Recurrent Glioblastoma
Conditions
Brief summary
The purpose of the study is to compare the efficacy and safety of nivolumab administered alone versus bevacizumab in patients diagnosed with recurrent glioblastoma (a type of brain cancer, also known as GBM), and to evaluate the safety and tolerability of nivolumab administered alone or in combination with ipilimumab in patients with different lines of GBM therapy.
Detailed description
Allocation: Randomized (Cohorts 1, 2 and Part B of 1c/1d), Non-Randomized (Cohorts 1b, and Part A of 1c/1d)
Interventions
specified dose on specified days
specified dose on specified days
specified dose on specified days
Sponsors
Study design
Eligibility
Inclusion criteria
* Participants with histologically confirmed Grade IV malignant glioma * Previous treatment with radiotherapy and temozolomide (Cohorts 1, 1b and 2 only) * First recurrence of GBM (Cohorts 1, 1b and 2 only) * First diagnosis of GBM with resectable disease (Cohorts 1c Part A only) * First diagnosis of unmethylated MGMT GBM (Cohort 1d and Cohort 1c Part B only) * Karnofsky performance score of 70 or higher
Exclusion criteria
* More than 1 recurrence of GBM (Cohorts 1, 1b and 2 only) * Any recurrence of GBM (Cohorts 1c and 1d only) * Presence of extracranial metastatic or leptomeningeal disease * Active, known or suspected autoimmune disease * Clinically significant cardiovascular disease * Prior bevacizumab or other Vascular Endothelial Growth Factor (VEGF) or anti-angiogenic treatment (Cohort 2 only)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival (OS) for Cohort 2 | Time between the date of randomization and the date of death due to any cause (up to up to 17Jun2019, approximately 5 years) | OS was measured in months from the time of randomization to the event date (death) due to any cause. A participant who has not died will be censored at the last known alive date. Based on Kaplan-Meier Estimates. Hazard ratio from Cox proportional hazard model stratified by presence of measurable lesions at baseline per IVRS. P-value from log-rank test stratified by presence of measurable lesions at baseline per IVRS. |
| Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | From first dose to 30 days post last dose (up to approximately 34 months). | The percentage of participants who experienced an adverse event by worst grade in each treatment arm. Toxicities were graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. MedDRA Version: 24.1 |
| Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | From first dose to 30 days post last dose (up to approximately 34 months). | The percentage of participants who experienced a serious adverse event by worst grade in each treatment arm. Toxicities were graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. MedDRA Version: 24.1 |
| Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | From first dose to 30 days post last dose (up to approximately 34 months). | The percentage of participants who experienced a laboratory abnormality of the liver in each treatment arm. MedDRA Version: 24.1 Aspartate aminotransferase (AST) Alanine aminotransferase (ALT) Upper Limit of Normal (ULN) Denominator corresponds to participants with at least on one treatment measurement of the corresponding laboratory parameter. Includes laboratory results reported after the first dose and within 30 days of last dose of study therapy. |
| Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | From first dose to 30 days post last dose (up to approximately 34 months). | The percentage of participants who experienced a laboratory abnormality of the thyroid in each treatment arm. MedDRA Version: 24.1 Free T3 (FT3) Free T4 (FT4) Lower Limit of Normal (LLN) (A) Within a 2-week window after the abnormal TSH test date. (B) Includes participants with TSH abnormality and with no FT3/FT4 test values in the 2-week window or with non-abnormal value(s) from only one of the two tests and no value from the other test. |
| Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Includes events reported between first dose and 30 days after last dose of study therapy (up to 3 doses, up to approximately 2 months) | The percentage of participants who experienced a drug-related adverse event leading to drug discontinuation by worst grade (grade 5 being the worst) prior to complete four-dose treatment. Toxicities were graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. MedDRA Version: 24.1 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival (OS) for Cohorts 1c and 1d | Time between the date of randomization and the date of death due to any cause (up to approximately 10 years and 5 months) | OS was measured in months from the time of randomization (Part B) or time of treatment (Part A) to the event date (death) due to any cause. A participant who has not died will be censored at the last known alive date. Based on Kaplan-Meier Estimates. |
| Progression Free Survival (PFS) for Cohort 2 | Time from randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 10 years and 5 months) | PFS was measured in months from the time of randomization to the date of the first documented tumor progression or death due to any cause. Based on Kaplan-Meier Estimates. Hazard ratio from Cox proportional hazard model stratified by presence of measurable lesions at baseline per IVRS. |
| Objective Response Rate (ORR) for Cohort 2 | Time from randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 10 years and 5 months) | ORR was measured by the percentage of participants whose best overall response (BOR) is confirmed Complete Response (CR) or Partial Response (PR) divided by response evaluable participants. The best overall response (BOR) is determined once all the data for the participant is known. BOR is defined as the best response designation, as determined by investigators, recorded between the date of randomization and the date of objectively documented progression per RANO criteria, the date of subsequent therapy, or date of surgical resection, whichever occurs first. Confidence interval based on the Clopper and Pearson method. For the comparison of the odds ratio of Nivolumab over Bevacizumab, the Cochran-Mantel-Haenszel (CMH) method of weighting was utilized. |
| Overall Survival (OS) at 12 Months for Cohort 2 | From randomization to 12 months following randomization | OS(12) is measured as the percentage of participants alive at 12 months per Kaplan-Meier curve of OS. Z test with variance estimation based on Greenwood formula using log(-log) transformation. |
Countries
Australia, Belgium, Denmark, France, Germany, Italy, Netherlands, Poland, Spain, Switzerland, United Kingdom, United States
Participant flow
Pre-assignment details
529 participants participated in the study. Of these 529 participants, 448 were randomized in the pre-treatment phase while 81 were directly treated in a non-randomized fashion. Of the 448 participants randomized, 423 moved to the treatment phase. The total number of treated participants was 504 (81 directly treated, 423 randomized and treated). GBM = Glioblastoma MGMT = O6-methylguanin-DNA-methyltransferase
Participants by arm
| Arm | Count |
|---|---|
| Cohort 1: Arm N1+I3 Nivolumab 1 mg/kg administered as a 60-minute intravenous (IV) infusion followed by ipilimumab 3 mg/kg 90-minute IV infusion every 3 weeks for 4 cycles, then nivolumab 3 mg/kg 60-minute IV every 2 weeks thereafter | 10 |
| Cohort 1: Arm N3 Nivolumab 3 mg/kg dosed as 60-minute IV infusion every 2 weeks | 10 |
| Cohort 1b: Arm N3+I1 Nivolumab 3 mg/kg administered as a 60-minute IV infusion followed by ipilimumab 1 mg/kg 90-minute IV infusion every 3 weeks for 4 cycles, then nivolumab 3 mg/kg 60-minute IV every 2 weeks thereafter | 20 |
| Part A Cohort 1c: Arm N3+RT+TMZ Participants with newly diagnosed GBM: Nivolumab 3 mg/kg dosed as 60-minute IV infusion every 2 weeks with standard of care treatment including surgical resection and chemoradiation followed by 6 or more cycles of maintenance temozolomide | 31 |
| Part A Cohort 1d: Arm N3+RT Participants with newly diagnosed unmethylated MGMT GBM: Nivolumab 3 mg/kg dosed as 60-minute IV infusion every 2 weeks with standard of care treatment including surgical resection and radiation therapy | 30 |
| Part B Cohort 1c: Arm N3+RT+TMZ Participants with newly diagnosed GBM: Nivolumab 3 mg/kg dosed as 60-minute IV infusion every 2 weeks with standard of care treatment including surgical resection and chemoradiation followed by 6 or more cycles of maintenance temozolomide | 29 |
| Part B Cohort 1d: Arm N3+RT Participants with newly diagnosed unmethylated MGMT GBM: Nivolumab 3 mg/kg dosed as 60-minute IV infusion every 2 weeks with standard of care treatment including surgical resection and radiation therapy | 30 |
| Cohort 2: Arm N3 Nivolumab 3 mg/kg dosed as 60-minute IV infusion every 2 weeks | 184 |
| Cohort 2: Arm B Bevacizumab 10 mg/kg dosed every 2 weeks as 90-minute IV infusion for the first dose and 60-minute IV infusions for subsequent doses if the first infusion is tolerated | 185 |
| Total | 529 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 | FG007 | FG008 |
|---|---|---|---|---|---|---|---|---|---|---|
| Before Treatment Period | Adverse Event unrelated to study drug | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
| Before Treatment Period | Lost to Follow-up | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Before Treatment Period | other reason | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Before Treatment Period | Participant no longer met criteria | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 2 |
| Before Treatment Period | Participant request to stop therapy | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 |
| Before Treatment Period | Participant withdrew consent | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 11 |
| Treatment Period | Adverse event unrelated to study drug | 0 | 0 | 2 | 0 | 0 | 0 | 1 | 4 | 5 |
| Treatment Period | Death | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 0 | 0 |
| Treatment Period | Disease progression | 7 | 9 | 12 | 20 | 26 | 16 | 22 | 165 | 135 |
| Treatment Period | Maximum clinical benefit | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Treatment Period | Not reported | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Treatment Period | Other reasons | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 1 |
| Treatment Period | Participant no longer met criteria | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Treatment Period | Participant request to stop therapy | 0 | 0 | 3 | 6 | 0 | 2 | 1 | 4 | 7 |
| Treatment Period | Participant withdrew consent | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 1 | 4 |
| Treatment Period | Study drug toxicity | 3 | 0 | 1 | 4 | 4 | 5 | 3 | 7 | 11 |
Baseline characteristics
| Characteristic | Cohort 1: Arm N3 | Cohort 1b: Arm N3+I1 | Part A Cohort 1c: Arm N3+RT+TMZ | Part A Cohort 1d: Arm N3+RT | Part B Cohort 1c: Arm N3+RT+TMZ | Cohort 1: Arm N1+I3 | Part B Cohort 1d: Arm N3+RT | Cohort 2: Arm N3 | Cohort 2: Arm B | Total |
|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | 58.6 Years STANDARD_DEVIATION 10.9 | 55.0 Years STANDARD_DEVIATION 11.9 | 56.5 Years STANDARD_DEVIATION 11.3 | 58.2 Years STANDARD_DEVIATION 10.2 | 57.3 Years STANDARD_DEVIATION 12.7 | 54.5 Years STANDARD_DEVIATION 11.3 | 58.8 Years STANDARD_DEVIATION 10.5 | 55.0 Years STANDARD_DEVIATION 11.3 | 54.2 Years STANDARD_DEVIATION 10.7 | 55.4 Years STANDARD_DEVIATION 11.1 |
| Age, Customized < 65 | 6 Participants | 17 Participants | 23 Participants | 22 Participants | 22 Participants | 7 Participants | 19 Participants | 142 Participants | 156 Participants | 414 Participants |
| Age, Customized >= 65 | 4 Participants | 3 Participants | 8 Participants | 8 Participants | 7 Participants | 3 Participants | 11 Participants | 42 Participants | 29 Participants | 115 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 0 Participants | 2 Participants | 2 Participants | 1 Participants | 0 Participants | 0 Participants | 4 Participants | 1 Participants | 10 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 10 Participants | 20 Participants | 29 Participants | 27 Participants | 28 Participants | 10 Participants | 29 Participants | 86 Participants | 88 Participants | 327 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 94 Participants | 96 Participants | 192 Participants |
| Race/Ethnicity, Customized American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Asian | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 2 Participants | 1 Participants | 7 Participants |
| Race/Ethnicity, Customized Black or African American | 2 Participants | 0 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 2 Participants | 8 Participants |
| Race/Ethnicity, Customized Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Other | 0 Participants | 1 Participants | 2 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 4 Participants | 1 Participants | 10 Participants |
| Race/Ethnicity, Customized White | 8 Participants | 18 Participants | 26 Participants | 28 Participants | 27 Participants | 10 Participants | 28 Participants | 176 Participants | 181 Participants | 502 Participants |
| Sex: Female, Male Female | 5 Participants | 6 Participants | 11 Participants | 8 Participants | 10 Participants | 4 Participants | 9 Participants | 68 Participants | 66 Participants | 187 Participants |
| Sex: Female, Male Male | 5 Participants | 14 Participants | 20 Participants | 22 Participants | 19 Participants | 6 Participants | 21 Participants | 116 Participants | 119 Participants | 342 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk | EG008 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 10 / 10 | 9 / 10 | 20 / 20 | 29 / 31 | 30 / 30 | 28 / 29 | 28 / 30 | 180 / 184 | 166 / 185 |
| other Total, other adverse events | 10 / 10 | 10 / 10 | 20 / 20 | 31 / 31 | 29 / 30 | 27 / 28 | 27 / 28 | 168 / 182 | 148 / 165 |
| serious Total, serious adverse events | 8 / 10 | 7 / 10 | 15 / 20 | 24 / 31 | 19 / 30 | 16 / 28 | 19 / 28 | 117 / 182 | 94 / 165 |
Outcome results
Overall Survival (OS) for Cohort 2
OS was measured in months from the time of randomization to the event date (death) due to any cause. A participant who has not died will be censored at the last known alive date. Based on Kaplan-Meier Estimates. Hazard ratio from Cox proportional hazard model stratified by presence of measurable lesions at baseline per IVRS. P-value from log-rank test stratified by presence of measurable lesions at baseline per IVRS.
Time frame: Time between the date of randomization and the date of death due to any cause (up to up to 17Jun2019, approximately 5 years)
Population: All Randomized Participants in Cohort 2
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Cohort 1: Arm N1+I3 | Overall Survival (OS) for Cohort 2 | 9.77 Months |
| Cohort 1: Arm N3 | Overall Survival (OS) for Cohort 2 | 10.05 Months |
Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d
The percentage of participants who experienced an adverse event by worst grade in each treatment arm. Toxicities were graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. MedDRA Version: 24.1
Time frame: From first dose to 30 days post last dose (up to approximately 34 months).
Population: All Treated Participants in Cohorts 1, 1b, 1c and 1d
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Cohort 1: Arm N1+I3 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 10.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 20.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 70.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 20.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 30.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 10.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 40.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 25.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 50.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 5.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 20.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 22.6 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 6.5 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 12.9 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 58.1 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 13.3 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 26.7 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 20.0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 33.3 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 3.3 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 10.7 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 28.6 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 3.6 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 3.6 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 50.0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 35.7 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 21.4 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 25.0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 17.9 Percentage of participants |
Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses
The percentage of participants who experienced a drug-related adverse event leading to drug discontinuation by worst grade (grade 5 being the worst) prior to complete four-dose treatment. Toxicities were graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. MedDRA Version: 24.1
Time frame: Includes events reported between first dose and 30 days after last dose of study therapy (up to 3 doses, up to approximately 2 months)
Population: All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Cohort 1: Arm N1+I3 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 3 | 16.7 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 1 | 0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 5 | 0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 2 | 0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 4 | 33.3 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 3 | 0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 2 | 0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 4 | 0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 1 | 0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 5 | 0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 5 | 0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 2 | 0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 1 | 0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 3 | 0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 4 | 0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 3 | 66.7 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 1 | 0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 2 | 0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 4 | 0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 5 | 0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 1 | 0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 5 | 0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 3 | 0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 4 | 0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 2 | 0 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 1 | 0 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 5 | 0 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 4 | 0 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 2 | 0 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 3 | 0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 4 | 0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 2 | 0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 3 | 50.0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 1 | 0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Drug-Related Adverse Events Leading to Discontinuation by Worst CTC Grade for All Treated Participants in Cohorts 1, 1b, 1c and 1d Who Permanently Discontinued Study Medication Prior to Completing Four Doses | Grade 5 | 0 Percentage of participants |
Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d
The percentage of participants who experienced a serious adverse event by worst grade in each treatment arm. Toxicities were graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. MedDRA Version: 24.1
Time frame: From first dose to 30 days post last dose (up to approximately 34 months).
Population: All Treated Participants in Cohorts 1, 1b, 1c and 1d
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Cohort 1: Arm N1+I3 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 60.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 20.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 40.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 10.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 5.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 35.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 15.0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 45.2 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 3.2 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 16.1 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 3.3 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 16.7 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 16.7 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 16.7 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 0 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 3.6 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 3.6 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 3.6 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 35.7 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 4 | 14.3 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 2 | 10.7 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 3 | 32.1 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 1 | 0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Serious Adverse Events (Worst Grade) in Cohorts 1, 1b, 1c and 1d | Grade 5 | 0 Percentage of participants |
Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d
The percentage of participants who experienced a laboratory abnormality of the liver in each treatment arm. MedDRA Version: 24.1 Aspartate aminotransferase (AST) Alanine aminotransferase (ALT) Upper Limit of Normal (ULN) Denominator corresponds to participants with at least on one treatment measurement of the corresponding laboratory parameter. Includes laboratory results reported after the first dose and within 30 days of last dose of study therapy.
Time frame: From first dose to 30 days post last dose (up to approximately 34 months).
Population: All Treated Subjects in Cohorts 1, 1b, 1c and 1d with at least one on-treatment measurement of the corresponding laboratory parameter
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 20*ULN | 10.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 10*ULN | 10.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 2*ULN within 30 days | 10.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 2*ULN within 1 day | 10.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 1.5*ULN within 30 days | 10.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 1.5*ULN within 1 day | 10.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALP > 1.5*ULN | 10.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 5*ULN | 20.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 3*ULN | 30.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | TOTAL BILIRUBIN (Tbili) > 2*ULN | 10.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 5*ULN | 0.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 3*ULN | 0.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 10*ULN | 0.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 20*ULN | 0.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | TOTAL BILIRUBIN (Tbili) > 2*ULN | 0.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALP > 1.5*ULN | 10.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 1.5*ULN within 1 day | 0.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 1.5*ULN within 30 days | 0.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 2*ULN within 1 day | 0.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 2*ULN within 30 days | 0.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 2*ULN within 1 day | 0.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 1.5*ULN within 1 day | 0.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 5*ULN | 10.5 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | TOTAL BILIRUBIN (Tbili) > 2*ULN | 0.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 1.5*ULN within 30 days | 0.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 3*ULN | 15.8 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 10*ULN | 5.3 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 2*ULN within 30 days | 0.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALP > 1.5*ULN | 0.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 20*ULN | 5.3 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 5*ULN | 12.9 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 3*ULN | 22.6 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 20*ULN | 3.2 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 2*ULN within 30 days | 0.0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | TOTAL BILIRUBIN (Tbili) > 2*ULN | 0.0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 1.5*ULN within 1 day | 0.0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 1.5*ULN within 30 days | 0.0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALP > 1.5*ULN | 0.0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 2*ULN within 1 day | 0.0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 10*ULN | 6.5 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 3*ULN | 10.0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 1.5*ULN within 30 days | 0.0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 10*ULN | 3.3 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | TOTAL BILIRUBIN (Tbili) > 2*ULN | 0.0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 5*ULN | 3.3 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALP > 1.5*ULN | 3.3 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 2*ULN within 1 day | 0.0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 1.5*ULN within 1 day | 0.0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 20*ULN | 3.3 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 2*ULN within 30 days | 0.0 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 2*ULN within 30 days | 3.7 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 20*ULN | 0.0 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | TOTAL BILIRUBIN (Tbili) > 2*ULN | 7.4 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALP > 1.5*ULN | 0.0 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 3*ULN | 18.5 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 1.5*ULN within 1 day | 3.7 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 1.5*ULN within 30 days | 3.7 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 2*ULN within 1 day | 3.7 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 5*ULN | 11.1 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 10*ULN | 3.7 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALP > 1.5*ULN | 3.7 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 2*ULN within 30 days | 0.0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 20*ULN | 3.7 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 5*ULN | 3.7 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 3*ULN | 14.8 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 2*ULN within 1 day | 0.0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | TOTAL BILIRUBIN (Tbili) > 2*ULN | 0.0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT OR AST > 10*ULN | 3.7 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3*ULN w/ Tbili > 1.5*ULN within 30 days | 0.0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Liver Tests in Cohorts 1, 1b, 1c and 1d | ALT or AST > 3xULN w/ Tbili > 1.5*ULN within 1 day | 0.0 Percentage of participants |
Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d
The percentage of participants who experienced a laboratory abnormality of the thyroid in each treatment arm. MedDRA Version: 24.1 Free T3 (FT3) Free T4 (FT4) Lower Limit of Normal (LLN) (A) Within a 2-week window after the abnormal TSH test date. (B) Includes participants with TSH abnormality and with no FT3/FT4 test values in the 2-week window or with non-abnormal value(s) from only one of the two tests and no value from the other test.
Time frame: From first dose to 30 days post last dose (up to approximately 34 months).
Population: All Treated Subjects in Cohorts 1, 1b, 1c and 1d with at Least One On-Treatment TSH measurement
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH ALL OTHER FT3/FT4 TEST >= LLN | 0.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH AT LEAST ONE FT3/FT4 TEST < LLN | 20.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH FT3/FT4 TEST MISSING | 10.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH ALL OTHER FT3/FT4 TEST <= ULN | 20.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH<LLN, LLN WITH AT LEAST ONE FT3/FT4 TEST>ULN | 30.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH TSH >= LLN AT BASELINE | 60.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN | 60.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH TSH <= ULN AT BASELINE | 20.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN | 20.0 Percentage of participants |
| Cohort 1: Arm N1+I3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH FT3/FT4 TEST MISSING | 0.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH TSH <= ULN AT BASELINE | 30.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN | 50.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH AT LEAST ONE FT3/FT4 TEST < LLN | 30.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH ALL OTHER FT3/FT4 TEST >= LLN | 10.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH FT3/FT4 TEST MISSING | 10.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN | 30.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH TSH >= LLN AT BASELINE | 30.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH<LLN, LLN WITH AT LEAST ONE FT3/FT4 TEST>ULN | 10.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH ALL OTHER FT3/FT4 TEST <= ULN | 20.0 Percentage of participants |
| Cohort 1: Arm N3 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH FT3/FT4 TEST MISSING | 0.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH ALL OTHER FT3/FT4 TEST <= ULN | 10.5 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH TSH >= LLN AT BASELINE | 31.6 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH TSH <= ULN AT BASELINE | 10.5 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH FT3/FT4 TEST MISSING | 0.0 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH<LLN, LLN WITH AT LEAST ONE FT3/FT4 TEST>ULN | 15.8 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN | 10.5 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH AT LEAST ONE FT3/FT4 TEST < LLN | 10.5 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH FT3/FT4 TEST MISSING | 5.3 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN | 31.6 Percentage of participants |
| Cohort 1b: Arm N3+I1 | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH ALL OTHER FT3/FT4 TEST >= LLN | 0.0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH TSH <= ULN AT BASELINE | 20.0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN | 23.3 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH ALL OTHER FT3/FT4 TEST >= LLN | 6.7 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH FT3/FT4 TEST MISSING | 3.3 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH FT3/FT4 TEST MISSING | 3.3 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH TSH >= LLN AT BASELINE | 33.3 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH<LLN, LLN WITH AT LEAST ONE FT3/FT4 TEST>ULN | 10.0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN | 43.3 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH ALL OTHER FT3/FT4 TEST <= ULN | 30.0 Percentage of participants |
| Part A Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH AT LEAST ONE FT3/FT4 TEST < LLN | 13.3 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN | 16.7 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH<LLN, LLN WITH AT LEAST ONE FT3/FT4 TEST>ULN | 13.3 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH AT LEAST ONE FT3/FT4 TEST < LLN | 13.3 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH FT3/FT4 TEST MISSING | 3.3 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH TSH <= ULN AT BASELINE | 16.7 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN | 40.0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH ALL OTHER FT3/FT4 TEST <= ULN | 16.7 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH TSH >= LLN AT BASELINE | 40.0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH ALL OTHER FT3/FT4 TEST >= LLN | 0.0 Percentage of participants |
| Part A Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH FT3/FT4 TEST MISSING | 10.0 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH FT3/FT4 TEST MISSING | 0.0 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH ALL OTHER FT3/FT4 TEST >= LLN | 3.7 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH FT3/FT4 TEST MISSING | 0.0 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN | 22.2 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN | 11.1 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH TSH >= LLN AT BASELINE | 18.5 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH<LLN, LLN WITH AT LEAST ONE FT3/FT4 TEST>ULN | 11.1 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH ALL OTHER FT3/FT4 TEST <= ULN | 11.1 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH TSH <= ULN AT BASELINE | 11.1 Percentage of participants |
| Part B Cohort 1c: Arm N3+RT+TMZ | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH AT LEAST ONE FT3/FT4 TEST < LLN | 7.4 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN | 33.3 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH FT3/FT4 TEST MISSING | 3.7 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH ALL OTHER FT3/FT4 TEST >= LLN | 7.4 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH TSH <= ULN AT BASELINE | 7.4 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN | 7.4 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH ALL OTHER FT3/FT4 TEST <= ULN | 29.6 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH FT3/FT4 TEST MISSING | 0.0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH > ULN, WITH AT LEAST ONE FT3/FT4 TEST < LLN | 0.0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH<LLN, LLN WITH AT LEAST ONE FT3/FT4 TEST>ULN | 0.0 Percentage of participants |
| Part B Cohort 1d: Arm N3+RT | Percentage of Participants With Specific Laboratory Abnormalities in Thyroid Tests in Cohorts 1, 1b, 1c and 1d | TSH < LLN, WITH TSH >= LLN AT BASELINE | 18.5 Percentage of participants |
Objective Response Rate (ORR) for Cohort 2
ORR was measured by the percentage of participants whose best overall response (BOR) is confirmed Complete Response (CR) or Partial Response (PR) divided by response evaluable participants. The best overall response (BOR) is determined once all the data for the participant is known. BOR is defined as the best response designation, as determined by investigators, recorded between the date of randomization and the date of objectively documented progression per RANO criteria, the date of subsequent therapy, or date of surgical resection, whichever occurs first. Confidence interval based on the Clopper and Pearson method. For the comparison of the odds ratio of Nivolumab over Bevacizumab, the Cochran-Mantel-Haenszel (CMH) method of weighting was utilized.
Time frame: Time from randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 10 years and 5 months)
Population: All Response Evaluable Participants in Cohort 2
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Cohort 1: Arm N1+I3 | Objective Response Rate (ORR) for Cohort 2 | 7.8 Percentage of participants |
| Cohort 1: Arm N3 | Objective Response Rate (ORR) for Cohort 2 | 23.1 Percentage of participants |
Overall Survival (OS) at 12 Months for Cohort 2
OS(12) is measured as the percentage of participants alive at 12 months per Kaplan-Meier curve of OS. Z test with variance estimation based on Greenwood formula using log(-log) transformation.
Time frame: From randomization to 12 months following randomization
Population: All Randomized Participants in Cohort 2
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Cohort 1: Arm N1+I3 | Overall Survival (OS) at 12 Months for Cohort 2 | 41.8 Percentage of Participants |
| Cohort 1: Arm N3 | Overall Survival (OS) at 12 Months for Cohort 2 | 42.4 Percentage of Participants |
Overall Survival (OS) for Cohorts 1c and 1d
OS was measured in months from the time of randomization (Part B) or time of treatment (Part A) to the event date (death) due to any cause. A participant who has not died will be censored at the last known alive date. Based on Kaplan-Meier Estimates.
Time frame: Time between the date of randomization and the date of death due to any cause (up to approximately 10 years and 5 months)
Population: All Randomized (Part B) or Treated (Part A) Participants in Cohorts 1c and 1d
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Cohort 1: Arm N1+I3 | Overall Survival (OS) for Cohorts 1c and 1d | 22.08 Months |
| Cohort 1: Arm N3 | Overall Survival (OS) for Cohorts 1c and 1d | 14.41 Months |
| Cohort 1b: Arm N3+I1 | Overall Survival (OS) for Cohorts 1c and 1d | 15.95 Months |
| Part A Cohort 1c: Arm N3+RT+TMZ | Overall Survival (OS) for Cohorts 1c and 1d | 13.96 Months |
Progression Free Survival (PFS) for Cohort 2
PFS was measured in months from the time of randomization to the date of the first documented tumor progression or death due to any cause. Based on Kaplan-Meier Estimates. Hazard ratio from Cox proportional hazard model stratified by presence of measurable lesions at baseline per IVRS.
Time frame: Time from randomization to the date of the first documented tumor progression or death due to any cause (up to approximately 10 years and 5 months)
Population: All Randomized Participants in Cohort 2
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Cohort 1: Arm N1+I3 | Progression Free Survival (PFS) for Cohort 2 | 1.51 Months |
| Cohort 1: Arm N3 | Progression Free Survival (PFS) for Cohort 2 | 3.61 Months |
Overall Survival (OS) for Cohort 2 - Extended Collection
OS was measured in months from the time of randomization to the event date (death) due to any cause. A participant who has not died will be censored at the last known alive date. Based on Kaplan-Meier Estimates. Hazard ratio from Cox proportional hazard model stratified by presence of measurable lesions at baseline per IVRS. P-value from log-rank test stratified by presence of measurable lesions at baseline per IVRS.
Time frame: Time between the date of randomization and the date of death due to any cause (up to approximately 10 years and 5 months)
Population: All Randomized Participants in Cohort 2
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Cohort 1: Arm N1+I3 | Overall Survival (OS) for Cohort 2 - Extended Collection | 9.77 Months |
| Cohort 1: Arm N3 | Overall Survival (OS) for Cohort 2 - Extended Collection | 10.05 Months |