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A Phase 2 Study of Sitravatinib in Combination With PD-(L)1 Checkpoint Inhibitor Regimens in Patients With Advanced or Metastatic Urothelial Carcinoma

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03606174
Recruitment Status : Terminated (The study was terminated due to sponsor decision / portfolio prioritization, and not due to safety reasons.)
First Posted : July 30, 2018
Results First Posted : August 24, 2023
Last Update Posted : August 24, 2023
Sponsor:
Information provided by (Responsible Party):
Mirati Therapeutics Inc.

Study Type Interventional
Study Design Allocation: Non-Randomized;   Intervention Model: Parallel Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Conditions Urothelial Carcinoma
Urothelial Carcinoma Bladder
Urothelial Carcinoma Ureter
Urothelial Carcinoma of the Renal Pelvis and Ureter
Urothelial Carcinoma Urethra
Interventions Drug: Sitravatinib
Drug: Nivolumab
Drug: Pembrolizumab
Drug: Enfortumab vedotin
Enrollment 260
Recruitment Details 260 participants were enrolled into this study at investigative sites in the United States.
Pre-assignment Details Screening tests and procedures were performed within the 28 days preceding administration of the first dose.
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9 Dose Level 1 Cohort 9 Dose Level 2 Cohort 9 Dose Level 3
Hide Arm/Group Description

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 1 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.25 mg/kg IV infusion on Days 1 and 8 every 3 weeks (Q3W), and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 2 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 3 were enrolled to receive sitravatinib 70 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Period Title: Overall Study
Started 49 23 18 9 53 27 56 9 8 4 4
Started Cohort 9 Lead-in Dose-escalation Part 0 [1] 0 [1] 0 [1] 0 [1] 0 [1] 0 [1] 0 [1] 0 [1] 8 4 4
Started Cohort 9 Dose-expansion Part 0 [1] 0 [1] 0 [1] 0 [1] 0 [1] 0 [1] 0 [1] 0 [1] 0 0 0
Completed 0 0 0 0 0 0 0 0 0 0 0
Not Completed 49 23 18 9 53 27 56 9 8 4 4
Reason Not Completed
Death             37             15             15             7             35             12             35             8             5             3             0
Lost to Follow-up             0             0             0             0             1             1             0             0             0             0             0
Withdrawal by Subject             6             0             0             1             2             1             4             0             0             0             1
Study Terminated by Sponsor             5             7             3             0             11             6             12             1             3             1             2
Miscellaneous             1             1             0             1             4             7             5             0             0             0             1
[1]
N/A for Cohorts 1-8
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9 Dose Level 1 Cohort 9 Dose Level 2 Cohort 9 Dose Level 3 Total
Hide Arm/Group Description

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 1 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.25 mg/kg IV infusion on Days 1 and 8 every 3 weeks (Q3W), and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 2 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 3 were enrolled to receive sitravatinib 70 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Total of all reporting groups
Overall Number of Baseline Participants 49 23 18 9 53 27 56 9 8 4 4 260
Hide Baseline Analysis Population Description
Measured in the safety population, which included all participants who received ≥ 1 dose of any study treatment (sitravatinib, nivolumab, pembrolizumab, or enfortumab vedotin).
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 49 participants 23 participants 18 participants 9 participants 53 participants 27 participants 56 participants 9 participants 8 participants 4 participants 4 participants 260 participants
67.3  (9.63) 72.3  (7.94) 67.6  (12.89) 75.1  (7.62) 65.2  (8.34) 70.0  (8.23) 67.1  (9.07) 78.0  (7.02) 65.1  (6.40) 69.0  (8.00) 75.8  (9.54) 68.3  (9.39)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 49 participants 23 participants 18 participants 9 participants 53 participants 27 participants 56 participants 9 participants 8 participants 4 participants 4 participants 260 participants
Female
13
  26.5%
7
  30.4%
6
  33.3%
1
  11.1%
10
  18.9%
10
  37.0%
17
  30.4%
4
  44.4%
0
   0.0%
1
  25.0%
1
  25.0%
70
  26.9%
Male
36
  73.5%
16
  69.6%
12
  66.7%
8
  88.9%
43
  81.1%
17
  63.0%
39
  69.6%
5
  55.6%
8
 100.0%
3
  75.0%
3
  75.0%
190
  73.1%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 49 participants 23 participants 18 participants 9 participants 53 participants 27 participants 56 participants 9 participants 8 participants 4 participants 4 participants 260 participants
Hispanic or Latino
4
   8.2%
0
   0.0%
0
   0.0%
2
  22.2%
1
   1.9%
0
   0.0%
2
   3.6%
1
  11.1%
0
   0.0%
0
   0.0%
0
   0.0%
10
   3.8%
Not Hispanic or Latino
44
  89.8%
23
 100.0%
18
 100.0%
7
  77.8%
52
  98.1%
27
 100.0%
53
  94.6%
8
  88.9%
8
 100.0%
4
 100.0%
4
 100.0%
248
  95.4%
Unknown or Not Reported
1
   2.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
1
   1.8%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
2
   0.8%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 49 participants 23 participants 18 participants 9 participants 53 participants 27 participants 56 participants 9 participants 8 participants 4 participants 4 participants 260 participants
American Indian or Alaska Native
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
Asian
0
   0.0%
0
   0.0%
2
  11.1%
0
   0.0%
1
   1.9%
0
   0.0%
4
   7.1%
1
  11.1%
0
   0.0%
1
  25.0%
1
  25.0%
10
   3.8%
Native Hawaiian or Other Pacific Islander
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
Black or African American
2
   4.1%
2
   8.7%
1
   5.6%
0
   0.0%
5
   9.4%
1
   3.7%
2
   3.6%
0
   0.0%
0
   0.0%
1
  25.0%
0
   0.0%
14
   5.4%
White
46
  93.9%
21
  91.3%
15
  83.3%
9
 100.0%
46
  86.8%
26
  96.3%
48
  85.7%
8
  88.9%
8
 100.0%
2
  50.0%
3
  75.0%
232
  89.2%
More than one race
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
Unknown or Not Reported
1
   2.0%
0
   0.0%
0
   0.0%
0
   0.0%
1
   1.9%
0
   0.0%
2
   3.6%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
4
   1.5%
1.Primary Outcome
Title Objective Response Rate (ORR)
Hide Description ORR was defined as the number of participants documented to have a confirmed investigator-assessed complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) V1.1. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. All target nodes must have decreased to normal size (short axis < 10 mm). PR was defined as a greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions.
Time Frame Up to approximately 3 years
Hide Outcome Measure Data
Hide Analysis Population Description
Measured in the Full Analysis Set, which included participants who received ≥ 1 dose of each study treatment drug (ie, ≥ 1 dose of both sitravatinib and nivolumab for Cohorts 1 to 8, or ≥ 1 dose each of sitravatinib, pembrolizumab, and enfortumab vedotin for Cohort 9). Per the statistical analysis plan (SAP), Cohort 9 arms are grouped as pre-specified as there was never intent to compare efficacy endpoints across Cohort 9 dose levels.
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9
Hide Arm/Group Description:

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants were enrolled to 3 dose levels of sitravatinib in combination with pembrolizumab and enfortumab vedotin. Sitravatinib was received orally via capsules QD in 21-day cycles at doses 35 mg and 70 mg. Pembrolizumab was received as an IV infusion over approximately 30 minutes (± 5 minutes) at 200 mg every 3 weeks (Q3W), in accordance with the current pembrolizumab USPI. Enfortumab vedotin dosing was based on participant weight, starting at 1.25 mg/kg up to 125 mg/kg QD, with a dose de-escalation step to 1 mg/kg. Enfortumab vedotin was received as an IV infusion over approximately 30 minutes (± 5 minutes) on Days 1 and 8 of a 21-day cycle.

Overall Number of Participants Analyzed 49 23 18 9 53 27 56 9 16
Measure Type: Count of Participants
Unit of Measure: Participants
6
  12.2%
5
  21.7%
4
  22.2%
0
   0.0%
17
  32.1%
9
  33.3%
3
   5.4%
0
   0.0%
4
  25.0%
2.Secondary Outcome
Title Number of Participants Who Experienced an Adverse Event (AE)
Hide Description An AE was defined as any reaction, side effect or other undesirable medical event that occurred during participation in a clinical trial, regardless of treatment group or suspected causal relationship to study treatment. Any clinically significant changes from baseline in laboratory results were recorded as AEs.
Time Frame Day 1 up to approximately 3 years
Hide Outcome Measure Data
Hide Analysis Population Description
Measured in the safety population, which included all participants who received ≥ 1 dose of any study treatment (sitravatinib, nivolumab, pembrolizumab, or enfortumab vedotin).
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9 Dose Level 1 Cohort 9 Dose Level 2 Cohort 9 Dose Level 3
Hide Arm/Group Description:

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 1 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.25 mg/kg IV infusion on Days 1 and 8 every 3 weeks (Q3W), and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 2 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 3 were enrolled to receive sitravatinib 70 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Overall Number of Participants Analyzed 49 23 18 9 53 27 56 9 8 4 4
Measure Type: Count of Participants
Unit of Measure: Participants
49
 100.0%
23
 100.0%
18
 100.0%
9
 100.0%
53
 100.0%
27
 100.0%
56
 100.0%
9
 100.0%
8
 100.0%
4
 100.0%
4
 100.0%
3.Secondary Outcome
Title Number of Participants Who Experienced a Serious Adverse Event (SAE)
Hide Description An SAE was defined as any event that resulted in death, was life-threatening (immediate risk of death), required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/permanent damage (substantial disruption of the ability to conduct normal life functions), a congenital anomaly/birth defect, or may have jeopardized the participant and may have required medical or surgical intervention to prevent intensive treatment in an emergency room or at home (e.g. for allergic bronchospasm, blood dyscrasias or convulsions) that do not result in inpatient hospitalization, development of drug dependency or drug abuse.
Time Frame Day 1 up to approximately 3 years
Hide Outcome Measure Data
Hide Analysis Population Description
Measured in the safety population, which included all participants who received ≥ 1 dose of any study treatment (sitravatinib, nivolumab, pembrolizumab, or enfortumab vedotin).
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9 Dose Level 1 Cohort 9 Dose Level 2 Cohort 9 Dose Level 3
Hide Arm/Group Description:

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 1 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.25 mg/kg IV infusion on Days 1 and 8 every 3 weeks (Q3W), and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 2 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 3 were enrolled to receive sitravatinib 70 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Overall Number of Participants Analyzed 49 23 18 9 53 27 56 9 8 4 4
Measure Type: Count of Participants
Unit of Measure: Participants
35
  71.4%
15
  65.2%
10
  55.6%
4
  44.4%
26
  49.1%
14
  51.9%
23
  41.1%
3
  33.3%
5
  62.5%
1
  25.0%
3
  75.0%
4.Secondary Outcome
Title Number of Participants Who Experienced a Treatment-related Adverse Event
Hide Description A treatment-related adverse event was defined as an adverse event determined to have a possible causal relationship to the study treatment(s) by the investigator. An adverse event was defined as any reaction, side effect or other undesirable medical event that occurred during participation in a clinical trial. Any clinically significant changes from baseline in laboratory results were recorded as adverse events.
Time Frame Day 1 up to approximately 3 years
Hide Outcome Measure Data
Hide Analysis Population Description
Measured in the safety population, which included all participants who received ≥ 1 dose of any study treatment (sitravatinib, nivolumab, pembrolizumab, or enfortumab vedotin).
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9 Dose Level 1 Cohort 9 Dose Level 2 Cohort 9 Dose Level 3
Hide Arm/Group Description:

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 1 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.25 mg/kg IV infusion on Days 1 and 8 every 3 weeks (Q3W), and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 2 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 3 were enrolled to receive sitravatinib 70 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Overall Number of Participants Analyzed 49 23 18 9 53 27 56 9 8 4 4
Measure Type: Count of Participants
Unit of Measure: Participants
Sitravatinib Related
43
  87.8%
23
 100.0%
18
 100.0%
8
  88.9%
51
  96.2%
26
  96.3%
52
  92.9%
9
 100.0%
8
 100.0%
4
 100.0%
3
  75.0%
Nivolumab Related
41
  83.7%
23
 100.0%
15
  83.3%
7
  77.8%
41
  77.4%
24
  88.9%
35
  62.5%
4
  44.4%
NA [1]  NA [1]  NA [1] 
Pembrolizumab Related NA [2]  NA [2]  NA [2]  NA [2]  NA [2]  NA [2]  NA [2]  NA [2] 
6
  75.0%
3
  75.0%
3
  75.0%
Enfortumab Vedotin Related NA [3]  NA [3]  NA [3]  NA [3]  NA [3]  NA [3]  NA [3]  NA [3] 
7
  87.5%
4
 100.0%
4
 100.0%
[1]
As pre-specified, participants did not receive nivolumab treatment in this Cohort.
[2]
As pre-specified, participants did not receive pembrolizumab treatment in this Cohort.
[3]
As pre-specified, participants did not receive enfortumab vedotin treatment in this Cohort.
5.Secondary Outcome
Title Duration of Response (DOR)
Hide Description

DOR was defined as the time from date of the first documentation of objective tumor response (CR or PR) to the first documentation of objective progression of disease (PD) per RECIST V1.1, or to death due to any cause in the absence of documented PD. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. All target nodes must have decreased to normal size (short axis < 10 mm). PR was defined as a greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions. PD was defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy) with a minimum absolute increase of 5 mm.

Per the statistical analysis plan (SAP), Cohort 9 arms are grouped as pre-specified as there was never intent to compare efficacy endpoints across Cohort 9 dose levels.

Time Frame Up to approximately 3 years
Hide Outcome Measure Data
Hide Analysis Population Description
Measured in the Clinical Activity Evaluable Population-confirmed Response Subset, which included participants who achieved an objective response, received ≥1 dose of study treatment drug, had an evaluable baseline tumor assessment and ≥1 post-baseline tumor assessment. One participant in Cohort 6 who experienced a response wasn't included in DOR analysis because they didn't receive ≥1 dose of study treatment, have an evaluable baseline tumor assessment or ≥1 post-baseline tumor assessment.
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9
Hide Arm/Group Description:

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants were enrolled to 3 dose levels of sitravatinib in combination with pembrolizumab and enfortumab vedotin. Sitravatinib was received orally via capsules QD in 21-day cycles at doses 35 mg and 70 mg. Pembrolizumab was received as an IV infusion over approximately 30 minutes (± 5 minutes) at 200 mg every 3 weeks (Q3W), in accordance with the current pembrolizumab USPI. Enfortumab vedotin dosing was based on participant weight, starting at 1.25 mg/kg up to 125 mg/kg QD, with a dose de-escalation step to 1 mg/kg. Enfortumab vedotin was received as an IV infusion over approximately 30 minutes (± 5 minutes) on Days 1 and 8 of a 21-day cycle.

Overall Number of Participants Analyzed 6 5 4 0 17 8 3 0 4
Median (95% Confidence Interval)
Unit of Measure: months
5.585 [1] 
(3.844 to NA)
9.478 [1] 
(5.782 to NA)
11.762 [1] 
(7.392 to NA)
7.326
(5.520 to 12.977)
16.361 [1] 
(5.552 to NA)
7.425 [1] 
(5.552 to NA)
11.8 [1] 
(4.70 to NA)
[1]
Upper confidence intervals could not be calculated due to the low number of participants with a response.
6.Secondary Outcome
Title Clinical Benefit Rate (CBR)
Hide Description Clinical Benefit Rate (CBR) was defined as the number of participants documented to have a confirmed CR, PR, or stable disease (SD), per RECIST V1.1, documented during at least 1 on-study assessment. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. All target nodes must have decreased to normal size (short axis < 10 mm). PR was defined as a greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions. SD was defined as target lesions increasing by less than 20% from the nadir, but enough that a previously documented 30% decrease no longer holds.
Time Frame Up to approximately 3 years
Hide Outcome Measure Data
Hide Analysis Population Description
Measured in the Full Analysis Set, which included participants who received ≥ 1 dose of each study treatment drug (ie, ≥ 1 dose of both sitravatinib and nivolumab for Cohorts 1 to 8, or ≥ 1 dose each of sitravatinib, pembrolizumab, and enfortumab vedotin for Cohort 9). Per the statistical analysis plan (SAP), Cohort 9 arms are grouped as pre-specified as there was never intent to compare efficacy endpoints across Cohort 9 dose levels.
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9
Hide Arm/Group Description:

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants were enrolled to 3 dose levels of sitravatinib in combination with pembrolizumab and enfortumab vedotin. Sitravatinib was received orally via capsules QD in 21-day cycles at doses 35 mg and 70 mg. Pembrolizumab was received as an IV infusion over approximately 30 minutes (± 5 minutes) at 200 mg every 3 weeks (Q3W), in accordance with the current pembrolizumab USPI. Enfortumab vedotin dosing was based on participant weight, starting at 1.25 mg/kg up to 125 mg/kg QD, with a dose de-escalation step to 1 mg/kg. Enfortumab vedotin was received as an IV infusion over approximately 30 minutes (± 5 minutes) on Days 1 and 8 of a 21-day cycle.

Overall Number of Participants Analyzed 49 23 18 9 53 27 56 9 16
Measure Type: Count of Participants
Unit of Measure: Participants
32
  65.3%
19
  82.6%
12
  66.7%
7
  77.8%
35
  66.0%
17
  63.0%
33
  58.9%
6
  66.7%
10
  62.5%
7.Secondary Outcome
Title Progression-Free Survival (PFS)
Hide Description PFS was defined as the time from date of first study treatment to first PD per RECIST V1.1, or death due to any cause in the absence of documented PD.
Time Frame Up to approximately 3 years
Hide Outcome Measure Data
Hide Analysis Population Description
Measured in the Full Analysis Set, which included participants who received ≥ 1 dose of each study treatment drug (ie, ≥ 1 dose of both sitravatinib and nivolumab for Cohorts 1 to 8, or ≥ 1 dose each of sitravatinib, pembrolizumab, and enfortumab vedotin for Cohort 9). Per the statistical analysis plan (SAP), Cohort 9 arms are grouped as pre-specified as there was never intent to compare efficacy endpoints across Cohort 9 dose levels.
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9
Hide Arm/Group Description:

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants were enrolled to 3 dose levels of sitravatinib in combination with pembrolizumab and enfortumab vedotin. Sitravatinib was received orally via capsules QD in 21-day cycles at doses 35 mg and 70 mg. Pembrolizumab was received as an IV infusion over approximately 30 minutes (± 5 minutes) at 200 mg every 3 weeks (Q3W), in accordance with the current pembrolizumab USPI. Enfortumab vedotin dosing was based on participant weight, starting at 1.25 mg/kg up to 125 mg/kg QD, with a dose de-escalation step to 1 mg/kg. Enfortumab vedotin was received as an IV infusion over approximately 30 minutes (± 5 minutes) on Days 1 and 8 of a 21-day cycle.

Overall Number of Participants Analyzed 49 23 18 9 53 27 56 9 16
Median (95% Confidence Interval)
Unit of Measure: months
3.877
(2.497 to 5.487)
7.786
(3.943 to 14.620)
3.910
(1.873 to 9.133)
3.515 [1] 
(1.971 to NA)
3.943
(3.450 to 5.651)
5.421
(3.220 to 18.168)
3.680
(2.234 to 5.520)
3.713 [1] 
(1.840 to NA)
4.0
(2.04 to 6.51)
[1]
Upper confidence intervals could not be calculated due to the low number of participants with a documented PD or death.
8.Secondary Outcome
Title 1-Year Survival Rate
Hide Description Survival was defined as the time from date of first study treatment to death due to any cause. Kaplan-Meier (product limit) estimates of the percentage of participants who died at 1-year was calculated to estimate the 1-year survival rate, defined as the percentage of participants alive at 1 year. Confidence Intervals were calculated based on Greenwood's formula. Participants who discontinued prior to 1-year were censored on the last date that they were known to be alive. For participants with no follow-up after first dose of study drug, survival rate was censored at the date of first dose (Day 1).
Time Frame 1 year
Hide Outcome Measure Data
Hide Analysis Population Description
Measured in the Full Analysis Set, which included participants who received ≥ 1 dose of each study treatment drug (ie, ≥ 1 dose of both sitravatinib and nivolumab for Cohorts 1 to 8, or ≥ 1 dose each of sitravatinib, pembrolizumab, and enfortumab vedotin for Cohort 9). Per the statistical analysis plan (SAP), Cohort 9 arms are grouped as pre-specified as there was never intent to compare efficacy endpoints across Cohort 9 dose levels.
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9
Hide Arm/Group Description:

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants were enrolled to 3 dose levels of sitravatinib in combination with pembrolizumab and enfortumab vedotin. Sitravatinib was received orally via capsules QD in 21-day cycles at doses 35 mg and 70 mg. Pembrolizumab was received as an IV infusion over approximately 30 minutes (± 5 minutes) at 200 mg every 3 weeks (Q3W), in accordance with the current pembrolizumab USPI. Enfortumab vedotin dosing was based on participant weight, starting at 1.25 mg/kg up to 125 mg/kg QD, with a dose de-escalation step to 1 mg/kg. Enfortumab vedotin was received as an IV infusion over approximately 30 minutes (± 5 minutes) on Days 1 and 8 of a 21-day cycle.

Overall Number of Participants Analyzed 49 23 18 9 53 27 56 9 16
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: percentage of participants
42.5
(27.9 to 56.4)
56.5
(34.3 to 73.8)
55.6
(30.5 to 74.8)
44.4
(13.6 to 71.9)
53.9
(39.5 to 66.3)
57.1
(36.0 to 73.6)
32.6
(19.5 to 46.3)
16.7
(1.1 to 49.3)
41.5
(15.4 to 66.1)
9.Secondary Outcome
Title Overall Survival (OS)
Hide Description OS was defined as the time from date of first study treatment to death due to any cause.
Time Frame Up to approximately 3 years
Hide Outcome Measure Data
Hide Analysis Population Description
Measured in the Full Analysis Set, which included participants who received ≥ 1 dose of each study treatment drug (ie, ≥ 1 dose of both sitravatinib and nivolumab for Cohorts 1 to 8, or ≥ 1 dose each of sitravatinib, pembrolizumab, and enfortumab vedotin for Cohort 9). Per the statistical analysis plan (SAP), Cohort 9 arms are grouped as pre-specified as there was never intent to compare efficacy endpoints across Cohort 9 dose levels.
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9
Hide Arm/Group Description:

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants were enrolled to 3 dose levels of sitravatinib in combination with pembrolizumab and enfortumab vedotin. Sitravatinib was received orally via capsules QD in 21-day cycles at doses 35 mg and 70 mg. Pembrolizumab was received as an IV infusion over approximately 30 minutes (± 5 minutes) at 200 mg every 3 weeks (Q3W), in accordance with the current pembrolizumab USPI. Enfortumab vedotin dosing was based on participant weight, starting at 1.25 mg/kg up to 125 mg/kg QD, with a dose de-escalation step to 1 mg/kg. Enfortumab vedotin was received as an IV infusion over approximately 30 minutes (± 5 minutes) on Days 1 and 8 of a 21-day cycle.

Overall Number of Participants Analyzed 49 23 18 9 53 27 56 9 16
Median (95% Confidence Interval)
Unit of Measure: months
8.049
(4.632 to 15.967)
15.639 [1] 
(7.655 to NA)
12.945
(5.618 to 22.439)
5.092
(1.971 to 24.279)
13.405
(5.782 to 21.290)
NA [1] 
(5.947 to NA)
8.969
(7.359 to 10.809)
7.556
(2.825 to 9.922)
10.8 [1] 
(2.69 to NA)
[1]
Data could not be calculated as too few participants experienced an event.
10.Secondary Outcome
Title Geometric Mean Blood Plasma Concentration of Sitravatinib
Hide Description Blood draws for analysis of blood plasma concentrations of sitravatinib were collected following electrocardiograms and assessment of vital signs. Concentration data below the limit of quantification were set to 0.
Time Frame Cycle(C)1 Day(D)1 pre-dose, 30min, 2,4,6,7,8,24hr post-dose, C1D15 pre-dose, 30min,2,4,6,7,8,24hr post-dose, C2D1 pre-dose,7hr post-dose, C2D8,C3D1,C3D8,C5D1,C6D8 pre-dose (28 day cycles Cohorts 1-8, 21 day cycles Cohort 9)
Hide Outcome Measure Data
Hide Analysis Population Description
Measured in the Pharmacokinetic (PK) Evaluable Population, which included all participants who received treatment with sitravatinib and had available data at each timepoint. Per the statistical analysis plan (SAP), Cohort 9 arms are grouped as pre-specified as there was never intent to compare PK endpoints across Cohort 9 dose levels.
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9
Hide Arm/Group Description:

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants were enrolled to 3 dose levels of sitravatinib in combination with pembrolizumab and enfortumab vedotin. Sitravatinib was received orally via capsules QD in 21-day cycles at doses 35 mg and 70 mg. Pembrolizumab was received as an IV infusion over approximately 30 minutes (± 5 minutes) at 200 mg every 3 weeks (Q3W), in accordance with the current pembrolizumab USPI. Enfortumab vedotin dosing was based on participant weight, starting at 1.25 mg/kg up to 125 mg/kg QD, with a dose de-escalation step to 1 mg/kg. Enfortumab vedotin was received as an IV infusion over approximately 30 minutes (± 5 minutes) on Days 1 and 8 of a 21-day cycle.

Overall Number of Participants Analyzed 49 23 17 9 53 27 56 9 16
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: ng/mL
Cycle 1 Day 1 Pre-dose Number Analyzed 46 participants 21 participants 16 participants 9 participants 50 participants 24 participants 46 participants 8 participants 16 participants
0
(0%)
0
(0%)
0
(0%)
0
(0%)
0
(0%)
0
(0%)
0
(0%)
0
(0%)
0
(0%)
Cycle 1 Day 1 30 Min Post-Dose Number Analyzed 34 participants 15 participants 15 participants 6 participants 41 participants 18 participants 42 participants 7 participants 12 participants
1.85
(300.88%)
0.82
(10.95%)
1.56
(176.68%)
0.91
(499.94%)
1.25
(266.58%)
1.28
(231.33%)
1.40
(268.79%)
0.25
(248.74%)
0.40
(172.86%)
Cycle 1 Day 1 2 Hours Post-Dose Number Analyzed 7 participants 0 participants 1 participants 0 participants 1 participants 0 participants 0 participants 0 participants 0 participants
5.69
(117.10%)
6.94 [1] 
(NA%)
24.90 [1] 
(NA%)
Cycle 1 Day 1 4 Hours Post-Dose Number Analyzed 44 participants 12 participants 10 participants 5 participants 26 participants 0 participants 1 participants 0 participants 0 participants
16.55
(168.43%)
21.46
(122.57%)
31.21
(80.61%)
18.33
(158.02%)
23.72
(104.51%)
35.20 [1] 
(NA%)
Cycle 1 Day 1 6 Hours Post-Dose Number Analyzed 7 participants 0 participants 1 participants 0 participants 1 participants 0 participants 0 participants 0 participants 0 participants
23.16
(69.50%)
11.70 [1] 
(NA%)
15.50 [1] 
(NA%)
Cycle 1 Day 1 7 Hours Post-Dose Number Analyzed 1 participants 6 participants 2 participants 4 participants 13 participants 7 participants 21 participants 5 participants 11 participants
27.40 [1] 
(NA%)
22.90
(121.87%)
20.08
(167.73%)
15.36
(108.29%)
23.13
(167.10%)
23.13
(126.44%)
37.99
(50.79%)
31.21
(39.99%)
10.56
(41.43%)
Cycle 1 Day 1 8 Hours Post-Dose Number Analyzed 6 participants 0 participants 1 participants 0 participants 1 participants 0 participants 0 participants 0 participants 0 participants
26.08
(72.20%)
12.10 [1] 
(NA%)
23.00 [1] 
(NA%)
Cycle 1 Day 1 24 Hours Post-Dose Number Analyzed 6 participants 0 participants 0 participants 0 participants 1 participants 0 participants 0 participants 0 participants 0 participants
24.82
(71.41%)
26.30 [1] 
(NA%)
Cycle 1 Day 15 Pre-Dose Number Analyzed 37 participants 15 participants 12 participants 8 participants 34 participants 9 participants 34 participants 4 participants 0 participants
66.00
(52.30%)
50.21
(92.49%)
42.03
(232.08%)
55.22
(34.39%)
50.58
(51.48%)
70.11
(67.12%)
49.94
(60.28%)
47.01
(39.78%)
Cycle 1 Day 15 30 Min Post-Dose Number Analyzed 6 participants 0 participants 0 participants 0 participants 1 participants 0 participants 0 participants 0 participants 0 participants
54.47
(77.06%)
75.00 [1] 
(NA%)
Cycle 1 Day 15 2 Hours Post-Dose Number Analyzed 8 participants 0 participants 0 participants 0 participants 1 participants 0 participants 0 participants 0 participants 0 participants
62.50
(44.94%)
67.80 [1] 
(NA%)
Cycle 1 Day 15 4 Hours Post-Dose Number Analyzed 34 participants 7 participants 10 participants 4 participants 21 participants 3 participants 2 participants 1 participants 0 participants
70.90
(49.99%)
68.77
(23.87%)
52.36
(111.45%)
95.35
(3.65%)
68.67
(52.79%)
45.27
(21.03%)
50.71
(33.36%)
55.30 [1] 
(NA%)
Cycle 1 Day 15 6 Hours Post-Dose Number Analyzed 7 participants 0 participants 0 participants 0 participants 1 participants 0 participants 0 participants 0 participants 0 participants
67.45
(55.03%)
82.90 [1] 
(NA%)
Cycle 1 Day 15 7 Hours Post-Dose Number Analyzed 0 participants 3 participants 2 participants 4 participants 9 participants 3 participants 19 participants 2 participants 0 participants
89.19
(10.73%)
81.09
(85.63%)
62.78
(22.36%)
75.08
(45.43%)
104.61
(26.97%)
76.70
(51.05%)
86.04
(2.22%)
Cycle 1 Day 15 8 Hours Post-Dose Number Analyzed 7 participants 0 participants 0 participants 0 participants 1 participants 0 participants 0 participants 0 participants 0 participants
72.12
(58.96%)
95.20 [1] 
(NA%)
Cycle 1 Day 15 24 Hours Post-Dose Number Analyzed 6 participants 0 participants 0 participants 0 participants 1 participants 0 participants 0 participants 0 participants 0 participants
59.88
(52.20%)
85.20 [1] 
(NA%)
Cycle 2 Day 1 Pre-Dose Number Analyzed 31 participants 17 participants 16 participants 7 participants 33 participants 19 participants 34 participants 6 participants 11 participants
28.06
(184.46%)
36.81
(107.98%)
27.15
(459.38%)
48.24
(19.63%)
39.39
(101.75%)
32.81
(156.63%)
32.38
(155.83%)
46.89
(30.61%)
8.15
(274.13%)
Cycle 2 Day 1 7 Hours Post-Dose Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 5 participants
26.28
(68.42%)
Cycle 2 Day 8 Pre-Dose Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 7 participants
12.43
(476.36%)
Cycle 3 Day 1 Pre-Dose Number Analyzed 23 participants 15 participants 8 participants 4 participants 25 participants 12 participants 30 participants 5 participants 0 participants
29.10
(190.09%)
37.99
(126.82%)
32.32
(56.61%)
56.40
(45.32%)
39.28
(48.02%)
20.02
(422.49%)
29.21
(140.39%)
19.39
(259.86%)
Cycle 3 Day 8 Pre-Dose Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 5 participants
7.53
(823.64%)
Cycle 5 Day 1 Pre-Dose Number Analyzed 16 participants 9 participants 8 participants 3 participants 18 participants 10 participants 23 participants 2 participants 0 participants
33.41
(41.39%)
40.39
(20.19%)
44.45
(42.23%)
28.04
(81.00%)
26.48
(121.54%)
42.98
(39.16%)
37.55
(47.23%)
38.47
(20.17%)
Cycle 6 Day 8 Pre-Dose Number Analyzed 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 0 participants 5 participants
17.87
(105.74%)
[1]
Geometric coefficient of variation could not be calculated as there was only 1 participant with evaluable PK samples at this time point.
11.Secondary Outcome
Title Cohort 9 Lead-in Dose Escalation Part Only: Number of Participants Who Experienced a Dose-limiting Toxicity (DLT)
Hide Description A DLT was defined as any of the following events considered to be causally related to treatment with sitravatinib in combination with pembrolizumab and enfortumab in the lead-in dose escalation part of Cohort 9 (as pre-specified): hematological DLTs (Grade 4 neutropenia, thrombocytopenia, anemia unexplained by underlying disease, ≥Grade 3 febrile neutropenia or neutropenia with significant clinical sequelae, or any requirement for a platelet transfusion), non-hematological DLTs (≥Grade 4 infusion related reaction, non-hematological toxicity, Grade 3 infusion related reaction that does not resolve within 24 hours, hypertension that cannot be controlled with medical therapy), other Grade 3 non-hematologic toxicity lasting for >3 days, with exceptions, Grade 2 pneumonitis or colitis, ≥Grade 3 non-hematological laboratory abnormalities, alanine transaminase>3 x upper limit of normal (ULN) with bilirubin> 2xULN, and other related toxic effects may have been assessed as DLTs.
Time Frame Cycle 1 Day 1 through pre-dose Cycle 2 Day 1 (cycle for Cohort 9 was 21 days)
Hide Outcome Measure Data
Hide Analysis Population Description
Measured in the DLT evaluable population, which, as pre-specified in the statistical analysis plan, was defined as participants who enrolled in the lead-in dose escalation portion of Cohort 9, who experienced a DLT or who cleared the DLT period.
Arm/Group Title Cohort 9 Dose Level 1 Cohort 9 Dose Level 2 Cohort 9 Dose Level 3
Hide Arm/Group Description:

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 1 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.25 mg/kg IV infusion on Days 1 and 8 every 3 weeks (Q3W), and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 2 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 3 were enrolled to receive sitravatinib 70 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Overall Number of Participants Analyzed 8 4 4
Measure Type: Count of Participants
Unit of Measure: Participants
2
  25.0%
0
   0.0%
2
  50.0%
Time Frame Day 1 up to approximately 3 years
Adverse Event Reporting Description All cause mortality, serious adverse events and other adverse events are reported for all enrolled participants.
 
Arm/Group Title Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9 Dose Level 1 Cohort 9 Dose Level 2 Cohort 9 Dose Level 3
Hide Arm/Group Description

Participants with locally advanced or metastatic urothelial carcinoma (UC) with documented disease progression on or after previous anti-programmed cell death (PD)-ligand(L)-1 as most recent treatment, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 1.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules once daily (QD) in 28-day cycles. Nivolumab was received via an intravenous (IV) infusion over approximately 30 minutes (± 5 minutes) at 240 mg once every 2 weeks (Q2W) or 480 mg once every 4 weeks (Q4W), at the discretion of the Investigator and in accordance with the current nivolumab US Prescribing Information (USPI).

Participants with locally advanced or metastatic UC with documented disease progression on or after previous anti-PD-L-1 as most recent treatment, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 2.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 3.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti-PD-(L)1 as the most recent treatment, who previously received (in combination or separately) other selected immunotherapies, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 4.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 5.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had not previously received an anti-PD-(L)1, and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 6.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 120 mg capsules QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and antibody-drug conjugate (ADC) (in combination or separately, and in any order), and who were previously treated with a platinum-based chemotherapy were enrolled into Cohort 7.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC with documented disease progression on or after a previous anti PD-(L)1 and ADC (in combination or separately, and in any order), and who were considered ineligible for platinum-based chemotherapy were enrolled into Cohort 8.

Participants received sitravatinib in combination with nivolumab. Sitravatinib was received orally via 100 mg malate capsules, or 120 mg free base capsule formulation QD in 28-day cycles. Nivolumab was received via an IV infusion over approximately 30 minutes (± 5 minutes) at 240 mg Q2W or 480 mg Q4W, at the discretion of the Investigator and in accordance with the current nivolumab USPI.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 1 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.25 mg/kg IV infusion on Days 1 and 8 every 3 weeks (Q3W), and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 2 were enrolled to receive sitravatinib 35 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

Participants with locally advanced or metastatic UC who had previously received a PD-(L)1 checkpoint inhibitor (CPI) and a platinum-based chemotherapy were enrolled into Cohort 9, which included a lead-in dose-escalation part. A dose-expansion part was planned, but was not enrolled.

During the lead-in dose-escalation part, participants in Cohort 9 Dose Level 3 were enrolled to receive sitravatinib 70 mg QD orally via capsules in 21-day cycles, enfortumab vedotin 1.0 mg/kg IV infusion on Days 1 and 8 Q3W, and pembrolizumab 200 mg Q3W as an IV infusion.

All-Cause Mortality
Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9 Dose Level 1 Cohort 9 Dose Level 2 Cohort 9 Dose Level 3
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   37/49 (75.51%)      15/23 (65.22%)      15/18 (83.33%)      7/9 (77.78%)      35/53 (66.04%)      12/27 (44.44%)      36/56 (64.29%)      8/9 (88.89%)      5/8 (62.50%)      3/4 (75.00%)      0/4 (0.00%)    
Hide Serious Adverse Events
Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9 Dose Level 1 Cohort 9 Dose Level 2 Cohort 9 Dose Level 3
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   35/49 (71.43%)      15/23 (65.22%)      10/18 (55.56%)      4/9 (44.44%)      26/53 (49.06%)      14/27 (51.85%)      23/56 (41.07%)      3/9 (33.33%)      5/8 (62.50%)      1/4 (25.00%)      3/4 (75.00%)    
Blood and lymphatic system disorders                       
Anaemia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Leukocytosis  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Thrombocytopenia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Cardiac disorders                       
Cardiac failure congestive  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Atrial fibrillation  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Endocrine disorders                       
Adrenal insufficiency  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hyperthyroidism  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 2/53 (3.77%)  2 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hypothyroidism  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Gastrointestinal disorders                       
Abdominal distension  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Abdominal pain  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Abdominal pain upper  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 2/27 (7.41%)  2 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Ascites  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Constipation  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Diarrhoea  1  3/49 (6.12%)  3 2/23 (8.70%)  2 0/18 (0.00%)  0 1/9 (11.11%)  2 2/53 (3.77%)  2 1/27 (3.70%)  1 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Dysphagia  1  2/49 (4.08%)  2 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Large intestinal obstruction  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  1 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Nausea  1  3/49 (6.12%)  3 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Pancreatitis  1  1/49 (2.04%)  1 0/23 (0.00%)  0 2/18 (11.11%)  3 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Rectal haemorrhage  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Vomiting  1  3/49 (6.12%)  4 1/23 (4.35%)  1 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
General disorders                       
Asthenia  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Chills  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Fatigue  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  1 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Influenza like illness  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Infusion site extravasation  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Non-cardiac chest pain  1  1/49 (2.04%)  1 1/23 (4.35%)  1 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Pyrexia  1  1/49 (2.04%)  1 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Infections and infestations                       
Cellulitis  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Corona virus infection  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Kidney infection  1  2/49 (4.08%)  2 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Pneumonia  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Sepsis  1  2/49 (4.08%)  3 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  2 1/27 (3.70%)  1 3/56 (5.36%)  3 0/9 (0.00%)  0 2/8 (25.00%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Skin infection  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Urinary tract infection  1  3/49 (6.12%)  3 2/23 (8.70%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 6/53 (11.32%)  6 2/27 (7.41%)  2 3/56 (5.36%)  4 1/9 (11.11%)  1 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Injury, poisoning and procedural complications                       
Fall  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  1 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Investigations                       
Alanine aminotransferase increased  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Amylase increased  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Aspartate aminotransferase increased  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Blood bilirubin increased  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Blood creatinine increased  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Ejection fraction decreased  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Lipase increased  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Metabolism and nutrition disorders                       
Dehydration  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hyperglycaemia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Hypocalcaemia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hypokalaemia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hypomagnesaemia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hyponatraemia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Musculoskeletal and connective tissue disorders                       
Back pain  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Bone pain  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Flank pain  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Muscular weakness  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  2 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Musculoskeletal pain  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)                       
Tumour pain  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Nervous system disorders                       
Dizziness  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Headache  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Syncope  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 2/8 (25.00%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Renal and urinary disorders                       
Acute kidney injury  1  2/49 (4.08%)  2 2/23 (8.70%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 1/27 (3.70%)  1 1/56 (1.79%)  2 1/9 (11.11%)  2 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Haematuria  1  2/49 (4.08%)  2 1/23 (4.35%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  2 0/27 (0.00%)  0 0/56 (0.00%)  0 1/9 (11.11%)  1 2/8 (25.00%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Urinary incontinence  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Urinary retention  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Urinary tract obstruction  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Respiratory, thoracic and mediastinal disorders                       
Cough  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Dyspnoea  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 3/53 (5.66%)  4 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Epistaxis  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Pneumonitis  1  1/49 (2.04%)  1 2/23 (8.70%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 1/27 (3.70%)  1 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Pulmonary embolism  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  2 0/9 (0.00%)  0 3/53 (5.66%)  3 0/27 (0.00%)  0 3/56 (5.36%)  3 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Skin and subcutaneous tissue disorders                       
Rash maculo-papular  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Vascular disorders                       
Embolism  1  2/49 (4.08%)  3 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hypertension  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Orthostatic hypotension  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
1
Term from vocabulary, MedDRA 21.0
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 6 Cohort 7 Cohort 8 Cohort 9 Dose Level 1 Cohort 9 Dose Level 2 Cohort 9 Dose Level 3
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   49/49 (100.00%)      23/23 (100.00%)      18/18 (100.00%)      9/9 (100.00%)      53/53 (100.00%)      27/27 (100.00%)      56/56 (100.00%)      9/9 (100.00%)      8/8 (100.00%)      4/4 (100.00%)      4/4 (100.00%)    
Blood and lymphatic system disorders                       
Anaemia  1  13/49 (26.53%)  27 10/23 (43.48%)  14 2/18 (11.11%)  4 2/9 (22.22%)  3 10/53 (18.87%)  21 10/27 (37.04%)  27 10/56 (17.86%)  18 1/9 (11.11%)  2 2/8 (25.00%)  3 1/4 (25.00%)  2 1/4 (25.00%)  1
Iron deficiency anaemia  1  0/49 (0.00%)  0 2/23 (8.70%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Leukocytosis  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 2/53 (3.77%)  2 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Lymphadenopathy  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  2 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Lymphopenia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Neutropenia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 1/8 (12.50%)  4 0/4 (0.00%)  0 0/4 (0.00%)  0
Polycythaemia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Thrombocytopenia  1  2/49 (4.08%)  5 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Thrombocytosis  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Cardiac disorders                       
Bradycardia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Cardiac failure congestive  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Cardiomegaly  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Palpitations  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  2 0/9 (0.00%)  0 0/53 (0.00%)  0 2/27 (7.41%)  2 1/56 (1.79%)  1 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Pericardial effusion  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 2/8 (25.00%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Sinus tachycardia  1  3/49 (6.12%)  3 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Supraventricular extrasystoles  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Tachycardia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 6/53 (11.32%)  6 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Ear and labyrinth disorders                       
Deafness unilateral  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Ear haemorrhage  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Tinnitus  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 4/53 (7.55%)  4 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Endocrine disorders                       
Adrenal insufficiency  1  1/49 (2.04%)  1 1/23 (4.35%)  1 1/18 (5.56%)  1 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Androgen deficiency  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Hyperthyroidism  1  4/49 (8.16%)  5 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 3/53 (5.66%)  4 0/27 (0.00%)  0 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hypogonadism male  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hypothyroidism  1  19/49 (38.78%)  20 9/23 (39.13%)  9 8/18 (44.44%)  9 4/9 (44.44%)  4 14/53 (26.42%)  15 8/27 (29.63%)  9 13/56 (23.21%)  14 2/9 (22.22%)  3 1/8 (12.50%)  1 1/4 (25.00%)  1 0/4 (0.00%)  0
Eye disorders                       
Dry eye  1  0/49 (0.00%)  0 1/23 (4.35%)  1 1/18 (5.56%)  1 0/9 (0.00%)  0 3/53 (5.66%)  3 1/27 (3.70%)  1 1/56 (1.79%)  1 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Eye disorder  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Eye pain  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Eyelid margin crusting  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Scleral discolouration  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Vision blurred  1  3/49 (6.12%)  4 1/23 (4.35%)  1 0/18 (0.00%)  0 1/9 (11.11%)  1 3/53 (5.66%)  3 1/27 (3.70%)  1 3/56 (5.36%)  3 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Vitreous floaters  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  2 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Gastrointestinal disorders                       
Abdominal distension  1  3/49 (6.12%)  3 0/23 (0.00%)  0 2/18 (11.11%)  3 0/9 (0.00%)  0 4/53 (7.55%)  5 1/27 (3.70%)  1 3/56 (5.36%)  3 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Abdominal pain  1  8/49 (16.33%)  8 4/23 (17.39%)  6 8/18 (44.44%)  10 1/9 (11.11%)  1 9/53 (16.98%)  13 12/27 (44.44%)  16 6/56 (10.71%)  8 1/9 (11.11%)  1 2/8 (25.00%)  3 1/4 (25.00%)  1 1/4 (25.00%)  1
Abdominal pain lower  1  1/49 (2.04%)  1 1/23 (4.35%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 2/56 (3.57%)  2 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Abdominal pain upper  1  2/49 (4.08%)  2 1/23 (4.35%)  1 1/18 (5.56%)  2 0/9 (0.00%)  0 2/53 (3.77%)  3 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Anal haemorrhage  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Ascites  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  2 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Constipation  1  16/49 (32.65%)  20 9/23 (39.13%)  10 5/18 (27.78%)  7 0/9 (0.00%)  0 17/53 (32.08%)  26 12/27 (44.44%)  16 17/56 (30.36%)  18 2/9 (22.22%)  2 4/8 (50.00%)  4 1/4 (25.00%)  1 2/4 (50.00%)  2
Diarrhoea  1  29/49 (59.18%)  66 20/23 (86.96%)  52 13/18 (72.22%)  24 4/9 (44.44%)  12 34/53 (64.15%)  109 18/27 (66.67%)  33 31/56 (55.36%)  66 3/9 (33.33%)  11 4/8 (50.00%)  7 3/4 (75.00%)  4 1/4 (25.00%)  4
Dry mouth  1  3/49 (6.12%)  3 6/23 (26.09%)  7 3/18 (16.67%)  3 2/9 (22.22%)  2 4/53 (7.55%)  4 6/27 (22.22%)  7 7/56 (12.50%)  7 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Duodenal ulcer  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Dyspepsia  1  3/49 (6.12%)  3 1/23 (4.35%)  1 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  1 5/56 (8.93%)  5 0/9 (0.00%)  0 1/8 (12.50%)  1 1/4 (25.00%)  1 0/4 (0.00%)  0
Dysphagia  1  4/49 (8.16%)  4 3/23 (13.04%)  4 3/18 (16.67%)  4 0/9 (0.00%)  0 5/53 (9.43%)  5 1/27 (3.70%)  2 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Faeces discoloured  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  1 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Flatulence  1  1/49 (2.04%)  1 3/23 (13.04%)  4 0/18 (0.00%)  0 1/9 (11.11%)  1 2/53 (3.77%)  2 1/27 (3.70%)  1 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Gastrooesophageal reflux disease  1  1/49 (2.04%)  1 1/23 (4.35%)  1 2/18 (11.11%)  2 0/9 (0.00%)  0 5/53 (9.43%)  5 0/27 (0.00%)  0 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Gingival pain  1  3/49 (6.12%)  3 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Haemorrhoidal haemorrhage  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 3/27 (11.11%)  4 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Haemorrhoids  1  0/49 (0.00%)  0 2/23 (8.70%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 2/53 (3.77%)  2 2/27 (7.41%)  2 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Large intestinal obstruction  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  2 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Nausea  1  20/49 (40.82%)  37 12/23 (52.17%)  18 7/18 (38.89%)  9 3/9 (33.33%)  3 19/53 (35.85%)  26 13/27 (48.15%)  18 17/56 (30.36%)  23 5/9 (55.56%)  6 2/8 (25.00%)  7 3/4 (75.00%)  4 1/4 (25.00%)  1
Odynophagia  1  2/49 (4.08%)  5 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  1 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Oral dysaesthesia  1  6/49 (12.24%)  9 1/23 (4.35%)  1 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Oral pain  1  2/49 (4.08%)  3 2/23 (8.70%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 3/53 (5.66%)  3 2/27 (7.41%)  2 5/56 (8.93%)  5 1/9 (11.11%)  1 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Pancreatitis  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 1/9 (11.11%)  1 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Rectal haemorrhage  1  0/49 (0.00%)  0 1/23 (4.35%)  1 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Retching  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Small intestinal obstruction  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 2/27 (7.41%)  2 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Stomatitis  1  11/49 (22.45%)  19 4/23 (17.39%)  7 7/18 (38.89%)  9 2/9 (22.22%)  2 7/53 (13.21%)  11 7/27 (25.93%)  12 10/56 (17.86%)  18 3/9 (33.33%)  3 1/8 (12.50%)  1 1/4 (25.00%)  1 0/4 (0.00%)  0
Vomiting  1  15/49 (30.61%)  23 7/23 (30.43%)  9 2/18 (11.11%)  2 1/9 (11.11%)  1 16/53 (30.19%)  22 7/27 (25.93%)  12 11/56 (19.64%)  14 4/9 (44.44%)  5 1/8 (12.50%)  3 0/4 (0.00%)  0 1/4 (25.00%)  1
General disorders                       
Asthenia  1  2/49 (4.08%)  2 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  1 2/53 (3.77%)  2 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Axillary pain  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  2 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Chest discomfort  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Chills  1  5/49 (10.20%)  5 1/23 (4.35%)  1 1/18 (5.56%)  1 1/9 (11.11%)  1 8/53 (15.09%)  8 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Face oedema  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Fatigue  1  35/49 (71.43%)  67 19/23 (82.61%)  46 15/18 (83.33%)  28 4/9 (44.44%)  5 32/53 (60.38%)  54 17/27 (62.96%)  27 24/56 (42.86%)  33 1/9 (11.11%)  1 3/8 (37.50%)  7 3/4 (75.00%)  11 2/4 (50.00%)  7
Feeling cold  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Gait disturbance  1  1/49 (2.04%)  5 2/23 (8.70%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 2/53 (3.77%)  2 0/27 (0.00%)  0 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Influenza like illness  1  1/49 (2.04%)  2 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 2/53 (3.77%)  2 1/27 (3.70%)  1 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Infusion site extravasation  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  2 0/4 (0.00%)  0
Localised oedema  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Malaise  1  0/49 (0.00%)  0 1/23 (4.35%)  3 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Mucosal inflammation  1  4/49 (8.16%)  4 1/23 (4.35%)  1 3/18 (16.67%)  5 0/9 (0.00%)  0 2/53 (3.77%)  2 0/27 (0.00%)  0 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Non-cardiac chest pain  1  1/49 (2.04%)  1 2/23 (8.70%)  4 2/18 (11.11%)  2 0/9 (0.00%)  0 2/53 (3.77%)  2 1/27 (3.70%)  1 4/56 (7.14%)  4 1/9 (11.11%)  1 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Oedema peripheral  1  13/49 (26.53%)  14 9/23 (39.13%)  15 2/18 (11.11%)  2 1/9 (11.11%)  1 7/53 (13.21%)  7 4/27 (14.81%)  7 5/56 (8.93%)  6 3/9 (33.33%)  3 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Pyrexia  1  6/49 (12.24%)  9 6/23 (26.09%)  7 2/18 (11.11%)  2 1/9 (11.11%)  1 5/53 (9.43%)  7 3/27 (11.11%)  4 8/56 (14.29%)  9 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Temperature intolerance  1  3/49 (6.12%)  5 1/23 (4.35%)  1 2/18 (11.11%)  2 0/9 (0.00%)  0 2/53 (3.77%)  2 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Infections and infestations                       
Bronchitis  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Candida infection  1  2/49 (4.08%)  2 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 2/53 (3.77%)  2 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Cellulitis  1  1/49 (2.04%)  1 1/23 (4.35%)  1 0/18 (0.00%)  0 1/9 (11.11%)  1 1/53 (1.89%)  2 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Conjunctivitis  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Corona virus infection  1  1/49 (2.04%)  2 2/23 (8.70%)  2 0/18 (0.00%)  0 1/9 (11.11%)  1 1/53 (1.89%)  1 3/27 (11.11%)  3 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Cystitis  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Ear infection  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Fungal skin infection  1  0/49 (0.00%)  0 1/23 (4.35%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 2/27 (7.41%)  2 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hand-foot-and-mouth disease  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  1 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Kidney infection  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Onychomycosis  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Oral candidiasis  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Pneumonia  1  0/49 (0.00%)  0 3/23 (13.04%)  4 1/18 (5.56%)  1 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Rash pustular  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Sepsis  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 3/53 (5.66%)  4 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Sinusitis  1  0/49 (0.00%)  0 2/23 (8.70%)  3 0/18 (0.00%)  0 0/9 (0.00%)  0 4/53 (7.55%)  5 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Skin infection  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 2/56 (3.57%)  4 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Tooth infection  1  2/49 (4.08%)  2 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 3/53 (5.66%)  3 0/27 (0.00%)  0 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Urinary tract infection  1  8/49 (16.33%)  16 8/23 (34.78%)  13 4/18 (22.22%)  5 1/9 (11.11%)  1 8/53 (15.09%)  14 6/27 (22.22%)  7 7/56 (12.50%)  10 3/9 (33.33%)  5 1/8 (12.50%)  1 2/4 (50.00%)  2 2/4 (50.00%)  2
Injury, poisoning and procedural complications                       
Fall  1  6/49 (12.24%)  6 4/23 (17.39%)  5 0/18 (0.00%)  0 2/9 (22.22%)  3 6/53 (11.32%)  7 6/27 (22.22%)  8 2/56 (3.57%)  4 0/9 (0.00%)  0 2/8 (25.00%)  3 1/4 (25.00%)  1 0/4 (0.00%)  0
Infusion related reaction  1  0/49 (0.00%)  0 2/23 (8.70%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Medication error  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Muscle strain  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Procedural pain  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Skin abrasion  1  0/49 (0.00%)  0 2/23 (8.70%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Stoma site haemorrhage  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 2/53 (3.77%)  2 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Subarachnoid haemorrhage  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Subdural haematoma  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Upper limb fracture  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  1 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Investigations                       
Alanine aminotransferase increased  1  17/49 (34.69%)  22 8/23 (34.78%)  14 3/18 (16.67%)  3 2/9 (22.22%)  3 23/53 (43.40%)  40 14/27 (51.85%)  23 15/56 (26.79%)  16 1/9 (11.11%)  1 2/8 (25.00%)  3 1/4 (25.00%)  1 1/4 (25.00%)  1
Amylase increased  1  10/49 (20.41%)  15 5/23 (21.74%)  5 3/18 (16.67%)  3 2/9 (22.22%)  3 3/53 (5.66%)  7 6/27 (22.22%)  17 4/56 (7.14%)  8 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Aspartate aminotransferase increased  1  14/49 (28.57%)  19 9/23 (39.13%)  11 5/18 (27.78%)  5 2/9 (22.22%)  2 18/53 (33.96%)  26 14/27 (51.85%)  32 17/56 (30.36%)  18 1/9 (11.11%)  1 3/8 (37.50%)  8 2/4 (50.00%)  2 1/4 (25.00%)  1
Blood albumin decreased  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Blood alkaline phosphatase increased  1  8/49 (16.33%)  9 5/23 (21.74%)  13 3/18 (16.67%)  3 0/9 (0.00%)  0 8/53 (15.09%)  10 6/27 (22.22%)  7 6/56 (10.71%)  10 1/9 (11.11%)  1 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Blood bilirubin increased  1  2/49 (4.08%)  3 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 3/53 (5.66%)  3 1/27 (3.70%)  1 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Blood creatinine increased  1  10/49 (20.41%)  21 9/23 (39.13%)  10 2/18 (11.11%)  2 1/9 (11.11%)  1 17/53 (32.08%)  27 8/27 (29.63%)  13 6/56 (10.71%)  6 2/9 (22.22%)  2 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Blood glucose increased  1  3/49 (6.12%)  4 2/23 (8.70%)  2 2/18 (11.11%)  2 0/9 (0.00%)  0 2/53 (3.77%)  3 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Blood thyroid stimulating hormone decreased  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Blood thyroid stimulating hormone increased  1  1/49 (2.04%)  1 6/23 (26.09%)  6 0/18 (0.00%)  0 0/9 (0.00%)  0 8/53 (15.09%)  9 7/27 (25.93%)  7 3/56 (5.36%)  3 1/9 (11.11%)  1 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Blood triglycerides increased  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Blood urea increased  1  2/49 (4.08%)  5 1/23 (4.35%)  1 1/18 (5.56%)  1 0/9 (0.00%)  0 1/53 (1.89%)  2 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Ejection fraction decreased  1  3/49 (6.12%)  3 2/23 (8.70%)  2 1/18 (5.56%)  1 0/9 (0.00%)  0 5/53 (9.43%)  6 0/27 (0.00%)  0 2/56 (3.57%)  2 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Lipase increased  1  10/49 (20.41%)  22 6/23 (26.09%)  7 5/18 (27.78%)  9 2/9 (22.22%)  6 6/53 (11.32%)  13 6/27 (22.22%)  24 10/56 (17.86%)  14 1/9 (11.11%)  2 1/8 (12.50%)  5 0/4 (0.00%)  0 1/4 (25.00%)  2
Lymphocyte count decreased  1  5/49 (10.20%)  6 4/23 (17.39%)  7 3/18 (16.67%)  5 1/9 (11.11%)  2 5/53 (9.43%)  8 3/27 (11.11%)  6 3/56 (5.36%)  7 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Neutrophil count decreased  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Platelet count decreased  1  5/49 (10.20%)  7 3/23 (13.04%)  5 4/18 (22.22%)  10 1/9 (11.11%)  1 7/53 (13.21%)  10 3/27 (11.11%)  3 3/56 (5.36%)  3 1/9 (11.11%)  3 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Troponin T increased  1  0/49 (0.00%)  0 1/23 (4.35%)  1 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Weight decreased  1  15/49 (30.61%)  25 13/23 (56.52%)  20 4/18 (22.22%)  10 2/9 (22.22%)  2 14/53 (26.42%)  26 11/27 (40.74%)  15 12/56 (21.43%)  14 0/9 (0.00%)  0 2/8 (25.00%)  3 3/4 (75.00%)  3 1/4 (25.00%)  1
White blood cell count decreased  1  2/49 (4.08%)  4 0/23 (0.00%)  0 2/18 (11.11%)  2 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Metabolism and nutrition disorders                       
Cachexia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Decreased appetite  1  23/49 (46.94%)  41 18/23 (78.26%)  26 12/18 (66.67%)  21 3/9 (33.33%)  3 32/53 (60.38%)  51 14/27 (51.85%)  18 17/56 (30.36%)  24 1/9 (11.11%)  1 2/8 (25.00%)  4 3/4 (75.00%)  3 2/4 (50.00%)  2
Dehydration  1  5/49 (10.20%)  6 3/23 (13.04%)  3 1/18 (5.56%)  1 2/9 (22.22%)  2 8/53 (15.09%)  9 2/27 (7.41%)  2 5/56 (8.93%)  5 0/9 (0.00%)  0 1/8 (12.50%)  1 2/4 (50.00%)  2 1/4 (25.00%)  1
Glucose tolerance impaired  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Hypercalcaemia  1  1/49 (2.04%)  1 3/23 (13.04%)  3 0/18 (0.00%)  0 0/9 (0.00%)  0 4/53 (7.55%)  7 1/27 (3.70%)  1 2/56 (3.57%)  3 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hyperglycaemia  1  6/49 (12.24%)  9 3/23 (13.04%)  7 2/18 (11.11%)  7 1/9 (11.11%)  1 4/53 (7.55%)  5 7/27 (25.93%)  14 2/56 (3.57%)  2 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Hyperkalaemia  1  3/49 (6.12%)  11 3/23 (13.04%)  4 1/18 (5.56%)  2 1/9 (11.11%)  4 5/53 (9.43%)  8 6/27 (22.22%)  7 2/56 (3.57%)  2 3/9 (33.33%)  6 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Hyperlipidaemia  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  2 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Hypertriglyceridaemia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Hyperuricaemia  1  4/49 (8.16%)  6 3/23 (13.04%)  5 2/18 (11.11%)  2 2/9 (22.22%)  2 7/53 (13.21%)  8 7/27 (25.93%)  7 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Hypoalbuminaemia  1  9/49 (18.37%)  14 7/23 (30.43%)  10 3/18 (16.67%)  6 2/9 (22.22%)  3 8/53 (15.09%)  11 8/27 (29.63%)  9 5/56 (8.93%)  6 0/9 (0.00%)  0 1/8 (12.50%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Hypocalcaemia  1  3/49 (6.12%)  7 2/23 (8.70%)  2 1/18 (5.56%)  1 0/9 (0.00%)  0 4/53 (7.55%)  5 2/27 (7.41%)  3 3/56 (5.36%)  4 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hypoglycaemia  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  1 2/56 (3.57%)  2 0/9 (0.00%)  0 1/8 (12.50%)  1 1/4 (25.00%)  1 0/4 (0.00%)  0
Hypokalaemia  1  3/49 (6.12%)  3 2/23 (8.70%)  2 1/18 (5.56%)  1 1/9 (11.11%)  1 8/53 (15.09%)  9 4/27 (14.81%)  4 4/56 (7.14%)  11 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 1/4 (25.00%)  1
Hypomagnesaemia  1  6/49 (12.24%)  8 4/23 (17.39%)  7 1/18 (5.56%)  4 2/9 (22.22%)  2 8/53 (15.09%)  10 3/27 (11.11%)  3 6/56 (10.71%)  13 1/9 (11.11%)  1 0/8 (0.00%)  0 1/4 (25.00%)  2 1/4 (25.00%)  1
Hyponatraemia  1  6/49 (12.24%)  12 4/23 (17.39%)  6 5/18 (27.78%)  10 2/9 (22.22%)  2 16/53 (30.19%)  29 7/27 (25.93%)  10 8/56 (14.29%)  10 3/9 (33.33%)  5 1/8 (12.50%)  1 0/4 (0.00%)  0 1/4 (25.00%)  1
Hypophosphataemia  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 1/9 (11.11%)  2 2/53 (3.77%)  2 2/27 (7.41%)  3 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Iron deficiency  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Vitamin B12 deficiency  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Musculoskeletal and connective tissue disorders                       
Arthralgia  1  11/49 (22.45%)  16 3/23 (13.04%)  4 1/18 (5.56%)  2 1/9 (11.11%)  1 10/53 (18.87%)  14 3/27 (11.11%)  3 11/56 (19.64%)  14 0/9 (0.00%)  0 1/8 (12.50%)  5 0/4 (0.00%)  0 0/4 (0.00%)  0
Arthritis  1  0/49 (0.00%)  0 2/23 (8.70%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Back pain  1  6/49 (12.24%)  6 6/23 (26.09%)  7 4/18 (22.22%)  7 1/9 (11.11%)  1 11/53 (20.75%)  13 5/27 (18.52%)  6 8/56 (14.29%)  12 2/9 (22.22%)  3 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Bone pain  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Coccydynia  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Flank pain  1  4/49 (8.16%)  4 4/23 (17.39%)  4 2/18 (11.11%)  2 0/9 (0.00%)  0 3/53 (5.66%)  4 2/27 (7.41%)  2 2/56 (3.57%)  2 0/9 (0.00%)  0 1/8 (12.50%)  3 0/4 (0.00%)  0 0/4 (0.00%)  0
Gouty arthritis  1  1/49 (2.04%)  2 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Joint swelling  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Muscle spasms  1  2/49 (4.08%)  2 4/23 (17.39%)  4 1/18 (5.56%)  1 0/9 (0.00%)  0 2/53 (3.77%)  4 1/27 (3.70%)  1 2/56 (3.57%)  2 0/9 (0.00%)  0 2/8 (25.00%)  3 0/4 (0.00%)  0 0/4 (0.00%)  0
Muscular weakness  1  2/49 (4.08%)  2 7/23 (30.43%)  12 1/18 (5.56%)  1 3/9 (33.33%)  3 3/53 (5.66%)  3 5/27 (18.52%)  5 3/56 (5.36%)  4 1/9 (11.11%)  1 2/8 (25.00%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Musculoskeletal chest pain  1  1/49 (2.04%)  1 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 3/53 (5.66%)  3 1/27 (3.70%)  1 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Musculoskeletal pain  1  2/49 (4.08%)  2 3/23 (13.04%)  3 1/18 (5.56%)  1 0/9 (0.00%)  0 7/53 (13.21%)  18 0/27 (0.00%)  0 2/56 (3.57%)  2 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Musculoskeletal stiffness  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Myalgia  1  3/49 (6.12%)  3 0/23 (0.00%)  0 1/18 (5.56%)  1 2/9 (22.22%)  3 6/53 (11.32%)  8 3/27 (11.11%)  3 1/56 (1.79%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Neck pain  1  1/49 (2.04%)  1 2/23 (8.70%)  2 1/18 (5.56%)  1 0/9 (0.00%)  0 3/53 (5.66%)  4 1/27 (3.70%)  1 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Pain in extremity  1  2/49 (4.08%)  2 2/23 (8.70%)  7 3/18 (16.67%)  3 1/9 (11.11%)  1 5/53 (9.43%)  13 3/27 (11.11%)  3 2/56 (3.57%)  2 0/9 (0.00%)  0 2/8 (25.00%)  5 0/4 (0.00%)  0 0/4 (0.00%)  0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)                       
Tumour pain  1  5/49 (10.20%)  8 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 1/27 (3.70%)  2 0/56 (0.00%)  0 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Nervous system disorders                       
Amnesia  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 1/9 (11.11%)  2 0/53 (0.00%)  0 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Ataxia  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Disturbance in attention  1  2/49 (4.08%)  2 1/23 (4.35%)  1 1/18 (5.56%)  1 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Dizziness  1  8/49 (16.33%)  11 6/23 (26.09%)  9 0/18 (0.00%)  0 1/9 (11.11%)  1 14/53 (26.42%)  16 12/27 (44.44%)  12 11/56 (19.64%)  11 2/9 (22.22%)  2 3/8 (37.50%)  5 0/4 (0.00%)  0 1/4 (25.00%)  1
Dysarthria  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Dysgeusia  1  10/49 (20.41%)  18 5/23 (21.74%)  5 4/18 (22.22%)  5 4/9 (44.44%)  4 4/53 (7.55%)  4 5/27 (18.52%)  6 4/56 (7.14%)  4 0/9 (0.00%)  0 2/8 (25.00%)  4 2/4 (50.00%)  3 2/4 (50.00%)  2
Headache  1  8/49 (16.33%)  9 2/23 (8.70%)  3 3/18 (16.67%)  4 0/9 (0.00%)  0 9/53 (16.98%)  13 5/27 (18.52%)  5 9/56 (16.07%)  12 1/9 (11.11%)  1 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Hyperreflexia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Lethargy  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 3/53 (5.66%)  3 1/27 (3.70%)  1 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Memory impairment  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 1/8 (12.50%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Migraine  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Neuropathy peripheral  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 4/53 (7.55%)  7 0/27 (0.00%)  0 3/56 (5.36%)  4 1/9 (11.11%)  1 1/8 (12.50%)  1 1/4 (25.00%)  2 1/4 (25.00%)  2
Paraesthesia  1  3/49 (6.12%)  3 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 2/53 (3.77%)  2 3/27 (11.11%)  3 2/56 (3.57%)  5 1/9 (11.11%)  1 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Peripheral sensory neuropathy  1  1/49 (2.04%)  2 2/23 (8.70%)  3 2/18 (11.11%)  2 1/9 (11.11%)  1 1/53 (1.89%)  2 2/27 (7.41%)  2 3/56 (5.36%)  4 0/9 (0.00%)  0 2/8 (25.00%)  6 2/4 (50.00%)  2 1/4 (25.00%)  1
Seizure  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  3 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Syncope  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 3/8 (37.50%)  3 0/4 (0.00%)  0 0/4 (0.00%)  0
Psychiatric disorders                       
Anxiety  1  2/49 (4.08%)  2 0/23 (0.00%)  0 2/18 (11.11%)  2 0/9 (0.00%)  0 4/53 (7.55%)  4 1/27 (3.70%)  1 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Confusional state  1  3/49 (6.12%)  4 1/23 (4.35%)  1 3/18 (16.67%)  3 1/9 (11.11%)  1 2/53 (3.77%)  2 3/27 (11.11%)  3 3/56 (5.36%)  3 2/9 (22.22%)  2 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Delirium  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 1/9 (11.11%)  1 0/53 (0.00%)  0 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Depression  1  5/49 (10.20%)  5 1/23 (4.35%)  1 2/18 (11.11%)  2 0/9 (0.00%)  0 4/53 (7.55%)  4 1/27 (3.70%)  1 3/56 (5.36%)  3 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 1/4 (25.00%)  1
Insomnia  1  10/49 (20.41%)  11 6/23 (26.09%)  7 1/18 (5.56%)  1 2/9 (22.22%)  2 7/53 (13.21%)  7 1/27 (3.70%)  2 3/56 (5.36%)  3 1/9 (11.11%)  1 1/8 (12.50%)  1 1/4 (25.00%)  1 0/4 (0.00%)  0
Irritability  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Tangentiality  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Renal and urinary disorders                       
Acute kidney injury  1  0/49 (0.00%)  0 2/23 (8.70%)  2 1/18 (5.56%)  1 0/9 (0.00%)  0 2/53 (3.77%)  2 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Bladder spasm  1  4/49 (8.16%)  5 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Chromaturia  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 2/53 (3.77%)  2 0/27 (0.00%)  0 1/56 (1.79%)  3 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Chronic kidney disease  1  2/49 (4.08%)  3 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  2 0/27 (0.00%)  0 0/56 (0.00%)  0 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Cystitis noninfective  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 1/9 (11.11%)  1 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Dysuria  1  1/49 (2.04%)  1 3/23 (13.04%)  3 0/18 (0.00%)  0 1/9 (11.11%)  1 5/53 (9.43%)  5 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 2/8 (25.00%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Haematuria  1  12/49 (24.49%)  14 3/23 (13.04%)  3 2/18 (11.11%)  2 2/9 (22.22%)  2 11/53 (20.75%)  19 1/27 (3.70%)  3 10/56 (17.86%)  15 2/9 (22.22%)  2 5/8 (62.50%)  7 0/4 (0.00%)  0 1/4 (25.00%)  2
Micturition urgency  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 2/27 (7.41%)  2 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Nephritis  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Nocturia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 1/27 (3.70%)  2 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Pollakiuria  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 6/53 (11.32%)  6 3/27 (11.11%)  3 3/56 (5.36%)  3 0/9 (0.00%)  0 1/8 (12.50%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Proteinuria  1  7/49 (14.29%)  13 2/23 (8.70%)  3 1/18 (5.56%)  2 0/9 (0.00%)  0 2/53 (3.77%)  3 2/27 (7.41%)  2 2/56 (3.57%)  2 1/9 (11.11%)  1 1/8 (12.50%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Renal pain  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Urinary incontinence  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 3/53 (5.66%)  3 0/27 (0.00%)  0 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Urinary retention  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  2 0/4 (0.00%)  0 0/4 (0.00%)  0
Urinary tract obstruction  1  2/49 (4.08%)  2 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 2/53 (3.77%)  3 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Urine flow decreased  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Reproductive system and breast disorders                       
Benign prostatic hyperplasia  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  1 0/53 (0.00%)  0 1/27 (3.70%)  1 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Pelvic pain  1  1/49 (2.04%)  1 1/23 (4.35%)  1 2/18 (11.11%)  2 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Penile pain  1  2/49 (4.08%)  2 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  3 0/4 (0.00%)  0 0/4 (0.00%)  0
Penile swelling  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Perineal pain  1  0/49 (0.00%)  0 2/23 (8.70%)  5 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Scrotal swelling  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Testicular pain  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Vaginal haemorrhage  1  0/49 (0.00%)  0 1/23 (4.35%)  1 1/18 (5.56%)  2 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Respiratory, thoracic and mediastinal disorders                       
Cough  1  7/49 (14.29%)  7 4/23 (17.39%)  6 3/18 (16.67%)  3 2/9 (22.22%)  2 12/53 (22.64%)  16 7/27 (25.93%)  7 7/56 (12.50%)  8 2/9 (22.22%)  2 3/8 (37.50%)  4 3/4 (75.00%)  3 0/4 (0.00%)  0
Dysphonia  1  19/49 (38.78%)  23 15/23 (65.22%)  19 9/18 (50.00%)  10 4/9 (44.44%)  4 21/53 (39.62%)  28 9/27 (33.33%)  13 23/56 (41.07%)  23 5/9 (55.56%)  5 1/8 (12.50%)  1 1/4 (25.00%)  1 0/4 (0.00%)  0
Dyspnoea  1  7/49 (14.29%)  9 9/23 (39.13%)  11 4/18 (22.22%)  7 3/9 (33.33%)  3 19/53 (35.85%)  30 5/27 (18.52%)  5 7/56 (12.50%)  8 0/9 (0.00%)  0 2/8 (25.00%)  2 1/4 (25.00%)  1 0/4 (0.00%)  0
Dyspnoea exertional  1  3/49 (6.12%)  3 2/23 (8.70%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 2/53 (3.77%)  2 0/27 (0.00%)  0 0/56 (0.00%)  0 1/9 (11.11%)  1 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Epistaxis  1  1/49 (2.04%)  1 2/23 (8.70%)  2 1/18 (5.56%)  1 0/9 (0.00%)  0 2/53 (3.77%)  2 2/27 (7.41%)  2 1/56 (1.79%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hiccups  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  1 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Nasal congestion  1  3/49 (6.12%)  5 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 1/27 (3.70%)  1 3/56 (5.36%)  3 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Nasal inflammation  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Oropharyngeal pain  1  6/49 (12.24%)  6 4/23 (17.39%)  10 2/18 (11.11%)  2 1/9 (11.11%)  1 4/53 (7.55%)  5 0/27 (0.00%)  0 2/56 (3.57%)  2 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Paranasal sinus hypersecretion  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Pneumonitis  1  1/49 (2.04%)  1 3/23 (13.04%)  4 0/18 (0.00%)  0 0/9 (0.00%)  0 2/53 (3.77%)  2 1/27 (3.70%)  2 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Productive cough  1  0/49 (0.00%)  0 1/23 (4.35%)  1 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Pulmonary embolism  1  1/49 (2.04%)  1 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
Pulmonary oedema  1  1/49 (2.04%)  1 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Rhinitis allergic  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 2/27 (7.41%)  2 1/56 (1.79%)  1 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Rhinorrhoea  1  1/49 (2.04%)  1 2/23 (8.70%)  2 0/18 (0.00%)  0 0/9 (0.00%)  0 1/53 (1.89%)  2 1/27 (3.70%)  1 1/56 (1.79%)  1 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Sleep apnoea syndrome  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Upper-airway cough syndrome  1  0/49 (0.00%)  0 3/23 (13.04%)  3 0/18 (0.00%)  0 0/9 (0.00%)  0 3/53 (5.66%)  4 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Wheezing  1  0/49 (0.00%)  0 1/23 (4.35%)  1 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Skin and subcutaneous tissue disorders                       
Alopecia  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 1/53 (1.89%)  1 1/27 (3.70%)  1 2/56 (3.57%)  2 0/9 (0.00%)  0 2/8 (25.00%)  2 0/4 (0.00%)  0 1/4 (25.00%)  1
Blister  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Dermatitis acneiform  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 3/53 (5.66%)  3 1/27 (3.70%)  3 1/56 (1.79%)  1 0/9 (0.00%)  0 2/8 (25.00%)  3 1/4 (25.00%)  2 0/4 (0.00%)  0
Dry skin  1  6/49 (12.24%)  6 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 7/53 (13.21%)  8 3/27 (11.11%)  3 2/56 (3.57%)  2 1/9 (11.11%)  1 0/8 (0.00%)  0 1/4 (25.00%)  1 0/4 (0.00%)  0
Erythema multiforme  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Hyperkeratosis  1  0/49 (0.00%)  0 3/23 (13.04%)  3 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 1/27 (3.70%)  1 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Lichen planus  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Night sweats  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Palmar-plantar erythrodysaesthesia syndrome  1  10/49 (20.41%)  20 5/23 (21.74%)  11 7/18 (38.89%)  16 3/9 (33.33%)  4 13/53 (24.53%)  17 5/27 (18.52%)  6 5/56 (8.93%)  12 2/9 (22.22%)  6 0/8 (0.00%)  0 2/4 (50.00%)  4 1/4 (25.00%)  1
Pruritus  1  4/49 (8.16%)  4 4/23 (17.39%)  4 2/18 (11.11%)  3 1/9 (11.11%)  1 7/53 (13.21%)  7 3/27 (11.11%)  3 6/56 (10.71%)  6 0/9 (0.00%)  0 2/8 (25.00%)  3 1/4 (25.00%)  4 2/4 (50.00%)  2
Rash  1  6/49 (12.24%)  10 3/23 (13.04%)  5 2/18 (11.11%)  2 0/9 (0.00%)  0 3/53 (5.66%)  3 1/27 (3.70%)  2 3/56 (5.36%)  3 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Rash erythematous  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  2
Rash maculo-papular  1  4/49 (8.16%)  4 6/23 (26.09%)  7 3/18 (16.67%)  3 0/9 (0.00%)  0 11/53 (20.75%)  15 6/27 (22.22%)  7 5/56 (8.93%)  5 1/9 (11.11%)  1 1/8 (12.50%)  1 0/4 (0.00%)  0 3/4 (75.00%)  3
Rash papular  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 1/9 (11.11%)  2 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Rosacea  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Skin exfoliation  1  1/49 (2.04%)  1 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Skin hyperpigmentation  1  0/49 (0.00%)  0 0/23 (0.00%)  0 0/18 (0.00%)  0 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Skin lesion  1  2/49 (4.08%)  3 1/23 (4.35%)  1 2/18 (11.11%)  3 0/9 (0.00%)  0 1/53 (1.89%)  1 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  2
Skin mass  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 1/9 (11.11%)  1 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 1/8 (12.50%)  1 0/4 (0.00%)  0 0/4 (0.00%)  0
Skin ulcer  1  2/49 (4.08%)  3 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 5/53 (9.43%)  6 0/27 (0.00%)  0 2/56 (3.57%)  3 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Vascular disorders                       
Embolism  1  3/49 (6.12%)  3 1/23 (4.35%)  1 0/18 (0.00%)  0 1/9 (11.11%)  1 2/53 (3.77%)  2 2/27 (7.41%)  2 2/56 (3.57%)  2 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Haematoma  1  0/49 (0.00%)  0 0/23 (0.00%)  0 1/18 (5.56%)  1 0/9 (0.00%)  0 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Hypertension  1  14/49 (28.57%)  32 12/23 (52.17%)  19 6/18 (33.33%)  16 4/9 (44.44%)  5 21/53 (39.62%)  29 12/27 (44.44%)  15 27/56 (48.21%)  43 4/9 (44.44%)  4 0/8 (0.00%)  0 0/4 (0.00%)  0 3/4 (75.00%)  3
Hypotension  1  1/49 (2.04%)  1 1/23 (4.35%)  1 0/18 (0.00%)  0 0/9 (0.00%)  0 2/53 (3.77%)  2 3/27 (11.11%)  3 1/56 (1.79%)  1 1/9 (11.11%)  2 0/8 (0.00%)  0 0/4 (0.00%)  0 0/4 (0.00%)  0
Orthostatic hypotension  1  0/49 (0.00%)  0 1/23 (4.35%)  1 0/18 (0.00%)  0 1/9 (11.11%)  1 0/53 (0.00%)  0 0/27 (0.00%)  0 0/56 (0.00%)  0 0/9 (0.00%)  0 0/8 (0.00%)  0 0/4 (0.00%)  0 1/4 (25.00%)  1
1
Term from vocabulary, MedDRA 21.0
Indicates events were collected by systematic assessment
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Director, Clinical Operations
Organization: Mirati Therapeutics
Phone: 858-381-5289
EMail: LatvenL@Mirati.com
Layout table for additonal information
Responsible Party: Mirati Therapeutics Inc.
ClinicalTrials.gov Identifier: NCT03606174    
Other Study ID Numbers: 516-003
First Submitted: July 20, 2018
First Posted: July 30, 2018
Results First Submitted: August 3, 2023
Results First Posted: August 24, 2023
Last Update Posted: August 24, 2023