Time Frame |
5.3 years approximately
|
Adverse Event Reporting Description |
The same event may appear as both an AE and SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as nonserious in another participant, or one participant may have experienced both a serious and nonserious event during the study.
|
|
Arm/Group Title
|
Temsirolimus
|
Sorafenib
|
Arm/Group Description |
Temsirolimus 25 milligrams (mg) onc...
|
Sorafenib 400 mg (two 200 mg tablet...
|
Arm/Group Description |
Temsirolimus 25 milligrams (mg) once weekly by intravenous (IV) infusion administered in 6 week cycles for up to 24 months, participants were premedicated with 25-50 mg IV diphenydramine 30 minutes before temsirolimus infusion. In event of toxicity, dose could be modified or held according to the protocol or at the discretion of the investigator.
|
Sorafenib 400 mg (two 200 mg tablets) by mouth (PO) twice daily (BID) administered in 6 week cycles for up to 24 months. In event of toxicity, dose could be modified or held according to the protocol or at the discretion of the investigator.
|
|
|
Temsirolimus
|
Sorafenib
|
|
Affected / at Risk (%) |
Affected / at Risk (%) |
Total |
--/-- |
--/-- |
|
|
Temsirolimus
|
Sorafenib
|
|
Affected / at Risk (%) |
Affected / at Risk (%) |
Total |
104/249 (41.77%) |
87/252 (34.52%) |
Blood and lymphatic system disorders |
|
|
Anaemia |
5/249 (2.01%) |
4/252 (1.59%) |
Febrile neutropenia |
1/249 (0.40%) |
0/252 (0.00%) |
Lymphopenia |
1/249 (0.40%) |
0/252 (0.00%) |
Thrombocytopenia |
1/249 (0.40%) |
0/252 (0.00%) |
Cardiac disorders |
|
|
Acute myocardial infarction |
1/249 (0.40%) |
0/252 (0.00%) |
Atrial fibrillation |
0/249 (0.00%) |
3/252 (1.19%) |
Atrial flutter |
0/249 (0.00%) |
1/252 (0.40%) |
Cardiac arrest |
1/249 (0.40%) |
0/252 (0.00%) |
Cardiac tamponade |
1/249 (0.40%) |
0/252 (0.00%) |
Cardio-respiratory arrest |
1/249 (0.40%) |
1/252 (0.40%) |
Cardiopulmonary failure |
2/249 (0.80%) |
0/252 (0.00%) |
Myocardial infarction |
1/249 (0.40%) |
4/252 (1.59%) |
Myocardial ischaemia |
0/249 (0.00%) |
1/252 (0.40%) |
Palpitations |
0/249 (0.00%) |
1/252 (0.40%) |
Pericardial effusion |
1/249 (0.40%) |
0/252 (0.00%) |
Prinzmetal angina |
1/249 (0.40%) |
0/252 (0.00%) |
Endocrine disorders |
|
|
Hyperthyroidism |
0/249 (0.00%) |
1/252 (0.40%) |
Toxic nodular goitre |
0/249 (0.00%) |
1/252 (0.40%) |
Eye disorders |
|
|
Retinal artery occlusion |
0/249 (0.00%) |
1/252 (0.40%) |
Gastrointestinal disorders |
|
|
Abdominal distension |
1/249 (0.40%) |
1/252 (0.40%) |
Abdominal pain |
7/249 (2.81%) |
1/252 (0.40%) |
Ascites |
3/249 (1.20%) |
1/252 (0.40%) |
Constipation |
1/249 (0.40%) |
1/252 (0.40%) |
Diarrhoea |
3/249 (1.20%) |
1/252 (0.40%) |
Duodenal perforation |
1/249 (0.40%) |
0/252 (0.00%) |
Dysphagia |
0/249 (0.00%) |
1/252 (0.40%) |
Gastrointestinal haemorrhage |
0/249 (0.00%) |
1/252 (0.40%) |
Gastrointestinal obstruction |
2/249 (0.80%) |
0/252 (0.00%) |
Hernial eventration |
1/249 (0.40%) |
0/252 (0.00%) |
Hiatus hernia |
0/249 (0.00%) |
1/252 (0.40%) |
Intestinal obstruction |
1/249 (0.40%) |
0/252 (0.00%) |
Intestinal ulcer perforation |
1/249 (0.40%) |
0/252 (0.00%) |
Large intestine perforation |
0/249 (0.00%) |
1/252 (0.40%) |
Nausea |
1/249 (0.40%) |
0/252 (0.00%) |
Obstruction gastric |
0/249 (0.00%) |
1/252 (0.40%) |
Oesophageal hypomotility |
1/249 (0.40%) |
0/252 (0.00%) |
Rectal haemorrhage |
1/249 (0.40%) |
0/252 (0.00%) |
Salivary hypersecretion |
1/249 (0.40%) |
0/252 (0.00%) |
Stomatitis |
1/249 (0.40%) |
0/252 (0.00%) |
Vomiting |
6/249 (2.41%) |
4/252 (1.59%) |
General disorders |
|
|
Asthenia |
3/249 (1.20%) |
1/252 (0.40%) |
Chest pain |
1/249 (0.40%) |
3/252 (1.19%) |
Fatigue |
2/249 (0.80%) |
4/252 (1.59%) |
General physical health deterioration |
8/249 (3.21%) |
9/252 (3.57%) |
Multi-organ failure |
0/249 (0.00%) |
1/252 (0.40%) |
Oedema peripheral |
2/249 (0.80%) |
0/252 (0.00%) |
Pain |
1/249 (0.40%) |
2/252 (0.79%) |
Performance status decreased |
1/249 (0.40%) |
0/252 (0.00%) |
Pyrexia |
7/249 (2.81%) |
4/252 (1.59%) |
Sudden death |
1/249 (0.40%) |
1/252 (0.40%) |
Systemic inflammatory response syndrome |
0/249 (0.00%) |
1/252 (0.40%) |
Cholecystitis acute |
1/249 (0.40%) |
0/252 (0.00%) |
Hepatobiliary disorders |
|
|
Bile duct stone |
1/249 (0.40%) |
0/252 (0.00%) |
Cholecystitis |
1/249 (0.40%) |
0/252 (0.00%) |
Cholestasis |
1/249 (0.40%) |
0/252 (0.00%) |
Gallbladder obstruction |
0/249 (0.00%) |
1/252 (0.40%) |
Hepatobiliary disease |
0/249 (0.00%) |
1/252 (0.40%) |
Immune system disorders |
|
|
Anaphylactic reaction |
1/249 (0.40%) |
0/252 (0.00%) |
Drug hypersensitivity |
0/249 (0.00%) |
1/252 (0.40%) |
Infections and infestations |
|
|
Abdominal infection |
1/249 (0.40%) |
0/252 (0.00%) |
Abscess intestinal |
0/249 (0.00%) |
1/252 (0.40%) |
Anal abscess |
0/249 (0.00%) |
1/252 (0.40%) |
Bronchitis |
1/249 (0.40%) |
0/252 (0.00%) |
Chest wall abscess |
0/249 (0.00%) |
1/252 (0.40%) |
Cholangitis suppurative |
0/249 (0.00%) |
1/252 (0.40%) |
Device related infection |
2/249 (0.80%) |
0/252 (0.00%) |
Enterococcal bacteraemia |
0/249 (0.00%) |
1/252 (0.40%) |
Hepatitis B |
1/249 (0.40%) |
0/252 (0.00%) |
Herpes zoster |
1/249 (0.40%) |
0/252 (0.00%) |
Infection |
0/249 (0.00%) |
1/252 (0.40%) |
Infectious pleural effusion |
0/249 (0.00%) |
1/252 (0.40%) |
Lobar pneumonia |
1/249 (0.40%) |
0/252 (0.00%) |
Lower respiratory tract infection |
2/249 (0.80%) |
0/252 (0.00%) |
Lung infection |
1/249 (0.40%) |
0/252 (0.00%) |
Perirectal abscess |
1/249 (0.40%) |
0/252 (0.00%) |
Pharyngitis |
1/249 (0.40%) |
0/252 (0.00%) |
Pneumocystis jiroveci pneumonia |
1/249 (0.40%) |
0/252 (0.00%) |
Pneumonia |
7/249 (2.81%) |
7/252 (2.78%) |
Pneumonia influenzal |
1/249 (0.40%) |
0/252 (0.00%) |
Pneumonia legionella |
1/249 (0.40%) |
0/252 (0.00%) |
Pulmonary tuberculosis |
0/249 (0.00%) |
1/252 (0.40%) |
Respiratory tract infection |
1/249 (0.40%) |
0/252 (0.00%) |
Sepsis |
2/249 (0.80%) |
2/252 (0.79%) |
Septic shock |
1/249 (0.40%) |
0/252 (0.00%) |
Subcutaneous abscess |
1/249 (0.40%) |
0/252 (0.00%) |
Tooth abscess |
0/249 (0.00%) |
1/252 (0.40%) |
Urosepsis |
0/249 (0.00%) |
1/252 (0.40%) |
Wound infection |
0/249 (0.00%) |
1/252 (0.40%) |
Injury, poisoning and procedural complications |
|
|
Compression fracture |
1/249 (0.40%) |
0/252 (0.00%) |
Hip fracture |
0/249 (0.00%) |
1/252 (0.40%) |
Humerus fracture |
0/249 (0.00%) |
1/252 (0.40%) |
Infusion related reaction |
1/249 (0.40%) |
0/252 (0.00%) |
Ligament sprain |
0/249 (0.00%) |
1/252 (0.40%) |
Lumbar vertebral fracture |
1/249 (0.40%) |
0/252 (0.00%) |
Overdose |
0/249 (0.00%) |
1/252 (0.40%) |
Pelvic fracture |
1/249 (0.40%) |
0/252 (0.00%) |
Radiation mucositis |
0/249 (0.00%) |
1/252 (0.40%) |
Investigations |
|
|
Alanine aminotransferase increased |
0/249 (0.00%) |
2/252 (0.79%) |
Aspartate aminotransferase increased |
0/249 (0.00%) |
3/252 (1.19%) |
Blood potassium increased |
0/249 (0.00%) |
1/252 (0.40%) |
Prostatic specific antigen increased |
0/249 (0.00%) |
1/252 (0.40%) |
Weight decreased |
0/249 (0.00%) |
1/252 (0.40%) |
Metabolism and nutrition disorders |
|
|
Cachexia |
1/249 (0.40%) |
0/252 (0.00%) |
Decreased appetite |
0/249 (0.00%) |
2/252 (0.79%) |
Dehydration |
7/249 (2.81%) |
6/252 (2.38%) |
Diabetes mellitus inadequate control |
1/249 (0.40%) |
0/252 (0.00%) |
Hypercalcaemia |
1/249 (0.40%) |
3/252 (1.19%) |
Hypercholesterolaemia |
1/249 (0.40%) |
0/252 (0.00%) |
Hyperglycaemia |
2/249 (0.80%) |
1/252 (0.40%) |
Hyperkalaemia |
0/249 (0.00%) |
1/252 (0.40%) |
Hypertriglyceridaemia |
1/249 (0.40%) |
0/252 (0.00%) |
Hyponatraemia |
0/249 (0.00%) |
3/252 (1.19%) |
Malnutrition |
0/249 (0.00%) |
1/252 (0.40%) |
Musculoskeletal and connective tissue disorders |
|
|
Arthralgia |
2/249 (0.80%) |
0/252 (0.00%) |
Back pain |
0/249 (0.00%) |
3/252 (1.19%) |
Bone lesion |
1/249 (0.40%) |
0/252 (0.00%) |
Bone pain |
1/249 (0.40%) |
0/252 (0.00%) |
Costochondritis |
0/249 (0.00%) |
1/252 (0.40%) |
Flank pain |
1/249 (0.40%) |
0/252 (0.00%) |
Intervertebral disc protrusion |
0/249 (0.00%) |
1/252 (0.40%) |
Musculoskeletal chest pain |
0/249 (0.00%) |
1/252 (0.40%) |
Musculoskeletal pain |
1/249 (0.40%) |
0/252 (0.00%) |
Neck pain |
0/249 (0.00%) |
1/252 (0.40%) |
Osteolysis |
1/249 (0.40%) |
1/252 (0.40%) |
Pain in extremity |
2/249 (0.80%) |
3/252 (1.19%) |
Pathological fracture |
1/249 (0.40%) |
0/252 (0.00%) |
Spinal disorder |
0/249 (0.00%) |
1/252 (0.40%) |
Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
|
Malignant pleural effusion |
1/249 (0.40%) |
0/252 (0.00%) |
Squamous cell carcinoma |
0/249 (0.00%) |
2/252 (0.79%) |
Nervous system disorders |
|
|
Cerebral infarction |
0/249 (0.00%) |
1/252 (0.40%) |
Cerebral ischaemia |
0/249 (0.00%) |
1/252 (0.40%) |
Cerebrovascular accident |
2/249 (0.80%) |
0/252 (0.00%) |
Cognitive disorder |
0/249 (0.00%) |
1/252 (0.40%) |
Convulsion |
0/249 (0.00%) |
1/252 (0.40%) |
Headache |
1/249 (0.40%) |
1/252 (0.40%) |
Hypoaesthesia |
0/249 (0.00%) |
1/252 (0.40%) |
Paraesthesia |
1/249 (0.40%) |
0/252 (0.00%) |
Peripheral motor neuropathy |
0/249 (0.00%) |
1/252 (0.40%) |
Spinal cord compression |
1/249 (0.40%) |
2/252 (0.79%) |
Syncope |
0/249 (0.00%) |
1/252 (0.40%) |
Unresponsive to stimuli |
0/249 (0.00%) |
1/252 (0.40%) |
Psychiatric disorders |
|
|
Completed suicide |
1/249 (0.40%) |
1/252 (0.40%) |
Confusional state |
0/249 (0.00%) |
3/252 (1.19%) |
Renal and urinary disorders |
|
|
Haematuria |
1/249 (0.40%) |
0/252 (0.00%) |
Nephrotic syndrome |
0/249 (0.00%) |
1/252 (0.40%) |
Renal failure |
4/249 (1.61%) |
1/252 (0.40%) |
Renal failure acute |
1/249 (0.40%) |
1/252 (0.40%) |
Renal tubular necrosis |
1/249 (0.40%) |
0/252 (0.00%) |
Urinary retention |
2/249 (0.80%) |
0/252 (0.00%) |
Reproductive system and breast disorders |
|
|
Prostatic haemorrhage |
0/249 (0.00%) |
1/252 (0.40%) |
Respiratory, thoracic and mediastinal disorders |
|
|
Asthmatic crisis |
0/249 (0.00%) |
1/252 (0.40%) |
Dyspnoea |
7/249 (2.81%) |
8/252 (3.17%) |
Epistaxis |
1/249 (0.40%) |
0/252 (0.00%) |
Haemoptysis |
0/249 (0.00%) |
1/252 (0.40%) |
Interstitial lung disease |
2/249 (0.80%) |
0/252 (0.00%) |
Lung disorder |
2/249 (0.80%) |
0/252 (0.00%) |
Pleural effusion |
7/249 (2.81%) |
5/252 (1.98%) |
Pleuritic pain |
1/249 (0.40%) |
0/252 (0.00%) |
Pneumonitis |
7/249 (2.81%) |
0/252 (0.00%) |
Pneumothorax |
3/249 (1.20%) |
0/252 (0.00%) |
Pulmonary embolism |
1/249 (0.40%) |
0/252 (0.00%) |
Respiratory arrest |
0/249 (0.00%) |
1/252 (0.40%) |
Respiratory distress |
1/249 (0.40%) |
0/252 (0.00%) |
Respiratory failure |
2/249 (0.80%) |
2/252 (0.79%) |
Skin and subcutaneous tissue disorders |
|
|
Palmar-plantar erythrodysaesthesia syndrome |
0/249 (0.00%) |
1/252 (0.40%) |
Rash |
1/249 (0.40%) |
2/252 (0.79%) |
Rash papular |
0/249 (0.00%) |
1/252 (0.40%) |
Surgical and medical procedures |
|
|
Lung operation |
1/249 (0.40%) |
0/252 (0.00%) |
Medical device implantation |
1/249 (0.40%) |
0/252 (0.00%) |
Vascular disorders |
|
|
Haematoma |
0/249 (0.00%) |
1/252 (0.40%) |
Haemorrhage |
1/249 (0.40%) |
0/252 (0.00%) |
Hypertension |
1/249 (0.40%) |
0/252 (0.00%) |
Hypotension |
1/249 (0.40%) |
0/252 (0.00%) |
Thrombosis |
1/249 (0.40%) |
0/252 (0.00%) |
Indicates events were collected by non-systematic assessment
Term from vocabulary, MedDRA v15.1
|
|
Frequency Threshold for Reporting Other Adverse Events
|
5%
|
|
Temsirolimus
|
Sorafenib
|
|
Affected / at Risk (%) |
Affected / at Risk (%) |
Total |
243/249 (97.59%) |
249/252 (98.81%) |
Blood and lymphatic system disorders |
|
|
Anaemia |
83/249 (33.33%) |
34/252 (13.49%) |
Lymphopenia |
21/249 (8.43%) |
8/252 (3.17%) |
Thrombocytopenia |
23/249 (9.24%) |
5/252 (1.98%) |
Gastrointestinal disorders |
|
|
Diarrhoea |
74/249 (29.72%) |
156/252 (61.90%) |
Nausea |
81/249 (32.53%) |
71/252 (28.17%) |
Constipation |
57/249 (22.89%) |
55/252 (21.83%) |
Vomiting |
53/249 (21.29%) |
45/252 (17.86%) |
Abdominal pain |
33/249 (13.25%) |
41/252 (16.27%) |
Stomatitis |
54/249 (21.69%) |
18/252 (7.14%) |
Abdominal pain upper |
14/249 (5.62%) |
25/252 (9.92%) |
Dyspepsia |
15/249 (6.02%) |
18/252 (7.14%) |
Oral pain |
13/249 (5.22%) |
5/252 (1.98%) |
General disorders |
|
|
Fatigue |
99/249 (39.76%) |
84/252 (33.33%) |
Asthenia |
63/249 (25.30%) |
63/252 (25.00%) |
Mucosal inflammation |
74/249 (29.72%) |
35/252 (13.89%) |
Pyrexia |
53/249 (21.29%) |
28/252 (11.11%) |
Oedema peripheral |
57/249 (22.89%) |
14/252 (5.56%) |
Chest pain |
23/249 (9.24%) |
25/252 (9.92%) |
Pain |
20/249 (8.03%) |
16/252 (6.35%) |
Oedema |
17/249 (6.83%) |
5/252 (1.98%) |
Chills |
15/249 (6.02%) |
6/252 (2.38%) |
Infections and infestations |
|
|
Nasopharyngitis |
24/249 (9.64%) |
16/252 (6.35%) |
Investigations |
|
|
Weight decreased |
35/249 (14.06%) |
51/252 (20.24%) |
Blood creatinine increased |
32/249 (12.85%) |
6/252 (2.38%) |
Aspartate aminotransferase increased |
22/249 (8.84%) |
15/252 (5.95%) |
Blood alkaline phosphatase increased |
26/249 (10.44%) |
11/252 (4.37%) |
Alanine aminotransferase increased |
18/249 (7.23%) |
17/252 (6.75%) |
Blood lactate dehydrogenase increased |
16/249 (6.43%) |
13/252 (5.16%) |
Haemoglobin decreased |
19/249 (7.63%) |
9/252 (3.57%) |
Metabolism and nutrition disorders |
|
|
Decreased appetite |
76/249 (30.52%) |
94/252 (37.30%) |
Hypertriglyceridaemia |
53/249 (21.29%) |
18/252 (7.14%) |
Hypercholesterolaemia |
51/249 (20.48%) |
16/252 (6.35%) |
Hyperglycaemia |
45/249 (18.07%) |
13/252 (5.16%) |
Hypophosphataemia |
28/249 (11.24%) |
30/252 (11.90%) |
Hyponatraemia |
14/249 (5.62%) |
14/252 (5.56%) |
Hypocalcaemia |
10/249 (4.02%) |
17/252 (6.75%) |
Hyperkalaemia |
11/249 (4.42%) |
14/252 (5.56%) |
Hypokalaemia |
15/249 (6.02%) |
9/252 (3.57%) |
Musculoskeletal and connective tissue disorders |
|
|
Back pain |
50/249 (20.08%) |
36/252 (14.29%) |
Arthralgia |
46/249 (18.47%) |
29/252 (11.51%) |
Pain in extremity |
31/249 (12.45%) |
38/252 (15.08%) |
Musculoskeletal pain |
24/249 (9.64%) |
20/252 (7.94%) |
Muscle spasms |
18/249 (7.23%) |
22/252 (8.73%) |
Myalgia |
20/249 (8.03%) |
17/252 (6.75%) |
Nervous system disorders |
|
|
Headache |
32/249 (12.85%) |
44/252 (17.46%) |
Dizziness |
20/249 (8.03%) |
20/252 (7.94%) |
Dysgeusia |
22/249 (8.84%) |
10/252 (3.97%) |
Paraesthesia |
14/249 (5.62%) |
10/252 (3.97%) |
Psychiatric disorders |
|
|
Insomnia |
15/249 (6.02%) |
16/252 (6.35%) |
Anxiety |
13/249 (5.22%) |
7/252 (2.78%) |
Renal and urinary disorders |
|
|
Dysuria |
13/249 (5.22%) |
7/252 (2.78%) |
Pollakiuria |
13/249 (5.22%) |
3/252 (1.19%) |
Respiratory, thoracic and mediastinal disorders |
|
|
Cough |
85/249 (34.14%) |
57/252 (22.62%) |
Dyspnoea |
67/249 (26.91%) |
40/252 (15.87%) |
Epistaxis |
51/249 (20.48%) |
13/252 (5.16%) |
Dysphonia |
5/249 (2.01%) |
38/252 (15.08%) |
Oropharyngeal pain |
23/249 (9.24%) |
15/252 (5.95%) |
Rhinorrhoea |
15/249 (6.02%) |
7/252 (2.78%) |
Pneumonitis |
19/249 (7.63%) |
0/252 (0.00%) |
Productive cough |
14/249 (5.62%) |
5/252 (1.98%) |
Skin and subcutaneous tissue disorders |
|
|
Rash |
104/249 (41.77%) |
87/252 (34.52%) |
Palmar-plantar erythrodysaesthesia syndrome |
11/249 (4.42%) |
131/252 (51.98%) |
Pruritus |
63/249 (25.30%) |
64/252 (25.40%) |
Alopecia |
5/249 (2.01%) |
78/252 (30.95%) |
Dry skin |
40/249 (16.06%) |
36/252 (14.29%) |
Erythema |
15/249 (6.02%) |
29/252 (11.51%) |
Nail disorder |
19/249 (7.63%) |
0/252 (0.00%) |
Pain of skin |
2/249 (0.80%) |
17/252 (6.75%) |
Vascular disorders |
|
|
Hypertension |
8/249 (3.21%) |
37/252 (14.68%) |
Indicates events were collected by non-systematic assessment
Term from vocabulary, MedDRA v15.1
|