysis was performed on FAS population. Here, 'overall number of participants analyzed' = participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
Surgery + Adjuvant Chemotherapy (SC)Percentage of Participants With R0 Resection83.74 percentage of participants
Neoadjuvant Chemotherapy +Surgery +Adjuvant Chemotherapy (CSC)Percentage of Participants With R0 Resection95.50 percentage of participants

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