carbamates has been researched along with Nausea in 31 studies
Nausea: An unpleasant sensation in the stomach usually accompanied by the urge to vomit. Common causes are early pregnancy, sea and motion sickness, emotional stress, intense pain, food poisoning, and various enteroviruses.
Excerpt | Relevance | Reference |
---|---|---|
"gov: NCT02786537) was the first comparative effectiveness study to directly compare ledipasvir/sofosbuvir (LDV/SOF) and elbasvir/grazoprevir (EBR/GZR) for the treatment of chronic hepatitis C virus (HCV)." | 9.51 | Sustainable and equivalent improvements in symptoms and functional well-being following viral cure from ledipasvir/sofosbuvir versus elbasvir/grazoprevir for chronic hepatitis C infection: Findings from the randomized PRIORITIZE trial. ( Dong, M; Evon, DM; Lok, AS; Michael, L; Nelson, DR; Peter, J; Reeve, BB; Stewart, PW, 2022) |
"In part 1 of the COLUMBUS trial, 577 patients with advanced/metastatic BRAF V600-mutant melanoma, untreated or progressed after first-line immunotherapy, were randomised 1:1:1 to 450 mg of encorafenib QD + 45 mg of binimetinib BID (COMBO450) vs 960 mg of vemurafenib BID (VEM) or 300 mg of encorafenib ENCO QD (ENCO300)." | 9.34 | Update on tolerability and overall survival in COLUMBUS: landmark analysis of a randomised phase 3 trial of encorafenib plus binimetinib vs vemurafenib or encorafenib in patients with BRAF V600-mutant melanoma. ( Arance, A; Ascierto, PA; de Groot, JWB; Dummer, R; Flaherty, KT; Garbe, C; Gogas, HJ; Gollerkeri, A; Gutzmer, R; Krajsova, I; Liszkay, G; Loquai, C; Mandala, M; Pickard, MD; Robert, C; Schadendorf, D, 2020) |
"The results suggest that prolonging the action of anandamide by pretreatment with the FAAH inhibitor, URB597, suppresses lithium-induced nausea in the rat." | 7.74 | Effects of the FAAH inhibitor, URB597, and anandamide on lithium-induced taste reactivity responses: a measure of nausea in the rat. ( Cross-Mellor, SK; Ossenkopp, KP; Parker, LA; Piomelli, D, 2007) |
"gov: NCT02786537) was the first comparative effectiveness study to directly compare ledipasvir/sofosbuvir (LDV/SOF) and elbasvir/grazoprevir (EBR/GZR) for the treatment of chronic hepatitis C virus (HCV)." | 5.51 | Sustainable and equivalent improvements in symptoms and functional well-being following viral cure from ledipasvir/sofosbuvir versus elbasvir/grazoprevir for chronic hepatitis C infection: Findings from the randomized PRIORITIZE trial. ( Dong, M; Evon, DM; Lok, AS; Michael, L; Nelson, DR; Peter, J; Reeve, BB; Stewart, PW, 2022) |
"In part 1 of the COLUMBUS trial, 577 patients with advanced/metastatic BRAF V600-mutant melanoma, untreated or progressed after first-line immunotherapy, were randomised 1:1:1 to 450 mg of encorafenib QD + 45 mg of binimetinib BID (COMBO450) vs 960 mg of vemurafenib BID (VEM) or 300 mg of encorafenib ENCO QD (ENCO300)." | 5.34 | Update on tolerability and overall survival in COLUMBUS: landmark analysis of a randomised phase 3 trial of encorafenib plus binimetinib vs vemurafenib or encorafenib in patients with BRAF V600-mutant melanoma. ( Arance, A; Ascierto, PA; de Groot, JWB; Dummer, R; Flaherty, KT; Garbe, C; Gogas, HJ; Gollerkeri, A; Gutzmer, R; Krajsova, I; Liszkay, G; Loquai, C; Mandala, M; Pickard, MD; Robert, C; Schadendorf, D, 2020) |
"Patients with locally advanced, unresectable or metastatic BRAFV600-mutant melanoma were randomised to receive encorafenib 450 mg once daily plus binimetinib 45 mg twice daily, encorafenib 300 mg once daily or vemurafenib 960 mg twice daily." | 5.30 | Adverse events associated with encorafenib plus binimetinib in the COLUMBUS study: incidence, course and management. ( Arance, A; Ascierto, PA; de Groot, JWB; Dummer, R; Dutriaux, C; Flaherty, KT; Garbe, C; Gogas, HJ; Gollerkeri, A; Gutzmer, R; Krajsova, I; Liszkay, G; Loquai, C; Mandala, M; Pickard, MD; Robert, C; Schadendorf, D; Sileni, VC; Yamazaki, N, 2019) |
"A literature search through EMBASE and PubMed was conducted (January 1966 to August 2015) using the terms BMS-790052, daclatasvir, and hepatitis C." | 4.93 | Daclatasvir: A NS5A Replication Complex Inhibitor for Hepatitis C Infection. ( Mohammad, RA; Regal, RE; Smith, MA, 2016) |
"MAGL inhibition by MJN110 which selectively elevates endogenous 2-AG has therapeutic potential in the treatment of acute nausea and vomiting as well as anticipatory nausea, a distressful symptom that is resistant to currently available treatments." | 3.81 | Effect of selective inhibition of monoacylglycerol lipase (MAGL) on acute nausea, anticipatory nausea, and vomiting in rats and Suncus murinus. ( Abdullah, RA; Cravatt, BF; Downey, R; Lichtman, AH; Limebeer, CL; Morris, H; Niphakis, MJ; Parker, LA; Rock, EM; Sticht, MA, 2015) |
"The results suggest that prolonging the action of anandamide by pretreatment with the FAAH inhibitor, URB597, suppresses lithium-induced nausea in the rat." | 3.74 | Effects of the FAAH inhibitor, URB597, and anandamide on lithium-induced taste reactivity responses: a measure of nausea in the rat. ( Cross-Mellor, SK; Ossenkopp, KP; Parker, LA; Piomelli, D, 2007) |
"No significant pharmacokinetic interaction between the 2 drugs was seen in this study." | 2.80 | Gabapentin enacarbil and morphine administered in combination versus alone: a double-blind, randomized, pharmacokinetic, and tolerability comparison. ( Arumugham, T; Chen, C; Davy, M; Stier, B; Upward, J, 2015) |
"05) and incidence of serious adverse events (RR 1." | 2.72 | Efficacy and safety of cenobamate in patients with uncontrolled focal seizures: A meta-analysis. ( Wang, C; Wang, J; Zhang, L, 2021) |
"Brecanavir (BCV, 640385) is a novel, potent protease inhibitor (PI) with low nanomolar 50% inhibitory concentrations against PI-resistant human immunodeficiency virus (HIV) in vitro." | 2.72 | Single-dose safety and pharmacokinetics of brecanavir, a novel human immunodeficiency virus protease inhibitor. ( Anderson, MT; Fernandez, P; Ford, SL; Johnson, MA; Murray, SC; Reddy, YS; Stein, DS, 2006) |
"To evaluate the safety and pharmacokinetic interaction between amprenavir (APV) and ritonavir (RTV)." | 2.70 | Pharmacokinetics and safety of amprenavir and ritonavir following multiple-dose, co-administration to healthy volunteers. ( Lloyd, PP; Lou, Y; Piliero, PJ; Preston, SL; Sadler, BM; Stein, DS, 2001) |
" The most common adverse events considered to be possibly drug related were nausea, rash, oral paresthesia, diarrhea, and fatigue." | 2.69 | A phase II safety and efficacy study of amprenavir in combination with zidovudine and lamivudine in HIV-infected patients with limited antiretroviral experience. Amprenavir PROAB2002 Study Team. ( Antunes, F; Brown, DJ; Clumeck, N; Fetter, A; Haubrich, R; Kahl, L; Lang, W; Pagano, G; Richman, D; Schooley, R; Sereni, D; Stein, A; Thompson, M; van der Ende, ME, 1999) |
"Neutropenia was dose-related but not dose-limiting; thrombocytopenia was infrequent." | 2.68 | A phase I trial and pharmacokinetic evaluation of CI-980 in patients with advanced solid tumors. ( Benson, L; Einzig, AI; Grove, WR; Lathia, CD; Roca, J; Sklarin, NT; Thomas, S; Wiernik, PH, 1997) |
"CNS excitation and seizures, manifestations of organochlorine intoxication, can occur following ingestion or inappropriate application of the 1 per cent topical formulation of lindane used to treat scabies and lice." | 2.37 | Management of acute childhood poisonings caused by selected insecticides and herbicides. ( Mortensen, ML, 1986) |
" Pharmacokinetic sampling was conducted on the last day of each treatment." | 1.33 | Coadministration of esomeprazole with fosamprenavir has no impact on steady-state plasma amprenavir pharmacokinetics. ( Borland, J; Ford, SL; Lou, Y; Min, SS; Shelton, MJ; Wire, MB; Xue, ZG; Yuen, G, 2006) |
"It is concluded that acute pancreatitis is probably not rare in children with anticholinesterase insecticide poisoning." | 1.28 | Acute pancreatitis in children with anticholinesterase insecticide intoxication. ( Sofer, S; Weizman, Z, 1992) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 5 (16.13) | 18.7374 |
1990's | 4 (12.90) | 18.2507 |
2000's | 5 (16.13) | 29.6817 |
2010's | 14 (45.16) | 24.3611 |
2020's | 3 (9.68) | 2.80 |
Authors | Studies |
---|---|
Evon, DM | 1 |
Dong, M | 1 |
Reeve, BB | 1 |
Peter, J | 1 |
Michael, L | 1 |
Lok, AS | 1 |
Nelson, DR | 1 |
Stewart, PW | 1 |
Gogas, HJ | 2 |
Flaherty, KT | 2 |
Dummer, R | 2 |
Ascierto, PA | 2 |
Arance, A | 2 |
Mandala, M | 2 |
Liszkay, G | 2 |
Garbe, C | 2 |
Schadendorf, D | 2 |
Krajsova, I | 2 |
Gutzmer, R | 2 |
Sileni, VC | 1 |
Dutriaux, C | 1 |
de Groot, JWB | 2 |
Yamazaki, N | 1 |
Loquai, C | 2 |
Gollerkeri, A | 2 |
Pickard, MD | 2 |
Robert, C | 2 |
Zhang, L | 1 |
Wang, J | 2 |
Wang, C | 1 |
Zignego, AL | 1 |
Monti, M | 1 |
Gragnani, L | 1 |
Limebeer, CL | 5 |
Abdullah, RA | 3 |
Rock, EM | 4 |
Imhof, E | 1 |
Wang, K | 1 |
Lichtman, AH | 3 |
Parker, LA | 6 |
Niphakis, MJ | 3 |
Downey, R | 1 |
Sticht, MA | 2 |
Morris, H | 1 |
Cravatt, BF | 3 |
Chen, C | 1 |
Upward, J | 1 |
Arumugham, T | 1 |
Stier, B | 1 |
Davy, M | 1 |
Sax, PE | 1 |
Wohl, D | 1 |
Yin, MT | 1 |
Post, F | 1 |
DeJesus, E | 1 |
Saag, M | 1 |
Pozniak, A | 1 |
Thompson, M | 2 |
Podzamczer, D | 1 |
Molina, JM | 1 |
Oka, S | 1 |
Koenig, E | 1 |
Trottier, B | 1 |
Andrade-Villanueva, J | 1 |
Crofoot, G | 1 |
Custodio, JM | 1 |
Plummer, A | 1 |
Zhong, L | 1 |
Cao, H | 1 |
Martin, H | 1 |
Callebaut, C | 1 |
Cheng, AK | 1 |
Fordyce, MW | 1 |
McCallister, S | 1 |
Zeuzem, S | 1 |
Ghalib, R | 1 |
Reddy, KR | 1 |
Pockros, PJ | 1 |
Ben Ari, Z | 1 |
Zhao, Y | 1 |
Brown, DD | 1 |
Wan, S | 1 |
DiNubile, MJ | 1 |
Nguyen, BY | 1 |
Robertson, MN | 1 |
Wahl, J | 1 |
Barr, E | 1 |
Butterton, JR | 1 |
Ward, JM | 1 |
Cohen, A | 1 |
Grove, K | 1 |
Smith, MA | 1 |
Regal, RE | 1 |
Mohammad, RA | 1 |
Rafla, BR | 1 |
Poklis, JL | 1 |
Ho, W | 1 |
Sharkey, KA | 1 |
Tongpoo, A | 1 |
Sriapha, C | 1 |
Wongvisawakorn, S | 1 |
Rittilert, P | 1 |
Trakulsrichai, S | 1 |
Wananukul, W | 1 |
Yao, Y | 1 |
Yue, M | 1 |
Chen, H | 1 |
Liu, M | 1 |
Zang, F | 1 |
Li, J | 1 |
Zhang, Y | 1 |
Huang, P | 1 |
Yu, R | 1 |
Tavel, JA | 1 |
Babiker, A | 1 |
Fox, L | 1 |
Gey, D | 1 |
Lopardo, G | 1 |
Markowitz, N | 1 |
Paton, N | 1 |
Wentworth, D | 1 |
Wyman, N | 1 |
Shelton, MJ | 1 |
Ford, SL | 2 |
Borland, J | 1 |
Lou, Y | 2 |
Wire, MB | 1 |
Min, SS | 1 |
Xue, ZG | 1 |
Yuen, G | 1 |
Reddy, YS | 1 |
Anderson, MT | 1 |
Murray, SC | 1 |
Fernandez, P | 1 |
Stein, DS | 2 |
Johnson, MA | 1 |
Cross-Mellor, SK | 1 |
Ossenkopp, KP | 1 |
Piomelli, D | 2 |
Mechoulam, R | 1 |
Sklarin, NT | 1 |
Lathia, CD | 1 |
Benson, L | 1 |
Grove, WR | 1 |
Thomas, S | 1 |
Roca, J | 1 |
Einzig, AI | 1 |
Wiernik, PH | 1 |
Haubrich, R | 1 |
Schooley, R | 1 |
Lang, W | 1 |
Stein, A | 1 |
Sereni, D | 1 |
van der Ende, ME | 1 |
Antunes, F | 1 |
Richman, D | 1 |
Pagano, G | 1 |
Kahl, L | 1 |
Fetter, A | 1 |
Brown, DJ | 1 |
Clumeck, N | 1 |
Sadler, BM | 1 |
Piliero, PJ | 1 |
Preston, SL | 1 |
Lloyd, PP | 1 |
Rydén, L | 2 |
Hjalmarson, A | 1 |
Waldenström, A | 1 |
Weizman, Z | 1 |
Sofer, S | 1 |
Mortensen, ML | 1 |
Müntzing, J | 1 |
Shukla, SK | 1 |
Chu, TM | 1 |
Mittelman, A | 1 |
Murphy, GP | 1 |
Luce, JK | 1 |
Bodey, GP | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
THE PRIORITIZE STUDY: A Pragmatic, Randomized Study of Oral Regimens for Hepatitis C: Transforming Decision-Making for Patients, Providers, and Stakeholders[NCT02786537] | Phase 4 | 1,275 participants (Actual) | Interventional | 2016-06-30 | Completed | ||
A 2-part Phase III Randomized, Open Label, Multicenter Study of LGX818 Plus MEK162 Versus Vemurafenib and LGX818 Monotherapy in Patients With Unresectable or Metastatic BRAF V600 Mutant Melanoma[NCT01909453] | Phase 3 | 921 participants (Actual) | Interventional | 2013-12-13 | Active, not recruiting | ||
A Phase 1B Study to Evaluate the Safety, Tolerability and Preliminary Efficacy of the Combination of Encorafenib, Binimetinib and Palbociclib in Patients With BRAF-mutant Metastatic Melanoma (The CELEBRATE Study)[NCT04720768] | Phase 1/Phase 2 | 78 participants (Anticipated) | Interventional | 2020-06-04 | Recruiting | ||
A Double-Blind, 3-Part Crossover Study to Assess the Pharmacokinetics and Tolerability of Single Doses of Gabapentin Enacarbil and Morphine Administered Alone and in Combination in Healthy Subjects[NCT01476124] | Phase 1 | 18 participants (Actual) | Interventional | 2011-08-31 | Completed | ||
A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide Versus Elvitegravir/Cobicistat/Emtricitabine/ Tenofovir Disoproxil Fumarate in HIV-1 Positive, Antiretroviral Trea[NCT01780506] | Phase 3 | 872 participants (Actual) | Interventional | 2012-12-26 | Completed | ||
A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide Versus Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Disoproxil Fumarate in HIV-1 Positive, Antiretroviral Treat[NCT01797445] | Phase 3 | 872 participants (Actual) | Interventional | 2013-03-12 | Completed | ||
Efficacy and Safety of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide (Genvoya) as Maintenance Treatment of HIV-1/Hepatitis B Virus (HBV)-Coinfected Patients: an Observational Study[NCT03425994] | 275 participants (Actual) | Observational [Patient Registry] | 2018-02-06 | Active, not recruiting | |||
Open-Labeled Trial Of Direct-Acting Antiviral Treatment Of Hepatitis C-Negative Patients Who Receive Kidney Transplants From Hepatitis C-Positive Donors[NCT02743897] | Phase 1/Phase 2 | 62 participants (Actual) | Interventional | 2016-05-01 | Completed | ||
A Prospective Cohort Study to Improve HCV Care Using Multidisciplinary Approach to the Treatment of Chronic Hepatitis C in Dialysis Patients: The MATCH-D Study[NCT03791814] | Phase 4 | 0 participants (Actual) | Interventional | 2019-01-01 | Withdrawn (stopped due to The study was stopped due to difficulty in identifying potential patients.) | ||
An Open-label, Cohort Study of Grazoprevir/Elbasvir Combination Therapy for Patients With Genotype 1b Chronic Hepatitis C After Liver or Kidney Transplantation[NCT03723824] | Phase 4 | 14 participants (Actual) | Interventional | 2019-02-14 | Terminated (stopped due to COV-19 pandemic) | ||
Open-Labeled Trial Of Zepatier For Treatment Of Hepatitis C-Negative Patients Who Receive Heart Transplants From Hepatitis C-Positive Donors[NCT03146741] | Phase 1/Phase 2 | 20 participants (Actual) | Interventional | 2017-05-16 | Completed | ||
Effect Of Interferon-Free Direct Acting Antiviral Agents For Treatment Of Hepatitis C Virus Patients On The Normal Kidney[NCT03296930] | Phase 4 | 100 participants (Anticipated) | Interventional | 2017-10-01 | Not yet recruiting | ||
A Phase III Randomized Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172/MK-8742 in Treatment-Naïve Subjects With Chronic HCV GT1, GT4, and GT6 Infection.[NCT02105467] | Phase 3 | 421 participants (Actual) | Interventional | 2014-06-05 | Completed | ||
STALWART: A Randomized, Open-Label, International Study of Subcutaneous Recombinant Interleukin-2 With and Without Concomitant Antiretroviral Therapy in Patients With HIV-1 Infection and CD4+ Cell Counts of 300 Cells/mm3 or More[NCT00110812] | Phase 2 | 267 participants (Actual) | Interventional | 2005-09-30 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
"Efficacy of Hepatitis C Virus (HCV) Treatment with Zepatier (Elbasvir/Grazobevir) with Ribavirin (RBV) for 16 weeks when used in Genotype 1a patients with Baseline RASs (NS5a Resistance Associated Substitutions or RAPs -Resistance Associated Polymorphisms).~Efficacy defined as HCV RNA undetectable 12 weeks post treatment. Table excludes Genotype 1b patients." (NCT02786537)
Timeframe: 12 weeks post treatment
Intervention | Participants (Count of Participants) |
---|---|
EBR/GZR With RBV-16 Weeks | 34 |
Number/Percentage of patients with persistence of viral cure, SVR (SVR = Sustained Virologic Response)- defined as undetectable HCV RNA at least 24 weeks following HCV Treatment. (NCT02786537)
Timeframe: 24 weeks post-end of treatment up to 153 weeks
Intervention | Participants (Count of Participants) |
---|---|
EBR/GZR | 255 |
EBR/GZR With Ribavirin | 17 |
SOF/LDV | 146 |
SOF/LDV With RBV | 2 |
PrOD | 14 |
PrOD With RBV | 36 |
Percentage of Cirrhotic patients with persistence of viral cure, SVR, (SVR= Sustained Virologic Response) defined as undetectable HCV RNA at least 24 weeks following HCV Treatment. (NCT02786537)
Timeframe: Up to 132 weeks post HCV treatment
Intervention | Participants (Count of Participants) |
---|---|
EBR/GZR | 43 |
EBR/GZR With RBV | 7 |
SOF/LDV | 35 |
SOF/LDV With RBV | 7 |
PrOD | 6 |
PrOD With RBV | 7 |
Fatigue severity collected from validated, Patient Reported Outcomes survey (PROs), 'PROMIS Fatigue Short Form'. PROMIS® T-scores were computated to compare difference between baseline value of PROMIS score to the highest (worst) score during treatment. Results presented as computated t-score from baseline to average of on Treatment Scores. A positive (+) score suggests improvements in functional well-being. A negative (-) PRO change score is suggestive of symptom improvement or lack of drug side effect. PROMIS Fatigue Score scale per question: 1=Never, 2=Rarely, 3=Sometimes, 4=Often, 5=Always with 7 questions for a total maximum score of 35. (NCT02786537)
Timeframe: Baseline and Average On-Treatment Score
Intervention | score on a scale (Mean) |
---|---|
EBR/GZR With RBV | -1.0 |
EBR/GZR | -2.1 |
SOF/LDV With RBV | -3.7 |
SOF/LDV | -2.2 |
Fatigue severity collected from validated, Patient Reported Outcomes survey (PROs), 'PROMIS Fatigue Short Form'. PROMIS® T-scores were computated to compare difference between baseline value of PROMIS score to the highest (worst) score during treatment. Results presented as computated t-score from baseline to average of on Treatment Scores. A positive (+) score suggests improvements in functional well-being. A negative (-) PRO change score is suggestive of symptom improvement or lack of drug side effect. PROMIS Fatigue Score scale per question: 1=Never, 2=Rarely, 3=Sometimes, 4=Often, 5=Always with 7 questions for a total maximum score of 35. (NCT02786537)
Timeframe: Baseline to On-treatment
Intervention | units on a scale (Mean) |
---|---|
EBR/GZR With RBV | 1.5 |
EBR/GZR | -1.2 |
SOF/LDV With RBV | -7.2 |
SOF/LDV | -2.0 |
PrOD With RBV | -1.9 |
PrOD | -3.0 |
"HCV-PRO, a survey for patients with HCV that measures physical, emotional, and social functioning, productivity, intimacy, and perception of quality of life, was used to assess 'overall functioning and well-being'. In general, lower score is worst outcome and higher scores indicate greater well-being and functioning. However, for ease of interpretation, HCV-PRO scale has been transformed by using '100 - HCV-PRO' ultimately revising the score to mean 0 (lowest score) is best to 100 (worst outcome). A positive change (End of treatment to baseline) suggests improvements in functional well-being.~Total score = (SUM-N)/(4*N)*100, where N is the number of questions answered." (NCT02786537)
Timeframe: Baseline to End of Treatment
Intervention | units on a scale (Mean) |
---|---|
EBR/GZR With RBV | -0.9 |
EBR/GZR | 5.6 |
SOF/LDV With RBV | 2.5 |
SOF/LDV | 6.9 |
PrOD With RBV | 3.2 |
PrOD | 9.9 |
"HCV-PRO, a survey designed to assess functional status of patients with HCV and measures physical, emotional, and social functioning, productivity, intimacy, and perception of quality of life, was used to assess functional well-being. In general, lower score is worst outcome and higher scores indicate greater well-being and functioning. However, for ease of interpretation, HCV-PRO scale has been transformed by using '100 - HCV-PRO' ultimately revising the score to mean 0 (lowest score) is best to 100 (worst outcome). A positive change (End of treatment to baseline) suggests improvements in functional well-being.~Total score = (SUM-N)/(4*N)*100, where N is the number of questions answered. End of Treatment -Baseline were used to calculate CHANGE in outcome. Number of subjects reflects participants from both Phase 1 and 2." (NCT02786537)
Timeframe: End of Treatment - Baseline
Intervention | score on a scale (Mean) |
---|---|
EBR/GZR With RBV | 3.2 |
EBR/GZR | 6.1 |
SOF/LDV With RBV | 6.3 |
SOF/LDV | 6.8 |
Headache was evaluated by the HIT-6 score, a validated, Patient Reported Outcomes survey (PROs) 'PROMIS Headache Impact Test (HIT)' with scores ranging from 36 to 78 with higher score reflecting greater impact. Mean change in headache side effect was evaluated using difference between baseline value of HIT-6 score to the highest (worst) score during treatment. Estimates of mean change and differences obtained from a constrained longitudinal linear mixed-effects model that treated baseline score as one of outcomes. Negative values for mean change represent improvement, while negative values for 'difference' indicate LDV/SOF performed better than PrOD (NCT02786537)
Timeframe: Baseline to On-Treatment
Intervention | units on a scale (Mean) |
---|---|
EBR/GZR With RBV | -0.8 |
EBR/GZR | -0.7 |
SOF/LDV With RBV | 0.4 |
SOF/LDV | -0.8 |
Headache was evaluated by the HIT-6 score, a validated, Patient Reported Outcomes survey (PROs) 'PROMIS Headache Impact Test (HIT)' with scores ranging from 36 to 78 with higher score reflecting greater impact. Mean change in headache side effect was evaluated using difference between baseline value of HIT-6 score to the highest (worst) score during treatment. Estimates of mean change and differences obtained from a constrained longitudinal linear mixed-effects model that treated baseline score as one of outcomes. Negative values for mean change represent improvement in symptom. (NCT02786537)
Timeframe: Baseline to On-Treatment
Intervention | units on a scale (Mean) |
---|---|
EBR/GZR With Ribavirin (RBV) | 0.0 |
EBR/GZR Regimen | -0.8 |
SOF/LDV With RBV | -0.7 |
SOF/LDV | -0.5 |
PrOD With RBV Regimen | -0.2 |
PrOD | -2.2 |
"Patients completed the PROMIS® Nausea Short Form at Baseline (T1) and on-treatment. PROMIS raw scores from each of the completed questionnaires were converted to standardized T-scores. Change was calculated as the difference between baseline and on-treatment score. T-scores for the PROMIS Nausea and Vomiting 4a scale range from 45.0 - 80.1. Higher scores indicate worse nausea. Negative values for mean change represent improvement.~The estimates of mean change and differences were obtained from a constrained longitudinal linear mixed-effects model that treated the baseline score as one of the outcomes. The model expressed mean score as a function of DAA regimen, cirrhosis status, HCV genotype, sex, age, race, and previous treatment status." (NCT02786537)
Timeframe: Baseline to On-Treatment
Intervention | units on a scale (Mean) |
---|---|
EBR/GZR With RBV | 1.3 |
EBR/GZR | -1.4 |
SOF/LDV With RBV | -3.9 |
SOF/LDV | -0.7 |
PrOD With RBV | 2.5 |
PrOD | 0.7 |
"Participants completed the Patient Reported Outcomes surveys (PROs) 'PROMIS Nausea/Vomiting -4 Short Form' at baseline and during treatment. Raw scores are converted to standardized T-scores with a range of 45.0-80.1. Higher scores indicate worse nausea/vomiting.~Results presented as mean difference from baseline to average of on Treatment Scores (highest/worst) score during treatment.~A negative (-) PROMIS change score is suggestive of symptom improvement or lack of drug side effect. Estimates of mean change were obtained from a constrained longitudinal linear mixed-effects model that treated the baseline score as one of the outcomes." (NCT02786537)
Timeframe: Baseline and Average On-Treatment Score
Intervention | units on a scale (Mean) |
---|---|
EBR/GZR With RBV | -0.3 |
EBR/GZR | -0.6 |
SOF/LDV With RBV | -1.6 |
SOF/LDV | -0.4 |
Fatigue severity collected from validated, Patient Reported Outcomes survey (PROs), 'PROMIS Fatigue Short Form'. PROMIS® T-scores were computated to compare difference between baseline value of PROMIS score to the highest (worst) score during treatment. Results presented as computated t-score from baseline to average of on Treatment Scores. A positive (+) score suggests improvements in functional well-being. A negative (-) PRO change score is suggestive of symptom improvement or lack of drug side effect. PROMIS Fatigue Score scale per question: 1=Never, 2=Rarely, 3=Sometimes, 4=Often, 5=Always with 7 questions for a total maximum score of 35. (NCT02786537)
Timeframe: Baseline to End of Treatment
Intervention | units on a scale (Median) |
---|---|
EBR/GZR With RBV | 2.2 |
EBR/GZR Regimen | -0.9 |
SOF/LDV With RBV | -10.2 |
SOF/LDV | -3.4 |
PrOD Regimen With RBV | -0.2 |
PrOD | -4.1 |
Fatigue severity collected from validated, Patient Reported Outcomes survey (PROs), 'PROMIS Fatigue Short Form'. PROMIS® T-scores were computated to compare difference between baseline value of PROMIS score to the highest (worst) score during treatment. Results presented as computated t-score from baseline to average of on Treatment Scores. A positive (+) score suggests improvements in functional well-being. A negative (-) PRO change score is suggestive of symptom improvement or lack of drug side effect. PROMIS Fatigue Score scale per question: 1=Never, 2=Rarely, 3=Sometimes, 4=Often, 5=Always with 7 questions for a total maximum score of 35. (NCT02786537)
Timeframe: Baseline-On Treatment (up to 16 weeks)
Intervention | units on a scale (Median) |
---|---|
EBR/GZR With RBV | -1.3 |
EBR/GZR | -1.2 |
SOF/LDV With RBV | -2.4 |
SOF/LDV | -1.4 |
"HCV-PRO, a survey for patients with HCV that measures physical, emotional, and social functioning, productivity, intimacy, and perception of quality of life, was used to assess 'Overall Functioning and Well-being'. In general, lower score is worst outcome and higher scores indicate greater well-being and functioning. However, for ease of interpretation, HCV-PRO scale has been transformed by using '100 - HCV-PRO' ultimately revising the score to mean 0 (lowest score) is best to 100 (worst outcome). A positive change (End of treatment to baseline) suggests improvements in functional well-being.~Total score = (SUM-N)/(4*N)*100, where N is the number of questions answered." (NCT02786537)
Timeframe: Baseline to End of Treatment
Intervention | score on a scale (Median) |
---|---|
EBR/GZR With RBV | 0.0 |
EBR/GZR | 4.3 |
SOF/LDV With RBV | 4.7 |
SOF/LDV | 4.7 |
PrOD With RBV | 3.1 |
PrOD | 8.6 |
Headache was evaluated by the HIT-6 score, a validated, Patient Reported Outcomes survey (PROs) 'PROMIS Headache Impact Test (HIT)' with scores ranging from 36 to 78 with higher score reflecting greater impact. Median change in headache side effect was evaluated using difference between baseline value of HIT-6 score to the highest (worst) score during treatment. Estimates of mean change and differences obtained from a constrained longitudinal linear mixed-effects model that treated baseline score as one of outcomes. Negative values for change represent improvement, while negative values for 'difference' indicate LDV/SOF performed better than PrOD (NCT02786537)
Timeframe: 12 weeks (Baseline and Average On-treatment Score)
Intervention | units on a scale (Median) |
---|---|
EBR/GZR (Elbasvir/Grazoprevir) With RBV | 0.0 |
EBR/GZR (Elbasvir/Grazoprevir) | 0.0 |
SOF/LDV (Sofosbuvir/Ledipasvir) With RBV | -2.0 |
SOF/LDV (Sofosbuvir/Ledipasvir) | -1.0 |
PrOD (Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir) With RBV (Phase 1 Only) | 0.0 |
PrOD (Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir) | -1.0 |
Headache was evaluated by the HIT-6 score, a validated, Patient Reported Outcomes survey (PROs) 'PROMIS Headache Impact Test (HIT)' with scores ranging from 36 to 78 with higher score reflecting greater impact. Median change in headache side effect was evaluated using difference between baseline value of HIT-6 score to the highest (worst) score during treatment. Estimates of median change and differences obtained from a constrained longitudinal linear mixed-effects model that treated baseline score as one of outcomes. Negative values for mean change represent improvement, while negative values for 'difference' indicate LDV/SOF performed better than PrOD (NCT02786537)
Timeframe: Baseline -on Treatment (12-16 weeks)
Intervention | units on a scale (Median) |
---|---|
EBR/GZR With RBV | -1.0 |
EBR/GZR | 0.0 |
SOF/LDV With RBV | 0.5 |
SOF/LDV | -0.5 |
"Patients completed the PROMIS® Nausea Short Form at Baseline (T1) and on-treatment. PROMIS raw scores from each of the completed questionnaires were converted to standardized T-scores. Change was calculated as the difference between baseline and on-treatment score. T-scores for the PROMIS Nausea and Vomiting 4a scale range from 45.0 - 80.1. Higher scores indicate worse nausea. Negative values for mean change represent improvement.~The estimates of change and differences were obtained from a constrained longitudinal linear mixed-effects model that treated the baseline score as one of the outcomes." (NCT02786537)
Timeframe: Baseline to end of treatment
Intervention | units on a scale (Median) |
---|---|
EBR/GZR With RBV | 0.4 |
EBR/GZR | 0.0 |
SOF/LDV With RBV | -6.1 |
SOF/LDV | 0.0 |
PrOD With RBV | 0.0 |
PrOD | 0.0 |
"Patients completed the PROMIS® Nausea Short Form at Baseline (T1) and on-treatment. PROMIS raw scores from each of the completed questionnaires were converted to standardized T-scores. Change was calculated as the difference between baseline and on-treatment score. T-scores for the PROMIS Nausea and Vomiting 4a scale range from 45.0 - 80.1. Higher scores indicate worse nausea. Negative values for change represent improvement.~The estimates of change and differences were obtained from a constrained longitudinal linear mixed-effects model that treated the baseline score as one of the outcomes." (NCT02786537)
Timeframe: Baseline- On Treatment (up to 16 weeks)
Intervention | score on a scale (Median) |
---|---|
EBR/GZR With RBV | 0.0 |
EBR/GZR | 0.0 |
SOF/LDV With RBV | 0.0 |
SOF/LDV | 0.0 |
The number of participants with adverse events that led to early treatment discontinuation (defined as duration less than originally prescribed treatment regimen) (NCT02786537)
Timeframe: Treatment start date through treatment completion (up to 24 weeks)
Intervention | Participants (Count of Participants) |
---|---|
EBR/GZR Regimen | 12 |
SOF/LDV Regimen | 4 |
"SVR (Sustained Virologic Response) 12 will be defined as undetectable hepatitis C virus (HCV) RNA at 12 week follow-up visit (12 -24 weeks after HCV treatment discontinuation as dictated by standard of care at each individual site).~Number of subjects reflects participants randomized during Phase 1 only." (NCT02786537)
Timeframe: 12 -24 weeks post-treatment
Intervention | Participants (Count of Participants) |
---|---|
EBR/GZR With RBV | 9 |
EBR/GZR | 108 |
SOF/LDV With RBV | 6 |
SOF/LDV | 88 |
PrOD With RBV | 77 |
PrOD (Phase 1 Only) | 42 |
"SVR (Sustained Virologic Response) 12 will be defined as patients who have undetectable hepatitis C virus (HCV) RNA at 12 week follow-up visit (12 -24 weeks after HCV treatment discontinuation as dictated by standard of care at each individual site).~mITT with imputation (missing=failure). Total number of subjects reflects participants from Phase 1 only." (NCT02786537)
Timeframe: 12 weeks post-treatment
Intervention | Participants (Count of Participants) |
---|---|
EBR/GZR With RBV | 9 |
EBR/GZR | 108 |
SOF/LDV With RBV | 6 |
SOF/LDV | 88 |
PrOD With RBV | 77 |
PrOD | 42 |
"SVR (Sustained Virologic Response) 12 will be defined as undetectable hepatitis C virus (HCV) RNA at 12 week follow-up visit (12 -24 weeks after HCV treatment discontinuation as dictated by standard of care at each individual site).~Number of subjects reflects participants who started EBR/GZR or SOF/LDV- based treatment (with or without RBV) during Phase 1 and 2." (NCT02786537)
Timeframe: 12-24 weeks post HCV treatment
Intervention | Participants (Count of Participants) |
---|---|
EBR/GZR With RBV | 40 |
EBR/GZR | 516 |
SOF/LDV With RBV | 14 |
SOF/LDV | 335 |
Mean change (delta) in FIB-4, an indirect non-invasive measure of liver fibrosis, calculated as baseline median -long term follow up median, following SVR after any of the study treatment regimens. Change in FIB-4 where negative values indicate improvement in liver fibrosis score and positive values indicate worsening of fibrosis score. There is no upper or lower limit for change. FIB-4 = age (years) * AST(IU/L)/Platelets (10^3/L) * ALT^.5(IU/L). In general, Score of 0-1.29 is low risk for advanced fibrosis, 1.30-1.67: intermediate risk for advanced liver fibrosis, >2.67: high risk for advanced fibrosis. (NCT02786537)
Timeframe: Baseline to up to 3 years post treatment discontinuation
Intervention | score on a scale (Median) |
---|---|
EBR/GZR, SOF/LDV or PrOD Based HCV Treatment | -1.36 |
"SVR (Sustained Virologic Response) 12 will be defined as undetectable hepatitis C virus (HCV) RNA at 12 week follow-up visit (12 -24 weeks after HCV treatment discontinuation at discretion of provider).~mITT with imputation (missing=failure). Total number of subjects reflects participants from EBR/GZR with or without RBV and SOF/LDV with or without RBV randomized during Phase 1 and Phase 2." (NCT02786537)
Timeframe: 12 weeks post-treatment
Intervention | Participants (Count of Participants) |
---|---|
EBR/GZR With RBV | 40 |
EBR/GZR | 516 |
SOF/LDV With RBV | 14 |
SOF/LDV | 335 |
"The Voils Medication Adherence Survey (VMAS) was used to evaluate medication adherence during HCV treatment. Participants responded to three questions about the extent of adherence during the past seven days of treatment (during early and late on-treatment occasions). Participants responded using a five-point ordinal scale of missed dosing from 1 (none of the time) to 5 (all of the time). On each occasion participants were coded as being Non-adherent if any response was > 1, otherwise they were coded as Adherent. Probability estimates of percentage of patients reporting non-adherence were calculated per HCV treatment (Direct Acting Antiviral-DAA) regimen: 1)EBR/GZV (elbasvir/grazoprevir, 2)SOF/LDV (sofosbuvir/ledipasvir), 3)PrOD" (NCT02786537)
Timeframe: 12-16 weeks of HCV treatment
Intervention | percentage of patients (Number) |
---|---|
EBR/GZR | 23 |
SOF/LDV | 19 |
PrOD | 26 |
"HCV-PRO score, a validated PROMIS survey used to evaluate overall functioning and well-being in HCV patients, was utilized to compare long-term 'within treatment' changes of functional well-being. In general, lower score is worst outcome and higher scores indicate greater well-being and functioning. However, for ease of interpretation, HCV-PRO scale has been transformed by using '100 - HCV-PRO' ultimately revising the score to mean 0 (lowest score) is best to 100 (worst outcome). A positive estimate (Post treatment to baseline) suggests baseline functional well-being improvement.~Total score = (SUM-N)/(4*N)*100, where N is the number of questions answered." (NCT02786537)
Timeframe: Treatment start date up to 2 years post-treatment
Intervention | score on a scale (Mean) | |
---|---|---|
9 months post treatment | 20 months post treatment | |
EBR/GZR Regimen | 8.02 | 9.87 |
SOF/LDV Regimen | 9.90 | 11.54 |
Change in HCV-associated symptoms was calculated as the mean differences of mean scores from multiple surveys from the NIH Patient-Reported Outcomes Measurement Information System (PROMIS)-- Fatigue, nausea, belly pain, sleep disturbance, and diarrhea) and functional status (well-being) when comparing baseline to early post-treatment and late post treatment surveys. Mean change scores were calculated by comparing baseline to early post-treatment (1 yr) and late post-treatment (approximately 3 years) surveys. T-scores for the PROMIS Nausea and Vomiting 4a scale range from 45.0 - 80.1. Higher scores indicate worse nausea. Negative values for mean change represent improvement.Negative numbers suggest better symptoms (improvement in HCV-associated symptoms). PROMIS Fatigue Score scale per question: 1=Never, 2=Rarely, 3=Sometimes, 4=Often, 5=Always with 7 questions for a total maximum score of 35.HCV-PRO positive estimates suggest baseline functional well-being improvement. (NCT02786537)
Timeframe: 1 year post treatment discontinuation (Early post-tx)
Intervention | units on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Nausea | Belly Pain | Diarrhea | Fatigue | Sleep Disturbance | Cognitive Impairment | HCV-PRO | |
EBR/GZR Regimen | 0.00 | -0.82 | -1.12 | -2.08 | 0.65 | -0.54 | 8.02 |
SOF/LDV Regimen | -4.99 | -6.47 | -5.77 | -7.59 | -1.72 | -4.48 | 9.90 |
Number of participants who achieved SVR (sustained virologic response), defined as undetectable HCV RNA 12 weeks post-treatment with RASs (Resistant Associated Substitutions) after treatment with EBR/GZR or SOF/LDV regimen (NCT02786537)
Timeframe: 12 weeks post HCV treatment
Intervention | Participants (Count of Participants) | |
---|---|---|
With NS5a RAS | Without NS5a RAS | |
EBR/GZR Regimen | 47 | 485 |
SOF/LDV Regimen | 42 | 286 |
DCR was calculated as the percentage of participants with a best overall response (BOR) of CR, PR, or stable disease (SD). CR was defined as disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. Two sets of DCR were considered, one for confirmed and one for unconfirmed responses. Results are reported for confirmed and unconfirmed responses combined. SD: Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for PD. DCR was based on central review. (NCT01909453)
Timeframe: From randomization until disease progression or death, whichever occurred first (up to 29 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 35 months for Part 2 and Part 1 LGX 300 mg group)
Intervention | percentage of participants (Number) |
---|---|
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 92.2 |
Part 1: LGX818 300 mg | 84.0 |
Part 1: Vemurafenib 960 mg BID | 81.7 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 90.7 |
Part 2: LGX818 300 mg | 79.1 |
Part 1 + Part 2: LGX818 300 mg | 82.5 |
DOR was calculated, as the time from the date of first documented response (CR or PR) to the first documented progression or death due to underlying cancer. DOR was estimated for responders (i.e. participants achieving at least once CR or PR) only using a Kaplan-Meier method. CR was defined as disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. If a participant with a CR or PR had no progression or death due to underlying disease, the participant was censored at the date of last adequate tumor assessment. Results are based on confirmed BIRC response. (NCT01909453)
Timeframe: From randomization until disease progression, censoring date or death, whichever occurred first (up to 29 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 35 months for Part 2 and Part 1 LGX 300 mg group)
Intervention | months (Median) |
---|---|
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 16.6 |
Part 1: LGX818 300 mg | 15.2 |
Part 1: Vemurafenib 960 mg BID | 12.3 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 12.7 |
Part 2: LGX818 300 mg | 7.5 |
Part 1 + Part 2: LGX818 300 mg | 12.9 |
ORR, calculated as the percentage of participants with a best overall response of complete response (CR) or partial response (PR). CR was defined as disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm. PR was defined as at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. Results are reported for confirmed BIRC response. (NCT01909453)
Timeframe: From randomization until disease progression, censoring date or death, whichever occurred first (up to 29 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 35 months for Part 2 and Part 1 LGX 300 mg group)
Intervention | percentage of participants (Number) |
---|---|
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 63.0 |
Part 1: LGX818 300 mg | 50.5 |
Part 1: Vemurafenib 960 mg BID | 40.3 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 65.9 |
Part 2: LGX818 300 mg | 50.0 |
Part 1 + Part 2: LGX818 300 mg | 50.4 |
ECOG: participant's performance status was measured on a 6-point scale: 0= fully active/able to carry on all pre-disease activities without restriction; 1= restricted in physically strenuous activity but ambulatory and able to carry out work of a light and sedentary nature; 2= ambulatory and capable of all self-care, but unable to carry out any work activities, up and about more than 50 percent (%) of waking hours; 3= capable of only limited self-care, confined to bed/chair >50% of waking hours; 4= completely disabled, cannot carry on any self-care, totally confined to bed/chair: 5= dead. Definitive deterioration was defined as death due to any cause or decrease in ECOG PS by at least one category from baseline score with no subsequent improvement. (NCT01909453)
Timeframe: Baseline up to 30 days from last dose of study drug (up to 30 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 36 months for Part 2 and Part 1 LGX 300 mg group)
Intervention | months (Median) |
---|---|
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | NA |
Part 1: LGX818 300 mg | 26.7 |
Part 1: Vemurafenib 960 mg BID | 18.2 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | NA |
Part 2: LGX818 300 mg | 10.2 |
Part 1 + Part 2: LGX818 300 mg | 19.2 |
FACT-M:melanoma specific questionnaire to assess participant health-related quality of life. Melanoma specific subscale consists of 16 items related to signs,symptoms,physical/social activities most relevant to participants with advanced-stage melanoma. Other items include physical, functional and social/family well-being (7 items each),emotional well-being (6 items),surgery specific concerns related to melanoma(8 items,not included in this study). Each item range from 0(not at all) to 4(very much), combined to produce subscale scores.Total score range for FACT-M excluding surgery specific items is 0 to 172,higher scores represent better quality of life.Melanoma subscale score range from 0(worst response) to 64(best response),higher score indicated better quality of life. Time to definitive 10% deterioration:time from date of randomization to date of event with at least 10% relative to baseline worsening of corresponding scale score with no later improvement or death due to any cause. (NCT01909453)
Timeframe: Date of randomization to date of event or death due to any cause, which ever occurred first (up to 29 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 35 months for Part 2 and Part 1 LGX 300 mg group)
Intervention | months (Median) |
---|---|
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | NA |
Part 1: LGX818 300 mg | 30.5 |
Part 1: Vemurafenib 960 mg BID | 22.1 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | NA |
Part 2: LGX818 300 mg | NA |
Part 1 + Part 2: LGX818 300 mg | 20.5 |
"EORTC QLQ-C30 is 30 item questionnaire composed of 5 multi-item functional subscales (physical, role, cognitive, emotional, social functioning), 3 multi-item symptom scales (fatigue, nausea/vomiting, and pain), global health/quality of life (QOL) subscale and 6 single items assessing other cancer related symptoms (dyspnea, sleep disturbance, appetite, diarrhea, constipation and financial impact of cancer). It employed twenty-eight 4 point Likert scales with responses from not at all to very much and two 7 point Likert scales for global health and overall QOL. Global health status scale score ranged from 0 to 100. Higher score represented better level of functioning. Time to definitive 10% deterioration: time from date of randomization to date of event with at least 10% relative to baseline worsening of corresponding scale score with no later improvement or death due to any cause." (NCT01909453)
Timeframe: Date of randomization to date of event or death due to any cause, which ever occurred first (maximum up to 29 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 35 months for Part 2 and Part 1 LGX 300 mg group)
Intervention | months (Median) |
---|---|
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 23.9 |
Part 1: LGX818 300 mg | 14.7 |
Part 1: Vemurafenib 960 mg BID | 16.6 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 18.4 |
Part 2: LGX818 300 mg | 9.5 |
Part 1 + Part 2: LGX818 300 mg | 11.1 |
TTR was the time between date of randomization until first documented response of CR or PR. Participants who did not achieve a PR or CR were censored at the last adequate tumor assessment date when they did not have a PFS event or at maximum follow-up (i.e. first patient first visit [FPFV] to last patient last visit [LPLV] used for the analysis) when they had a PFS event. CR was defined as disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. TTR was estimated in the treatment arms using a Kaplan-Meier method. TTR was based on central review. (NCT01909453)
Timeframe: From randomization until disease progression, censoring date or death, whichever occurred first (up to 29 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 35 months for Part 2 and Part 1 LGX 300 mg group)
Intervention | months (Median) |
---|---|
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 1.9 |
Part 1: LGX818 300 mg | 2.0 |
Part 1: Vemurafenib 960 mg BID | 2.1 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 1.9 |
Part 2: LGX818 300 mg | 1.9 |
Part 1 + Part 2: LGX818 300 mg | 1.9 |
PFS was defined as the time from the date of randomization to the date of the first documented disease progression (PD) or death due to any cause, whichever occurs first. PFS was determined based on tumor assessment (RECIST version 1.1 criteria) as per BIRC and survival information. If a participant did not had an event at the time of the analysis cut-off or at the start of any new anti-cancer therapy, data was censored at the date of last adequate tumor assessment. PD was defined as at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 mm^2. (NCT01909453)
Timeframe: From randomization until documented disease progression (PD), initiation of new anti-cancer therapy, censoring date or death, whichever occurred first (up to 29 months), excluding Part 1: LGX818 300 mg group; up to 35 months for Part 1: LGX 300 mg group
Intervention | months (Median) |
---|---|
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 14.9 |
Part 1: LGX818 300 mg | 9.6 |
PFS was defined as the time from the date of randomization to the date of the first documented disease progression (PD) or death due to any cause, whichever occurs first. PFS was determined based on tumor assessment (RECIST version 1.1 criteria) as per BIRC/central review and survival information. If a participant did not had an event at the time of the analysis cut-off or at the start of any new anti-cancer therapy, data was censored at the date of last adequate tumor assessment. PD was defined as at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 square millimeter (mm^2). (NCT01909453)
Timeframe: From randomization until documented disease progression (PD), initiation of new anti-cancer therapy, censoring date or death, whichever occurred first (up to 29 months)
Intervention | months (Median) |
---|---|
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 14.9 |
Part 1: Vemurafenib 960 mg BID | 7.3 |
PFS was defined as the time from the date of randomization to the date of the first documented disease progression (PD) or death due to any cause, whichever occurs first. PFS was determined based on tumor assessment (RECIST version 1.1 criteria) as per BIRC and survival information. If a participant did not had an event at the time of the analysis cut-off or at the start of any new anti-cancer therapy, data was censored at the date of last adequate tumor assessment. PD was defined as at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 mm^2. (NCT01909453)
Timeframe: From randomization until documented disease progression (PD), initiation of new anti-cancer therapy, censoring date or death, whichever occurred first (up to 35 months)
Intervention | months (Median) |
---|---|
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 12.9 |
Part 2: LGX818 300 mg | 7.4 |
Part 1 + Part 2: LGX818 300 mg | 9.2 |
"EORTC QLQ-C30 contains 30 items and is composed of multi-item and single-item measures. These include 5 functional scales (physical, role, emotional, cognitive and social functioning), 3 symptom scales (fatigue, nausea/vomiting, and pain), 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial impact) and a global health status/quality of life (QOL) scale. The questionnaire employs 28 4-point Likert scales with responses from not at all to very much and two 7-point Likert scales for global health and overall QOL. Responses to all items converted to 0 to 100 scale. For functional and global QOL scales, higher scores represent a better level of functioning/QOL. For symptom-oriented scales, a higher score represented more severe symptoms." (NCT01909453)
Timeframe: Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Intervention | units on a scale (Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Change at Cycle 3 Day 1 | Change at Cycle 5 Day 1 | Change at Cycle 7 Day 1 | Change at Cycle 9 Day 1 | Change at Cycle 11 Day 1 | Change at Cycle 13 Day 1 | Change at Cycle 15 Day 1 | Change at Cycle 17 Day 1 | Change at Cycle 19 Day 1 | Change at Cycle 21 Day 1 | Change at End of treatment visit | |
Part 2: LGX818 300 mg | 74.20 | 1.79 | 2.96 | -3.62 | -0.60 | -2.69 | -6.41 | -2.12 | 1.79 | 2.78 | 16.67 | 5.56 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 73.04 | 7.29 | 6.15 | 9.37 | 9.22 | 10.56 | 8.66 | 10.59 | 10.33 | 8.33 | 13.13 | -4.17 |
"EORTC QLQ-C30 contains 30 items and is composed of multi-item and single-item measures. These include 5 functional scales (physical, role, emotional, cognitive and social functioning), 3 symptom scales (fatigue, nausea/vomiting, and pain), 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial impact) and a global health status/quality of life (QOL) scale. The questionnaire employs 28 4-point Likert scales with responses from not at all to very much and two 7-point Likert scales for global health and overall QOL. Responses to all items converted to 0 to 100 scale. For functional and global QOL scales, higher scores represent a better level of functioning/QOL. For symptom-oriented scales, a higher score represented more severe symptoms." (NCT01909453)
Timeframe: Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Intervention | units on a scale (Mean) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Change at Cycle 3 Day 1 | Change at Cycle 5 Day 1 | Change at Cycle 7 Day 1 | Change at Cycle 9 Day 1 | Change at Cycle 11 Day 1 | Change at Cycle 13 Day 1 | Change at Cycle 15 Day 1 | Change at Cycle 17 Day 1 | Change at Cycle 19 Day 1 | Change at Cycle 21 Day 1 | Change at Cycle 23 Day 1 | Change at Cycle 25 Day 1 | Change at End of treatment visit | |
Part 1 + Part 2: LGX818 300 mg | 74.38 | 0.32 | 1.98 | -0.91 | 1.26 | -0.74 | 0.83 | 1.30 | 3.26 | 1.27 | -0.76 | 2.94 | -0.32 | -0.83 |
Part 1: LGX818 300 mg | 74.46 | -0.34 | 1.54 | 0.34 | 2.15 | 0.12 | 3.78 | 2.30 | 3.64 | 1.00 | -1.16 | 2.94 | -0.32 | -3.57 |
Part 1: Vemurafenib 960 mg BID | 72.31 | 1.88 | 2.03 | 2.71 | -0.17 | 4.53 | -2.25 | -5.46 | -1.39 | 0.38 | -3.13 | -0.69 | -1.19 | 12.50 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 74.68 | 3.23 | 5.37 | 5.42 | 4.47 | 4.81 | 3.52 | 7.35 | 5.33 | 4.25 | 4.17 | -1.74 | 3.92 | 41.67 |
EQ-5D-5L is a standardized participant completed questionnaire that measures health status in terms of a single index value or utility score. EQ-5D-5L consisted of two components: a health state profile (descriptive system) and a visual analogue scale (VAS) in which participants rate their overall health status from 0 (worst imaginable) to 100 (best imaginable), where higher scores indicated better health status. EQ-5D health state profile is comprised of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems. EQ-5D-5L health status index score range between 0 to 1. Higher score indicated better health status. (NCT01909453)
Timeframe: Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Intervention | units on a scale (Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Change at Cycle 3 Day 1 | Change at Cycle 5 Day 1 | Change at Cycle 7 Day 1 | Change at Cycle 9 Day 1 | Change at Cycle 11 Day 1 | Change at Cycle 13 Day 1 | Change at Cycle 15 Day 1 | Change at Cycle 17 Day 1 | Change at Cycle 19 Day 1 | Change at Cycle 21 Day 1 | Change at End of treatment visit | |
Part 2: LGX818 300 mg | 0.73 | -0.06 | -0.06 | -0.16 | -0.11 | -0.16 | -0.20 | -0.26 | -0.20 | -0.11 | -0.11 | -0.06 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 0.75 | 0.06 | 0.07 | 0.06 | 0.07 | 0.06 | 0.05 | 0.05 | 0.06 | 0.05 | 0.12 | -0.27 |
EQ-5D-5L is a standardized participant completed questionnaire that measures health status in terms of a single index value or utility score. EQ-5D-5L consisted of two components: a health state profile (descriptive system) and a visual analogue scale (VAS) in which participants rate their overall health status from 0 (worst imaginable) to 100 (best imaginable), where higher scores indicated better health status. EQ-5D health state profile is comprised of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems. EQ-5D-5L health status index score range between 0 to 1. Higher score indicated better health status. (NCT01909453)
Timeframe: Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Intervention | units on a scale (Mean) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Change at Cycle 3 Day 1 | Change at Cycle 5 Day 1 | Change at Cycle 7 Day 1 | Change at Cycle 9 Day 1 | Change at Cycle 11 Day 1 | Change at Cycle 13 Day 1 | Change at Cycle 15 Day 1 | Change at Cycle 17 Day 1 | Change at Cycle 19 Day 1 | Change at Cycle 21 Day 1 | Change at Cycle 23 Day 1 | Change at Cycle 25 Day 1 | Change at End of treatment visit | |
Part 1 + Part 2: LGX818 300 mg | 0.75 | -0.09 | -0.13 | -0.14 | -0.14 | -0.17 | -0.18 | -0.20 | -0.15 | -0.17 | -0.14 | -0.11 | -0.11 | -0.08 |
Part 1: LGX818 300 mg | 0.76 | -0.10 | -0.15 | -0.13 | -0.15 | -0.18 | -0.17 | -0.18 | -0.14 | -0.18 | -0.14 | -0.11 | -0.11 | -0.09 |
Part 1: Vemurafenib 960 mg BID | 0.73 | 0.00 | -0.04 | -0.03 | -0.04 | -0.01 | -0.02 | -0.07 | -0.02 | -0.02 | -0.04 | -0.05 | -0.17 | -0.14 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 0.74 | 0.05 | 0.04 | 0.05 | 0.03 | 0.04 | 0.05 | 0.05 | 0.07 | 0.03 | 0.07 | 0.04 | 0.07 | 0.03 |
"EORTC QLQ-C30 contains 30 items and is composed of multi-item and single-item measures. These include 5 functional scales (physical, role, emotional, cognitive and social functioning), 3 symptom scales (fatigue, nausea/vomiting, and pain), 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial impact) and a global health status/quality of life (QOL) scale. The questionnaire employs 28 4-point Likert scales with responses from not at all to very much and two 7-point Likert scales for global health and overall QOL. Responses to all items converted to 0 to 100 scale. For functional and global QOL scales, higher scores represent a better level of functioning/QOL. For symptom-oriented scales, a higher score represents more severe symptoms." (NCT01909453)
Timeframe: Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Intervention | units on a scale (Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Change at Cycle 3 Day 1 | Change at Cycle 5 Day 1 | Change at Cycle 7 Day 1 | Change at Cycle 9 Day 1 | Change at Cycle 11 Day 1 | Change at Cycle 13 Day 1 | Change at Cycle 15 Day 1 | Change at Cycle 17 Day 1 | Change at Cycle 19 Day 1 | Change at Cycle 21 Day 1 | Change at End of treatment visit | |
Part 2: LGX818 300 mg | 67.39 | -4.95 | -4.72 | -7.08 | -8.73 | -7.53 | -9.29 | -12.75 | -7.14 | -0.93 | 0.00 | 4.17 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 65.95 | 4.47 | 5.61 | 5.01 | 4.94 | 4.76 | 5.89 | 6.11 | 5.86 | 1.23 | 3.03 | -6.25 |
"EORTC QLQ-C30 contains 30 items and is composed of multi-item and single-item measures. These include 5 functional scales (physical, role, emotional, cognitive and social functioning), 3 symptom scales (fatigue, nausea/vomiting, and pain), 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial impact) and a global health status/quality of life (QOL) scale. The questionnaire employs 28 4-point Likert scales with responses from not at all to very much and two 7-point Likert scales for global health and overall QOL. Responses to all items converted to 0 to 100 scale. For functional and global QOL scales, higher scores represent a better level of functioning/QOL. For symptom-oriented scales, a higher score represents more severe symptoms." (NCT01909453)
Timeframe: Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Intervention | units on a scale (Mean) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Change at Cycle 3 Day 1 | Change at Cycle 5 Day 1 | Change at Cycle 7 Day 1 | Change at Cycle 9 Day 1 | Change at Cycle 11 Day 1 | Change at Cycle 13 Day 1 | Change at Cycle 15 Day 1 | Change at Cycle 17 Day 1 | Change at Cycle 19 Day 1 | Change at Cycle 21 Day 1 | Change at Cycle 23 Day 1 | Change at Cycle 25 Day 1 | Change at End of treatment visit | |
Part 1 + Part 2: LGX818 300 mg | 66.48 | -6.81 | -7.87 | -8.53 | -10.96 | -10.13 | -8.80 | -10.56 | -7.85 | -8.05 | -10.80 | -5.64 | -7.05 | 4.63 |
Part 1: LGX818 300 mg | 66.07 | -7.64 | -9.24 | -9.21 | -12.03 | -11.27 | -8.59 | -9.91 | -8.03 | -9.33 | -11.05 | -5.64 | -7.05 | 4.76 |
Part 1: Vemurafenib 960 mg BID | 64.74 | -3.46 | -4.05 | -3.04 | -6.94 | -3.80 | -2.93 | -10.34 | -6.94 | -1.89 | -8.85 | -3.47 | -2.38 | -4.17 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 66.72 | 3.56 | 1.55 | 1.53 | -0.55 | 0.81 | 0.42 | 5.02 | 0.41 | -0.51 | 0.74 | -1.39 | 1.96 | 0.00 |
"EORTC QLQ-C30 contains 30 items and is composed of multi-item and single-item measures. These include 5 functional scales (physical, role, emotional, cognitive and social functioning), 3 symptom scales (fatigue, nausea/vomiting, and pain), 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial impact) and a global health status/quality of life (QOL) scale. The questionnaire employs 28 4-point Likert scales with responses from not at all to very much and two 7-point Likert scales for global health and overall QOL. Responses to all items converted to 0 to 100 scale. For functional and global QOL scales, higher scores represented a better level of functioning/QOL. For symptom-oriented scales, a higher score represented more severe symptoms." (NCT01909453)
Timeframe: Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Intervention | units on a scale (Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Change at Cycle 3 Day 1 | Change at Cycle 5 Day 1 | Change at Cycle 7 Day 1 | Change at Cycle 9 Day 1 | Change at Cycle 11 Day 1 | Change at Cycle 13 Day 1 | Change at Cycle 15 Day 1 | Change at Cycle 17 Day 1 | Change at Cycle 19 Day 1 | Change at Cycle 21 Day 1 | Change at End of treatment visit | |
Part 2: LGX818 300 mg | 81.45 | -13.63 | -12.63 | -17.01 | -15.83 | -13.49 | -13.85 | -24.31 | -19.05 | -14.07 | -13.33 | -4.44 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 80.67 | 2.94 | 2.73 | 1.22 | 3.03 | 0.50 | 0.47 | -0.40 | -0.88 | -5.71 | -8.48 | -5.00 |
"EORTC QLQ-C30 contains 30 items and is composed of multi-item and single-item measures. These include 5 functional scales (physical, role, emotional, cognitive and social functioning), 3 symptom scales (fatigue, nausea/vomiting, and pain), 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial impact) and a global health status/quality of life (QOL) scale. The questionnaire employs 28 4-point Likert scales with responses from not at all to very much and two 7-point Likert scales for global health and overall QOL. Responses to all items converted to 0 to 100 scale. For functional and global QOL scales, higher scores represented a better level of functioning/QOL. For symptom-oriented scales, a higher score represented more severe symptoms." (NCT01909453)
Timeframe: Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Intervention | units on a scale (Mean) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Change at Cycle 3 Day 1 | Change at Cycle 5 Day 1 | Change at Cycle 7 Day 1 | Change at Cycle 9 Day 1 | Change at Cycle 11 Day 1 | Change at Cycle 13 Day 1 | Change at Cycle 15 Day 1 | Change at Cycle 17 Day 1 | Change at Cycle 19 Day 1 | Change at Cycle 21 Day 1 | Change at Cycle 23 Day 1 | Change at Cycle 25 Day 1 | Change at End of treatment visit | |
Part 1 + Part 2: LGX818 300 mg | 82.63 | -13.74 | -15.74 | -16.49 | -18.27 | -19.87 | -18.22 | -21.18 | -18.91 | -19.14 | -16.78 | -14.46 | -15.93 | -2.00 |
Part 1: LGX818 300 mg | 83.18 | -13.79 | -17.14 | -16.26 | -19.43 | -22.65 | -20.00 | -20.26 | -18.88 | -20.07 | -16.86 | -14.46 | -15.93 | -0.95 |
Part 1: Vemurafenib 960 mg BID | 80.71 | -2.90 | -7.45 | -6.98 | -6.82 | -4.11 | -6.30 | -6.22 | -3.27 | -1.90 | -4.90 | -2.22 | -4.76 | -15.00 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 82.10 | 0.20 | 0.15 | -1.93 | -0.45 | -0.85 | -1.25 | 0.29 | -0.03 | -1.22 | -0.95 | -5.00 | -5.49 | 33.33 |
"EORTC QLQ-C30 contains 30 items and is composed of multi-item and single-item measures. These include 5 functional scales (physical, role, emotional, cognitive and social functioning), 3 symptom scales (fatigue, nausea/vomiting, and pain), 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial impact) and a global health status/quality of life (QOL) scale. The questionnaire employs 28 4-point Likert scales with responses from not at all to very much and two 7-point Likert scales for global health and overall QOL. Responses to all items converted to 0 to 100 scale. For functional and global QOL scales, higher scores represented a better level of functioning/QOL. For symptom-oriented scales, a higher score represented more severe symptoms." (NCT01909453)
Timeframe: Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Intervention | units on a scale (Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Change at Cycle 3 Day 1 | Change at Cycle 5 Day 1 | Change at Cycle 7 Day 1 | Change at Cycle 9 Day 1 | Change at Cycle 11 Day 1 | Change at Cycle 13 Day 1 | Change at Cycle 15 Day 1 | Change at Cycle 17 Day 1 | Change at Cycle 19 Day 1 | Change at Cycle 21 Day 1 | Change at End of treatment visit | |
Part 2: LGX818 300 mg | 78.31 | -10.00 | -5.11 | -13.89 | -9.52 | -12.37 | -5.77 | -15.69 | -7.14 | -12.96 | -33.33 | 0.00 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 81.37 | 4.05 | 3.37 | 3.05 | 3.66 | 1.95 | 1.75 | 2.86 | 1.59 | 1.23 | 4.55 | -16.67 |
"EORTC QLQ-C30 contains 30 items and is composed of multi-item and single-item measures. These include 5 functional scales (physical, role, emotional, cognitive and social functioning), 3 symptom scales (fatigue, nausea/vomiting, and pain), 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial impact) and a global health status/quality of life (QOL) scale. The questionnaire employs 28 4-point Likert scales with responses from not at all to very much and two 7-point Likert scales for global health and overall QOL. Responses to all items converted to 0 to 100 scale. For functional and global QOL scales, higher scores represented a better level of functioning/QOL. For symptom-oriented scales, a higher score represented more severe symptoms." (NCT01909453)
Timeframe: Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Intervention | units on a scale (Mean) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Change at Cycle 3 Day 1 | Change at Cycle 5 Day 1 | Change at Cycle 7 Day 1 | Change at Cycle 9 Day 1 | Change at Cycle 11 Day 1 | Change at Cycle 13 Day 1 | Change at Cycle 15 Day 1 | Change at Cycle 17 Day 1 | Change at Cycle 19 Day 1 | Change at Cycle 21 Day 1 | Change at Cycle 23 Day 1 | Change at Cycle 25 Day 1 | Change at End of treatment visit | |
Part 1 + Part 2: LGX818 300 mg | 80.09 | -10.59 | -9.80 | -11.11 | -13.70 | -12.54 | -9.74 | -11.78 | -10.54 | -12.43 | -15.15 | -6.37 | -7.05 | -13.33 |
Part 1: LGX818 300 mg | 80.91 | -10.86 | -11.92 | -9.80 | -15.71 | -12.62 | -11.38 | -10.63 | -11.42 | -12.33 | -14.73 | -6.37 | -7.05 | -19.05 |
Part 1: Vemurafenib 960 mg BID | 78.54 | -4.90 | -7.21 | -2.75 | -1.99 | -0.36 | -0.45 | -6.32 | 1.39 | 3.79 | -3.13 | 1.39 | 4.76 | -8.33 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 80.69 | -0.66 | 3.26 | 2.82 | 1.57 | -2.72 | -4.27 | 3.73 | 1.11 | -1.04 | -1.52 | -12.32 | -5.21 | 25.00 |
FACT-M: melanoma specific questionnaire to assess participant health-related quality of life. Melanoma specific subscale consists of 16 items related to signs, symptoms, physical/social activities most relevant to participants with advanced-stage melanoma. Other items include physical, functional and social/family well-being (7 items each),emotional well-being (6 items),surgery specific concerns related to melanoma(8 items, not included in this study). Each item range from 0(not at all) to 4(very much), combined to produce subscale scores. Total score range for FACT-M excluding surgery specific items is 0 to 172,higher scores represented better quality of life. Melanoma subscale score range from 0(worst response) to 64(best response),higher score indicated better quality of life. (NCT01909453)
Timeframe: Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Intervention | units on a scale (Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Change at Cycle 3 Day 1 | Change at Cycle 5 Day 1 | Change at Cycle 7 Day 1 | Change at Cycle 9 Day 1 | Change at Cycle 11 Day 1 | Change at Cycle 13 Day 1 | Change at Cycle 15 Day 1 | Change at Cycle 17 Day 1 | Change at Cycle 19 Day 1 | Change at Cycle 21 Day 1 | Change at End of treatment visit | |
Part 2: LGX818 300 mg | 51.13 | -2.16 | -0.60 | -3.14 | -1.83 | -2.41 | -3.31 | -4.14 | -2.64 | 0.00 | -2.00 | -1.61 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 52.08 | 2.79 | 2.58 | 2.64 | 3.23 | 2.54 | 1.97 | 2.08 | 2.45 | 1.23 | 2.58 | 6.58 |
FACT-M: melanoma specific questionnaire to assess participant health-related quality of life. Melanoma specific subscale consists of 16 items related to signs, symptoms, physical/social activities most relevant to participants with advanced-stage melanoma. Other items include physical, functional and social/family well-being (7 items each),emotional well-being (6 items),surgery specific concerns related to melanoma(8 items, not included in this study). Each item range from 0(not at all) to 4(very much), combined to produce subscale scores. Total score range for FACT-M excluding surgery specific items is 0 to 172,higher scores represented better quality of life. Melanoma subscale score range from 0(worst response) to 64(best response),higher score indicated better quality of life. (NCT01909453)
Timeframe: Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Intervention | units on a scale (Mean) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Change at Cycle 3 Day 1 | Change at Cycle 5 Day 1 | Change at Cycle 7 Day 1 | Change at Cycle 9 Day 1 | Change at Cycle 11 Day 1 | Change at Cycle 13 Day 1 | Change at Cycle 15 Day 1 | Change at Cycle 17 Day 1 | Change at Cycle 19 Day 1 | Change at Cycle 21 Day 1 | Change at Cycle 23 Day 1 | Change at Cycle 25 Day 1 | Change at End of treatment visit | |
Part 1: Vemurafenib 960 mg BID | 52.01 | -1.55 | -1.90 | -2.19 | -1.90 | -0.51 | -0.97 | -1.72 | 0.70 | 0.23 | -3.33 | -0.17 | -0.14 | -2.31 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 52.39 | 0.92 | -0.01 | 1.35 | 0.52 | 0.18 | -0.33 | 0.40 | 0.27 | -0.59 | -0.69 | -1.67 | -1.83 | 18.50 |
Part 1 + Part 2: LGX818 300 mg | 52.24 | -3.14 | -2.78 | -3.08 | -2.39 | -3.29 | -2.88 | -2.88 | -1.88 | -2.38 | -2.58 | -1.38 | -1.00 | -3.81 |
Part 1: LGX818 300 mg | 52.76 | -3.58 | -3.77 | -3.05 | -2.69 | -3.67 | -2.71 | -2.48 | -1.66 | -2.80 | -2.59 | -1.38 | -1.00 | -5.18 |
ECOG: participant's performance status was measured on a 6-point scale: 0= fully active/able to carry on all pre-disease activities without restriction; 1= restricted in physically strenuous activity but ambulatory and able to carry out work of a light and sedentary nature; 2= ambulatory and capable of all self-care, but unable to carry out any work activities, up and about more than 50% of waking hours; 3= capable of only limited self-care, confined to bed/chair >50% of waking hours; 4= completely disabled, cannot carry on any self-care, totally confined to bed/chair: 5= dead. (NCT01909453)
Timeframe: Part 1 and Part 2: Baseline, Day 1 of each cycle (Cycle 2 to Cycle 31)
Intervention | Participants (Count of Participants) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline: ECOG score 0 | Baseline: ECOG score 1 | Cycle 2 Day 1: ECOG score 0 | Cycle 2 Day 1: ECOG score 1 | Cycle 2 Day 1: ECOG score 2 | Cycle 2 Day 1: ECOG score 3 | Cycle 2 Day 1: ECOG score 4 | Cycle 3 Day 1: ECOG score 0 | Cycle 3 Day 1: ECOG score 1 | Cycle 3 Day 1: ECOG score 2 | Cycle 4 Day 1: ECOG score 0 | Cycle 4 Day 1: ECOG score 1 | Cycle 4 Day 1: ECOG score 2 | Cycle 4 Day 1: ECOG score 3 | Cycle 5 Day 1: ECOG score 0 | Cycle 5 Day 1: ECOG score 1 | Cycle 5 Day 1: ECOG score 2 | Cycle 5 Day 1: ECOG score 3 | Cycle 5 Day 1: ECOG score 4 | Cycle 6 Day 1: ECOG score 0 | Cycle 6 Day 1: ECOG score 1 | Cycle 6 Day 1: ECOG score 2 | Cycle 6 Day 1: ECOG score 3 | Cycle 6 Day 1: ECOG score 4 | Cycle 7 Day 1: ECOG score 0 | Cycle 7 Day 1: ECOG score 1 | Cycle 7 Day 1: ECOG score 2 | Cycle 8 Day 1: ECOG score 0 | Cycle 8 Day 1: ECOG score 1 | Cycle 8 Day 1: ECOG score 2 | Cycle 8 Day 1: ECOG score 3 | Cycle 9 Day 1: ECOG score 0 | Cycle 9 Day 1: ECOG score 1 | Cycle 9 Day 1: ECOG score 2 | Cycle 9 Day 1: ECOG score 3 | Cycle 9 Day 1: ECOG score 4 | Cycle 9 Day 1: ECOG score 5 | Cycle 10 Day 1: ECOG score 0 | Cycle 10 Day 1: ECOG score 1 | Cycle 10 Day 1: ECOG score 2 | Cycle 10 Day 1: ECOG score 3 | Cycle 11 Day 1: ECOG score 0 | Cycle 11 Day 1: ECOG score 1 | Cycle 11 Day 1: ECOG score 2 | Cycle 11 Day 1: ECOG score 3 | Cycle 12 Day 1: ECOG score 0 | Cycle 12 Day 1: ECOG score 1 | Cycle 12 Day 1: ECOG score 2 | Cycle 12 Day 1: ECOG score 3 | Cycle 12 Day 1: ECOG score 4 | Cycle 13 Day 1: ECOG score 0 | Cycle 13 Day 1: ECOG score 1 | Cycle 13 Day 1: ECOG score 2 | Cycle 13 Day 1: ECOG score 4 | Cycle 14 Day 1: ECOG score 0 | Cycle 14 Day 1: ECOG score 1 | Cycle 14 Day 1: ECOG score 2 | Cycle 14 Day 1: ECOG score 3 | Cycle 14 Day 1: ECOG score 4 | Cycle 15 Day 1: ECOG score 0 | Cycle 15 Day 1: ECOG score 1 | Cycle 15 Day 1: ECOG score 2 | Cycle 15 Day 1: ECOG score 3 | Cycle 15 Day 1: ECOG score 4 | Cycle 16 Day 1: ECOG score 0 | Cycle 16 Day 1: ECOG score 1 | Cycle 16 Day 1: ECOG score 2 | Cycle 16 Day 1: ECOG score 3 | Cycle 17 Day 1: ECOG score 0 | Cycle 17 Day 1: ECOG score 1 | Cycle 17 Day 1: ECOG score 2 | Cycle 18 Day 1: ECOG score 0 | Cycle 18 Day 1: ECOG score 1 | Cycle 18 Day 1: ECOG score 2 | Cycle 18 Day 1: ECOG score 3 | Cycle 19 Day 1: ECOG score 0 | Cycle 19 Day 1: ECOG score 1 | Cycle 19 Day 1: ECOG score 2 | Cycle 20 Day 1: ECOG score 0 | Cycle 20 Day 1: ECOG score 1 | Cycle 20 Day 1: ECOG score 2 | Cycle 20 Day 1: ECOG score 3 | Cycle 21 Day 1: ECOG score 0 | Cycle 21 Day 1: ECOG score 1 | Cycle 21 Day 1: ECOG score 2 | Cycle 22 Day 1: ECOG score 0 | Cycle 22 Day 1: ECOG score 1 | Cycle 22 Day 1: ECOG score 3 | Cycle 22 Day 1: ECOG score 4 | Cycle 23 Day 1: ECOG score 0 | Cycle 23 Day 1: ECOG score 1 | Cycle 24 Day 1: ECOG score 0 | Cycle 24 Day 1: ECOG score 1 | Cycle 25 Day 1: ECOG score 0 | Cycle 25 Day 1: ECOG score 1 | Cycle 26 Day 1: ECOG score 0 | Cycle 26 Day 1: ECOG score 1 | Cycle 26 Day 1: ECOG score 2 | Cycle 27 Day 1: ECOG score 0 | Cycle 27 Day 1: ECOG score 1 | Cycle 28 Day 1: ECOG score 0 | Cycle 28 Day 1: ECOG score 1 | Cycle 29 Day 1: ECOG score 0 | Cycle 29 Day 1: ECOG score 1 | Cycle 30 Day 1: ECOG score 0 | Cycle 30 Day 1: ECOG score 1 | Cycle 31 Day 1: ECOG score 0 | Cycle 31 Day 1: ECOG score 1 | |
Part 1 + Part 2: LGX818 300 mg | 199 | 77 | 142 | 111 | 7 | 2 | 0 | 130 | 113 | 6 | 128 | 96 | 7 | 1 | 118 | 100 | 6 | 0 | 0 | 97 | 90 | 6 | 1 | 1 | 95 | 87 | 2 | 77 | 70 | 6 | 1 | 72 | 67 | 1 | 1 | 0 | 0 | 70 | 53 | 2 | 0 | 61 | 56 | 4 | 0 | 55 | 49 | 2 | 1 | 0 | 55 | 46 | 3 | 0 | 62 | 37 | 2 | 0 | 1 | 54 | 37 | 2 | 0 | 0 | 52 | 30 | 4 | 0 | 48 | 33 | 2 | 41 | 29 | 0 | 0 | 40 | 26 | 1 | 34 | 22 | 2 | 0 | 31 | 20 | 1 | 27 | 16 | 1 | 1 | 26 | 12 | 23 | 10 | 23 | 8 | 21 | 8 | 0 | 20 | 6 | 18 | 6 | 13 | 5 | 9 | 3 | 7 | 3 |
Part 1: LGX818 300 mg | 139 | 53 | 98 | 79 | 3 | 2 | 0 | 90 | 81 | 4 | 93 | 66 | 4 | 1 | 85 | 69 | 4 | 0 | 0 | 68 | 65 | 3 | 0 | 1 | 68 | 60 | 1 | 55 | 49 | 3 | 1 | 50 | 47 | 1 | 0 | 0 | 0 | 52 | 35 | 1 | 0 | 44 | 40 | 1 | 0 | 44 | 31 | 1 | 1 | 0 | 41 | 31 | 1 | 0 | 47 | 27 | 0 | 0 | 1 | 41 | 30 | 1 | 0 | 0 | 41 | 23 | 3 | 0 | 39 | 27 | 1 | 36 | 24 | 0 | 0 | 38 | 20 | 1 | 31 | 19 | 2 | 0 | 29 | 19 | 1 | 27 | 16 | 1 | 1 | 26 | 12 | 23 | 10 | 23 | 8 | 21 | 8 | 0 | 20 | 6 | 18 | 6 | 13 | 5 | 9 | 3 | 7 | 3 |
Part 1: Vemurafenib 960 mg BID | 135 | 51 | 113 | 64 | 4 | 0 | 0 | 107 | 64 | 4 | 98 | 52 | 4 | 4 | 82 | 52 | 7 | 1 | 1 | 78 | 46 | 1 | 1 | 0 | 74 | 35 | 2 | 58 | 33 | 4 | 0 | 55 | 30 | 4 | 1 | 0 | 0 | 43 | 26 | 2 | 1 | 39 | 20 | 2 | 1 | 32 | 16 | 2 | 1 | 0 | 27 | 18 | 2 | 0 | 25 | 19 | 2 | 0 | 0 | 22 | 18 | 1 | 0 | 0 | 24 | 10 | 1 | 0 | 21 | 11 | 1 | 18 | 11 | 1 | 1 | 20 | 9 | 1 | 19 | 8 | 0 | 0 | 15 | 8 | 0 | 11 | 6 | 0 | 0 | 10 | 5 | 9 | 5 | 9 | 2 | 7 | 2 | 0 | 3 | 4 | 4 | 1 | 5 | 0 | 4 | 0 | 2 | 0 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 136 | 56 | 142 | 44 | 1 | 0 | 1 | 131 | 53 | 1 | 128 | 50 | 1 | 0 | 128 | 42 | 3 | 1 | 0 | 124 | 45 | 0 | 0 | 0 | 111 | 46 | 1 | 112 | 33 | 2 | 1 | 102 | 36 | 4 | 0 | 1 | 1 | 94 | 32 | 3 | 0 | 88 | 30 | 2 | 0 | 84 | 25 | 1 | 0 | 0 | 77 | 22 | 1 | 0 | 74 | 23 | 0 | 0 | 0 | 72 | 20 | 1 | 1 | 0 | 64 | 24 | 1 | 0 | 65 | 16 | 1 | 60 | 14 | 1 | 0 | 54 | 9 | 2 | 53 | 7 | 0 | 1 | 36 | 10 | 9 | 29 | 8 | 0 | 0 | 24 | 6 | 21 | 7 | 17 | 3 | 14 | 3 | 1 | 5 | 3 | 5 | 3 | 1 | 2 | 0 | 0 | 0 | 0 |
Part 2: LGX818 300 mg | 60 | 24 | 44 | 32 | 4 | 0 | 0 | 40 | 32 | 2 | 35 | 30 | 3 | 0 | 33 | 31 | 2 | 0 | 0 | 29 | 25 | 3 | 1 | 0 | 27 | 27 | 1 | 22 | 21 | 3 | 0 | 22 | 20 | 0 | 1 | 0 | 0 | 18 | 18 | 1 | 0 | 17 | 16 | 3 | 0 | 11 | 18 | 1 | 0 | 0 | 14 | 15 | 2 | 0 | 15 | 10 | 2 | 0 | 0 | 13 | 7 | 1 | 0 | 0 | 11 | 7 | 1 | 0 | 9 | 6 | 1 | 5 | 5 | 0 | 0 | 2 | 6 | 0 | 3 | 3 | 0 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 189 | 68 | 193 | 62 | 1 | 0 | 0 | 197 | 55 | 1 | 189 | 56 | 4 | 1 | 181 | 55 | 2 | 1 | 0 | 168 | 58 | 3 | 1 | 1 | 158 | 58 | 2 | 140 | 58 | 1 | 1 | 135 | 52 | 0 | 0 | 1 | 0 | 121 | 46 | 3 | 1 | 116 | 42 | 0 | 0 | 113 | 38 | 0 | 0 | 1 | 102 | 39 | 1 | 1 | 100 | 33 | 2 | 1 | 0 | 82 | 27 | 1 | 0 | 1 | 64 | 23 | 0 | 1 | 52 | 15 | 1 | 34 | 11 | 1 | 0 | 22 | 7 | 1 | 15 | 5 | 0 | 0 | 11 | 2 | 0 | 4 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Number of participants with clinically notable shift from baseline in laboratory parameter values based on national cancer institute common terminology criteria (NCI-CTCAE) grade, Version 4.03 were graded from Grades 1 to 5. Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2: Moderate; minimal, local or noninvasive intervention indicated. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death. Clinically notable shift from baseline in laboratory parameter = worsening by at least 2 grades or to >=grade 3. (NCT01909453)
Timeframe: Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Intervention | Participants (Count of Participants) | ||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Hemoglobin (hypo) | Prothrombin international normalized ratio increased | Lymphocytes (hypo) | Lymphocytes (hyper) | Neutrophils (hypo) | Platelets (hypo) | Leukocytes (hypo) | Albumin (hypo) | Alkaline phosphatase | Alanine aminotransferase | Aspartate aminotransferase | Bilirubin | Creatine (phospho)kinase | Corrected Calcium (hypo) | Corrected Calcium (hyper) | Creatinine | Gamma-glutamyl transferase | Glucose serum fasting (hypo) | Glucose serum fasting (hyper) | Magnesium (hypo) | Magnesium (hyper) | Phosphate (hypo) | Potassium (hypo) | Potassium (hyper) | Sodium (hypo) | |
Part 1: LGX818 300 mg | 11 | 1 | 15 | 11 | 5 | 1 | 3 | 5 | 3 | 8 | 4 | 0 | 1 | 1 | 0 | 15 | 29 | 4 | 12 | 1 | 0 | 25 | 1 | 4 | 1 |
Part 1: Vemurafenib 960 mg BID | 13 | 3 | 41 | 5 | 3 | 1 | 4 | 2 | 4 | 8 | 4 | 13 | 1 | 3 | 2 | 48 | 15 | 3 | 12 | 0 | 1 | 35 | 3 | 6 | 1 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 19 | 0 | 20 | 14 | 14 | 2 | 5 | 3 | 6 | 15 | 12 | 1 | 32 | 1 | 0 | 35 | 43 | 2 | 20 | 0 | 2 | 18 | 1 | 6 | 7 |
AESI consisted of events for which there was a specific clinical interest with regard to LGX818 and/or MEK162 treatment. Dermatologic-related AESI included rash, photosensitivity, nail disorders, skin infections, severe cutaneous adverse reactions and Palmar-plantar erythrodysaesthesia (PPE) syndrome. As per NCI-CTCAE version 4.03, severity was graded as Grade 1: asymptomatic/mild symptoms, clinical/diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local/noninvasive intervention indicated, limiting age-appropriate instrumental ADL; Grade 3: severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. AEs of grade 3 or 4 are reported in this outcome measure. (NCT01909453)
Timeframe: Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Intervention | Participants (Count of Participants) | |||||
---|---|---|---|---|---|---|
Rash | Skin infections | PPE syndrome | Photosensitivity | Nail disorders | Severe cutaneous adverse reactions | |
Part 1: LGX818 300 mg | 10 | 1 | 26 | 0 | 0 | 1 |
Part 1: Vemurafenib 960 mg BID | 25 | 0 | 2 | 3 | 0 | 5 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 2 | 4 | 0 | 1 | 0 | 0 |
Newly occurring notable ECG values were reported for QT (millisecond [ms]), QTcF (millisecond), QTcB (millisecond) and heart rate (beats per minute). Newly occurring was defined as participants not meeting criterion at baseline and meeting criterion post-baseline. Ranges for newly occurring notable ECG values (QT, QTcF, QTcB) are New greater than (>) 450, New >480, New >500, Increase from baseline >30, Increase from baseline >60. Heart rate: New <60, New >100 was considered as newly occurring notable value. (NCT01909453)
Timeframe: Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Intervention | Participants (Count of Participants) | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
QT: Increase >30 ms | QT: Increase >60 ms | QT: New >450 ms | QT: New >480 ms | QT: New >500 ms | QTcF: Increase >30 ms | QTcF: Increase >60 ms | QTcF: New >450 ms | QTcF: New >480 ms | QTcF: New >500 ms | QTcB: Increase >30 ms | QTcB: Increase >60 ms | QTcB: New >450 ms | QTcB: New >480 ms | QTcB: New >500 ms | Heart rate: New <60 bpm | Heart rate: New <100 bpm | |
Part 1: LGX818 300 mg | 68 | 19 | 15 | 4 | 2 | 56 | 7 | 39 | 7 | 5 | 74 | 15 | 76 | 23 | 10 | 37 | 23 |
Part 1: Vemurafenib 960 mg BID | 81 | 24 | 17 | 3 | 2 | 76 | 10 | 42 | 5 | 3 | 78 | 14 | 65 | 20 | 8 | 16 | 18 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 105 | 27 | 23 | 5 | 2 | 50 | 10 | 25 | 7 | 1 | 47 | 11 | 47 | 12 | 3 | 58 | 14 |
Notably abnormal vital signs were: Low/high systolic blood pressure (SBP) (millimeter of mercury [mmHg]): less than or equal to (<=) 90 mmHg with decrease from baseline of greater than or equal to (>=) 20 mmHg/>= 160 mmHg with increase from baseline of >=20 mmHg. Low/high diastolic blood pressure (DBP) [mmHg]: <= 50 mmHg with decrease from baseline of >=15 mmHg/>=100 mmHg with increase from baseline of >=15 mmHg. Low/high Pulse rate: <=50 beats per minute (bpm) with decrease from baseline of >=15 bpm/>= 120 bpm with increase from baseline of >=15 bpm. Low/high Weight [kilogram]: >=20 percent (%) decrease from baseline/>= 10% increase from baseline. Low/high Body temperature degree Celsius (C): <= 36 degree C/>= 37.5 degree C. (NCT01909453)
Timeframe: Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Intervention | Participants (Count of Participants) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Sitting Pulse Rate (bpm): High | Sitting Pulse Rate (bpm): Low | Sitting Systolic Blood Pressure (mmHg): High | Sitting Systolic Blood Pressure (mmHg): Low | Sitting Diastolic Blood Pressure (mmHg): High | Sitting Diastolic Blood Pressure (mmHg): Low | Weight (kg): High | Weight (kg): Low | Body temperature (degree C): High | Body temperature (degree C): Low | |
Part 1: LGX818 300 mg | 7 | 8 | 14 | 4 | 5 | 7 | 10 | 8 | 11 | 74 |
Part 1: Vemurafenib 960 mg BID | 8 | 2 | 31 | 1 | 13 | 5 | 8 | 13 | 17 | 57 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 1 | 3 | 27 | 7 | 23 | 9 | 44 | 2 | 19 | 76 |
AESI consisted of events for which there was a specific clinical interest with regard to LGX818 and/or MEK162 treatment. Ocular-related AESI included retinopathy excluding retinal vein occlusion (RVO), RVO and uveitis-type events. As per NCI-CTCAE version 4.03, severity was graded as Grade 1: asymptomatic/mild symptoms, clinical/diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local/noninvasive intervention indicated, limiting age-appropriate instrumental ADL; Grade 3: severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. AEs of grade 3 or 4 are reported in this outcome measure. (NCT01909453)
Timeframe: Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
Retinopathy excluding RVO | RVO | Uveitis-type events | |
Part 1: LGX818 300 mg | 0 | 1 | 0 |
Part 1: Vemurafenib 960 mg BID | 0 | 0 | 0 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 5 | 0 | 1 |
Participants with worst post-baseline LVEF Values were graded as Grade 0: Non missing value below Grade 2; Grade 2: LVEF between 40% and 50% or absolute reduction from baseline >=10% and < 20%; Grade 3: LVEF between 20% and 39% or absolute reduction from baseline >=20%; Grade 4: LVEF lower than 20%. Baseline was defined as the last non-missing value prior to the first dose of study treatment. Missing data were due to participants who died or withdrew consent prior to the first scheduled evaluation or missed evaluations as protocol deviations. (NCT01909453)
Timeframe: Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Intervention | Participants (Count of Participants) | ||||
---|---|---|---|---|---|
Grade 0 | Grade 2 | Grade 3 | Grade 4 | Missing | |
Part 1: LGX818 300 mg | 161 | 17 | 4 | 0 | 10 |
Part 1: LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 127 | 56 | 3 | 0 | 6 |
Part 1: Vemurafenib 960 mg BID | 161 | 16 | 2 | 0 | 7 |
AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence at any dose that results in death; is life-threatening; requires inpatient hospitalization/prolongation of existing hospitalization; results in persistent/significant disability/incapacity; results in congenital anomaly/birth defect or that is considered to be important medical event. As per NCI-CTCAE version 4.03, severity was graded as Grade 1: asymptomatic/mild symptoms, clinical/diagnostic observations only; Grade 2: moderate, minimal, local/noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily life (ADL); Grade 3: severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence; Grade 5: death. AEs of all grades were reported. (NCT01909453)
Timeframe: Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Intervention | percentage of participants (Number) | |
---|---|---|
Participants with AEs | Participants with SAEs | |
Part 1: LGX818 300 mg | 99.5 | 34.9 |
Part 1: Vemurafenib 960 mg BID | 99.5 | 37.1 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 98.4 | 34.4 |
(NCT01909453)
Timeframe: Cycle 1 Day 1: pre-dose, 0.5, 1.5, 4 to 8 hours post dose; Cycle 2 Day 1: pre-dose; Cycle 3 Day 1: pre-dose
Intervention | nanogram per milliliter (Mean) | |||||
---|---|---|---|---|---|---|
Cycle 1 Day 1: pre-dose | Cycle 1 Day 1: 0.5 hours post dose | Cycle 1 Day 1: 1.5 hours post dose | Cycle 1 Day 1: 4 to 8 hours post dose | Cycle 2 Day 1: pre-dose | Cycle 3 Day 1: pre-dose | |
Part 1: LGX818 300 mg | 58.1 | 1190 | 4090 | 1850 | 73.6 | 53.8 |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 18.6 | 1640 | 6860 | 3400 | 119 | 150 |
(NCT01909453)
Timeframe: Cycle 1 Day 1: pre-dose, 0.5, 1.5, 4 to 8, hours post dose; Cycle 2 Day 1: pre-dose; Cycle 3 Day 1: pre-dose
Intervention | nanogram per milliliter (Mean) | |||||
---|---|---|---|---|---|---|
Cycle 1 Day 1: pre-dose | Cycle 1 Day 1: 0.5 hours post dose | Cycle 1 Day 1: 1.5 hours post dose | Cycle 1 Day 1: 4 to 8 hours post dose | Cycle 2 Day 1: pre-dose | Cycle 3 Day 1: pre-dose | |
Part 1:LGX818 450 mg QD+MEK162 45 mg BID (Combo 450) | 2.95 | 426 | 832 | 330 | 81.0 | 68.1 |
Number of participants with clinically notable shift from baseline in laboratory parameter values based on national cancer institute common terminology criteria (NCI-CTCAE) grade, Version 4.0 were graded from Grades 1 to 5. Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2: Moderate; minimal, local or noninvasive intervention indicated. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death. Clinically notable shift from baseline in laboratory parameter = worsening by at least 2 grades or to >=grade 3. (NCT01909453)
Timeframe: Baseline up to 30 days after last dose of study drug (up to 36 months)
Intervention | Participants (Count of Participants) | ||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Hemoglobin (hypo) | Prothrombin international normalized ratio increased | Lymphocytes (hypo) | Lymphocytes (hyper) | Neutrophils (hypo) | Platelets (hypo) | Leukocytes (hypo) | Albumin (hypo) | Alkaline phosphatase (hyper) | Alanine aminotransferase | Aspartate aminotransferase | Bilirubin | Creatine kinase | Corrected Calcium (hypo) | Creatinine | Gamma-glutamyl transferase | Glucose serum fasting (hypo) | Glucose serum fasting (hyper) | Magnesium (hypo) | Magnesium (hyper) | Phosphate (hypo) | Potassium (hypo) | Potassium (hyper) | Sodium (hypo) | Sodium (hyper) | |
Part 1 + Part 2: LGX818 300 mg | 16 | 1 | 25 | 13 | 9 | 2 | 5 | 9 | 4 | 9 | 5 | 0 | 1 | 2 | 26 | 38 | 4 | 17 | 1 | 0 | 33 | 1 | 7 | 3 | 0 |
Part 2: LGX818 300 mg | 5 | 0 | 10 | 2 | 4 | 1 | 2 | 4 | 1 | 1 | 1 | 0 | 0 | 1 | 11 | 9 | 0 | 5 | 0 | 0 | 8 | 0 | 3 | 2 | 0 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 16 | 4 | 28 | 11 | 19 | 1 | 3 | 7 | 11 | 18 | 15 | 2 | 40 | 4 | 44 | 38 | 3 | 27 | 0 | 3 | 26 | 2 | 8 | 4 | 2 |
AESI consisted of events for which there was a specific clinical interest with regard to LGX818 and/or MEK162 treatment. Dermatologic-related AESI included rash, photosensitivity, nail disorders, skin infections, severe cutaneous adverse reactions and PPE syndrome. As per NCI-CTCAE version 4.03, severity was graded as Grade 1: asymptomatic/mild symptoms, clinical/diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local/noninvasive intervention indicated, limiting age-appropriate instrumental ADL; Grade 3: severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. AEs of grade 3 or 4 are reported are reported in this outcome measure. (NCT01909453)
Timeframe: Baseline up to 30 days after last dose of study drug (up to 36 months)
Intervention | Participants (Count of Participants) | |||||
---|---|---|---|---|---|---|
Rash | Skin infection | PPE syndrome | Photosensitivity | Nail disorders | Severe cutaneous adverse reactions | |
Part 1 + Part 2: LGX818 300 mg | 13 | 1 | 30 | 0 | 0 | 1 |
Part 2: LGX818 300 mg | 3 | 0 | 4 | 0 | 0 | 0 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 2 | 7 | 1 | 0 | 0 | 0 |
Newly occurring notable ECG values were reported for QT (ms), QTcF (ms), QTcB (ms) and heart rate (bpm). Newly occurring was defined as participants not meeting criterion at baseline and meeting criterion post-baseline. Ranges for newly occurring notable ECG values (QT, QTcF, QTcB) are New >450, New >480, New >500, increase from baseline >30, Increase from baseline >60. Heart rate: New < 60, New >100 was considered as newly occurring notable value. (NCT01909453)
Timeframe: Baseline up to 30 days after last dose of study drug (up to 36 months)
Intervention | Participants (Count of Participants) | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
QT (ms): Increase from baseline > 30 | QT (ms): Increase from baseline > 60 | QT (ms): New > 450 | QT (ms): New > 480 | QT (ms): New > 500 | QTcF (ms): Increase from baseline > 30 | QTcF (ms): Increase from baseline > 60 | QTcF (ms): New > 450 | QTcF (ms): New > 480 | QTcF (ms): New > 500 | QTcB (ms): New > 450 | QTcB (ms): New > 480 | QTcB (ms): New > 500 | QTcB (ms): Increase from baseline > 30 | QTcB (ms): Increase from baseline > 60 | Heart rate (bpm): New < 60 | Heart rate (bpm): New > 100 | |
Part 1 + Part 2: LGX818 300 mg | 95 | 25 | 20 | 6 | 2 | 76 | 14 | 50 | 12 | 6 | 104 | 29 | 11 | 98 | 23 | 42 | 33 |
Part 2: LGX818 300 mg | 27 | 6 | 5 | 2 | 0 | 20 | 7 | 11 | 5 | 1 | 28 | 6 | 1 | 24 | 8 | 5 | 10 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 132 | 34 | 34 | 9 | 4 | 59 | 13 | 36 | 11 | 2 | 70 | 23 | 10 | 69 | 22 | 82 | 8 |
Notably abnormal vital signs were: Low/high systolic blood pressure (SBP) in millimeter of mercury (mmHg): less than or equal to (<=) 90 mmHg with decrease from baseline of greater than or equal to (>=) 20 mmHg/>= 160 mmHg with increase from baseline of >=20 mmHg, Low/high diastolic blood pressure (DBP) [mmHg]: <=50 mmHg with decrease from baseline of >=15 mmHg/>=100 mmHg with increase from baseline of >=15 mmHg, Low/high pulse rate [bpm]: <=50 bpm with decrease from baseline of >=15 bpm/>=120 bpm with increase from baseline of >=15 bpm, Low/high weight (kg): >=20 % decrease from baseline/>= 10% increase from baseline Low/high Body temperature degree C): <= 36°C/>= 37.5 degree C. (NCT01909453)
Timeframe: Baseline up to 30 days after last dose of study drug (up to 36 months)
Intervention | Participants (Count of Participants) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Sitting Pulse Rate (bpm): High | Sitting Pulse Rate (bpm): Low | Sitting Systolic Blood Pressure (mmHg): High | Sitting Systolic Blood Pressure (mmHg): Low | Sitting Diastolic Blood Pressure (mmHg): High | Sitting Diastolic Blood Pressure (mmHg): Low | Weight (kg): High | Weight (kg): Low | Body temperature (°C): High | Body temperature (°C): Low | |
Part 1 + Part 2: LGX818 300 mg | 10 | 9 | 17 | 8 | 7 | 9 | 11 | 9 | 16 | 96 |
Part 2: LGX818 300 mg | 3 | 1 | 3 | 4 | 2 | 2 | 1 | 1 | 5 | 22 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 7 | 11 | 40 | 10 | 41 | 7 | 46 | 0 | 14 | 120 |
AESI consisted of events for which there was a specific clinical interest with regard to LGX818 and/or MEK162 treatment. Ocular-related AESI included retinopathy excluding RVO, RVO and uveitis-type events. As per NCI-CTCAE version 4.03, severity was graded as Grade 1: asymptomatic/mild symptoms, clinical/diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local/noninvasive intervention indicated, limiting age-appropriate instrumental ADL; Grade 3: severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. AEs of grade 3 or 4 are reported in this outcome measure. (NCT01909453)
Timeframe: Baseline up to 30 days after last dose of study drug (up to 36 months)
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
Retinopathy excluding RVO | RVO | Uveitis-type events | |
Part 1 + Part 2: LGX818 300 mg | 0 | 1 | 0 |
Part 2: LGX818 300 mg | 0 | 0 | 0 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 4 | 0 | 4 |
Participants with worst post-baseline LVEF Values were graded as Grade 0: Non missing value below Grade 2; Grade 2: LVEF between 40% and 50% or absolute reduction from baseline >=10% and < 20%;Grade 3: LVEF between 20% and 39% or absolute reduction from baseline >=20%; Grade 4: LVEF lower than 20%. Baseline was defined as the last non-missing value prior to the first dose of study treatment. Missing data were due to participants who died or withdrew consent prior to the first scheduled evaluation or missed evaluations as protocol deviations. (NCT01909453)
Timeframe: Baseline up to 30 days after last dose of study drug (up to 36 months)
Intervention | Participants (Count of Participants) | ||||
---|---|---|---|---|---|
Grade 0 | Grade 2 | Grade 3 | Grade 4 | Missing | |
Part 1 + Part 2: LGX818 300 mg | 235 | 22 | 4 | 0 | 15 |
Part 2: LGX818 300 mg | 74 | 5 | 0 | 0 | 5 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 181 | 71 | 3 | 0 | 2 |
AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence at any dose that results in death; is life-threatening; requires inpatient hospitalization/prolongation of existing hospitalization; results in persistent/significant disability/incapacity; results in congenital anomaly/birth defect or that is considered to be important medical event. As per NCI-CTCAE version 4.03, severity was graded as Grade 1: asymptomatic/mild symptoms, clinical/diagnostic observations only; Grade 2: moderate, minimal, local/noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily life (ADL); Grade 3: severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence; Grade 5: death. AEs of all grades were reported. (NCT01909453)
Timeframe: Baseline up to 30 days after last dose of study drug (up to 36 months)
Intervention | percentage of Participants (Number) | |
---|---|---|
AEs | SAEs | |
Part 1 + Part 2: LGX818 300 mg | 98.6 | 33.3 |
Part 2: LGX818 300 mg | 96.4 | 29.8 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 98.1 | 29.2 |
(NCT01909453)
Timeframe: Cycle 1 Day 1: pre-dose, 0.5, 1.5, 4 to 8 hours post dose; Cycle 2 Day 1: pre-dose; Cycle 3 Day 1: pre-dose
Intervention | nanogram per milliliter (Mean) | |||||
---|---|---|---|---|---|---|
Cycle 1 Day 1: pre-dose | Cycle 1 Day 1: 0.5 hours post dose | Cycle 1 Day 1: 1.5 hours post dose | Cycle 1 Day 1: 4 to 8 hours post dose | Cycle 2 Day 1: pre-dose | Cycle 3 Day 1: pre-dose | |
Part 1 + Part 2: LGX818 300 mg | 39.7 | 1250 | 4170 | 1980 | 60.1 | 60.6 |
Part 2: LGX818 300 mg | 0.0145 | 1370 | 4310 | 2250 | 29.5 | 79.5 |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 5.02 | 1360 | 4390 | 2420 | 121 | 74.1 |
(NCT01909453)
Timeframe: Cycle 1 Day 1: pre-dose, 0.5, 1.5, 4 to 8, hours post dose; Cycle 2 Day 1: pre-dose; Cycle 3 Day 1: pre-dose
Intervention | nanogram per milliliter (Mean) | |||||
---|---|---|---|---|---|---|
Cycle 1 Day 1: pre-dose | Cycle 1 Day 1: 0.5 hours post dose | Cycle 1 Day 1: 1.5 hours post dose | Cycle 1 Day 1: 4 to 8 hours post dose | Cycle 2 Day 1: pre-dose | Cycle 3 Day 1: pre-dose | |
Part 2: LGX818 300 mg QD+MEK162 45 mg BID (Combo 300) | 1.68 | 366 | 642 | 287 | 72.3 | 73.2 |
(NCT01780506)
Timeframe: Baseline; Week 144
Intervention | cells/µL (Mean) |
---|---|
E/C/F/TAF | 323 |
E/C/F/TDF | 310 |
(NCT01780506)
Timeframe: Baseline; Week 48
Intervention | cells/µL (Mean) |
---|---|
E/C/F/TAF | 235 |
E/C/F/TDF | 221 |
(NCT01780506)
Timeframe: Baseline; Week 96
Intervention | cells/µL (Mean) |
---|---|
E/C/F/TAF | 285 |
E/C/F/TDF | 271 |
(NCT01780506)
Timeframe: Baseline; Week 144
Intervention | mg/dL (Mean) |
---|---|
E/C/F/TAF | 0.04 |
E/C/F/TDF | 0.08 |
(NCT01780506)
Timeframe: Baseline; Week 48
Intervention | mg/dL (Mean) |
---|---|
E/C/F/TAF | 0.08 |
E/C/F/TDF | 0.11 |
(NCT01780506)
Timeframe: Baseline; Week 96
Intervention | mg/dL (Mean) |
---|---|
E/C/F/TAF | 0.05 |
E/C/F/TDF | 0.07 |
Hip BMD was assessed by DXA scan. (NCT01780506)
Timeframe: Baseline; Week 144
Intervention | percent change (Mean) |
---|---|
E/C/F/TAF | -0.826 |
E/C/F/TDF | -3.475 |
Hip BMD was assessed by DXA scan. (NCT01780506)
Timeframe: Baseline; Week 96
Intervention | percent change (Mean) |
---|---|
E/C/F/TAF | -0.951 |
E/C/F/TDF | -3.515 |
Hip BMD was assessed by dual energy x-ray absorptiometry (DXA) scan. (NCT01780506)
Timeframe: Baseline; Week 48
Intervention | percent change (Mean) |
---|---|
E/C/F/TAF | -0.865 |
E/C/F/TDF | -3.200 |
Spine BMD was assessed by DXA scan. (NCT01780506)
Timeframe: Baseline; Week 144
Intervention | percent change (Mean) |
---|---|
E/C/F/TAF | -0.809 |
E/C/F/TDF | -3.023 |
Spine BMD was assessed by DXA scan. (NCT01780506)
Timeframe: Baseline; Week 48
Intervention | percent change (Mean) |
---|---|
E/C/F/TAF | -1.337 |
E/C/F/TDF | -2.956 |
Spine BMD was assessed by DXA scan. (NCT01780506)
Timeframe: Baseline; Week 96
Intervention | percent change (Mean) |
---|---|
E/C/F/TAF | -0.907 |
E/C/F/TDF | -3.053 |
Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury. (NCT01780506)
Timeframe: Baseline; Week 144
Intervention | percent change (Median) |
---|---|
E/C/F/TAF | -24.6 |
E/C/F/TDF | 60.4 |
Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury. (NCT01780506)
Timeframe: Baseline; Week 48
Intervention | percent change (Median) |
---|---|
E/C/F/TAF | -32.8 |
E/C/F/TDF | 18.0 |
Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury. (NCT01780506)
Timeframe: Baseline; Week 96
Intervention | percent change (Median) |
---|---|
E/C/F/TAF | -33.5 |
E/C/F/TDF | 32.5 |
Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury. (NCT01780506)
Timeframe: Baseline; Week 144
Intervention | percent change (Median) |
---|---|
E/C/F/TAF | 37.4 |
E/C/F/TDF | 106.9 |
Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury. (NCT01780506)
Timeframe: Baseline; Week 96
Intervention | percent change (Median) |
---|---|
E/C/F/TAF | 11.3 |
E/C/F/TDF | 75.0 |
Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury. (NCT01780506)
Timeframe: Baseline; Week 48
Intervention | percent change (Median) |
---|---|
E/C/F/TAF | 6.9 |
E/C/F/TDF | 51.2 |
The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01780506)
Timeframe: Week 48
Intervention | percentage of participants (Number) |
---|---|
E/C/F/TAF | 93.1 |
E/C/F/TDF | 92.8 |
Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant. (NCT01780506)
Timeframe: Up to 144 weeks
Intervention | percentage of participants (Number) | ||
---|---|---|---|
Grade 1 | Grade 2 | Grade 3 | |
E/C/F/TAF | 31.3 | 6.0 | 0.2 |
E/C/F/TDF | 37.1 | 7.0 | 0.2 |
Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant. (NCT01780506)
Timeframe: Up to 48 weeks
Intervention | percentage of participants (Number) | ||
---|---|---|---|
Grade 1 | Grade 2 | Grade 3 | |
E/C/F/TAF | 25.8 | 4.6 | 0 |
E/C/F/TDF | 32.3 | 4.9 | 0.2 |
Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant. (NCT01780506)
Timeframe: Up to 96 weeks
Intervention | percentage of participants (Number) | ||
---|---|---|---|
Grade 1 | Grade 2 | Grade 3 | |
E/C/F/TAF | 28.8 | 5.1 | 0.2 |
E/C/F/TDF | 33.9 | 5.8 | 0.2 |
The percentage of participants achieving HIV-1 RNA < 20 copies/mL at Weeks 48, 96, and 144 were analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01780506)
Timeframe: Weeks 48, 96. and 144
Intervention | percentage of participants (Number) | ||
---|---|---|---|
Week 48 | Week 96 | Week 144 | |
E/C/F/TAF | 86.4 | 84.4 | 84.6 |
E/C/F/TDF | 87.3 | 83.6 | 80.1 |
The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Weeks 96 and 144 were analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01780506)
Timeframe: Weeks 96 and 144
Intervention | percentage of participants (Number) | |
---|---|---|
Week 96 | Week 144 | |
E/C/F/TAF | 89.2 | 86.9 |
E/C/F/TDF | 88.2 | 83.1 |
(NCT01797445)
Timeframe: Baseline; Week 48
Intervention | cells/µL (Mean) |
---|---|
E/C/F/TAF | 225 |
E/C/F/TDF | 200 |
(NCT01797445)
Timeframe: Baseline; Week 96
Intervention | cells/µL (Mean) |
---|---|
E/C/F/TAF | 274 |
E/C/F/TDF | 260 |
(NCT01797445)
Timeframe: Baseline; Week 48
Intervention | mg/dL (Mean) |
---|---|
E/C/F/TAF | 0.08 |
E/C/F/TDF | 0.12 |
(NCT01797445)
Timeframe: Baseline; Week 96
Intervention | mg/dL (Mean) |
---|---|
E/C/F/TAF | 0.04 |
E/C/F/TDF | 0.07 |
Hip BMD was assessed by DXA scan. (NCT01797445)
Timeframe: Baseline; Week 96
Intervention | percent change (Mean) |
---|---|
E/C/F/TAF | -0.364 |
E/C/F/TDF | -3.023 |
Hip BMD was assessed by dual energy x-ray absorptiometry (DXA) scan. (NCT01797445)
Timeframe: Baseline; Week 48
Intervention | percent change (Mean) |
---|---|
E/C/F/TAF | -0.420 |
E/C/F/TDF | -2.603 |
Spine BMD was assessed by DXA scan. (NCT01797445)
Timeframe: Baseline; Week 48
Intervention | percent change (Mean) |
---|---|
E/C/F/TAF | -1.278 |
E/C/F/TDF | -2.759 |
Spine BMD was assessed by DXA scan. (NCT01797445)
Timeframe: Baseline; Week 96
Intervention | percent change (Mean) |
---|---|
E/C/F/TAF | -1.017 |
E/C/F/TDF | -2.516 |
Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury. (NCT01797445)
Timeframe: Baseline; Week 48
Intervention | percent change (Median) |
---|---|
E/C/F/TAF | -29.3 |
E/C/F/TDF | 32.3 |
Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury. (NCT01797445)
Timeframe: Baseline; Week 96
Intervention | percent change (Median) |
---|---|
E/C/F/TAF | -31.0 |
E/C/F/TDF | 35.2 |
Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury. (NCT01797445)
Timeframe: Baseline; Week 96
Intervention | percent change (Median) |
---|---|
E/C/F/TAF | 16.9 |
E/C/F/TDF | 73.7 |
Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury. (NCT01797445)
Timeframe: Baseline; Week 48
Intervention | percent change (Median) |
---|---|
E/C/F/TAF | 13.3 |
E/C/F/TDF | 51.7 |
The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01797445)
Timeframe: Week 48
Intervention | percentage of participants (Number) |
---|---|
E/C/F/TAF | 91.6 |
E/C/F/TDF | 88.5 |
The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 96 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01797445)
Timeframe: Week 96
Intervention | percentage of participants (Number) |
---|---|
E/C/F/TAF | 84.0 |
E/C/F/TDF | 82.3 |
The percentage of participants achieving HIV-1 RNA < 20 copies/mL at Weeks 48 and 96 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01797445)
Timeframe: Weeks 48 and 96
Intervention | percentage of participants (Number) | |
---|---|---|
Week 48 | Week 96 | |
E/C/F/TAF | 82.4 | 78.7 |
E/C/F/TDF | 80.7 | 76.8 |
Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant. (NCT01797445)
Timeframe: Baseline to Week 48
Intervention | percentage of participants (Number) | ||
---|---|---|---|
Grade 1 | Grade 2 | Grade 3 | |
E/C/F/TAF | 27.3 | 4.7 | 0 |
E/C/F/TDF | 31.6 | 4.6 | 0 |
Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant. (NCT01797445)
Timeframe: Baseline to Week 96
Intervention | percentage of participants (Number) | ||
---|---|---|---|
Grade 1 | Grade 2 | Grade 3 | |
E/C/F/TAF | 31.8 | 5.4 | 0 |
E/C/F/TDF | 36.9 | 5.1 | 0 |
Subjects with post-treatment sustained virologic response (SVR) = Number of subjects with negative HCV RNA 12 weeks after completing therapy / number of subjects treated post-kidney transplantation (NCT02743897)
Timeframe: Baseline to 24 weeks
Intervention | Participants (Count of Participants) |
---|---|
Direct-acting Antiviral Treatment for HCV | 62 |
Number of subjects with major adverse events attributable to HCV therapy in post-kidney transplant (NCT02743897)
Timeframe: Baseline to 52 weeks
Intervention | Participants (Count of Participants) |
---|---|
Direct-acting Antiviral Treatment for HCV | 1 |
The primary analysis will be based on a calculation of SVR rates (number of subjects with SVR; negative HCV RNA after completing Zepatier therapy) / (number of subjects treated with Zepatier post-heart transplantation) (NCT03146741)
Timeframe: Baseline to 24 weeks
Intervention | Participants (Count of Participants) |
---|---|
Zepatier (Grazoprevir 100mg and Elbasvir 50 mg) | 9 |
(NCT03146741)
Timeframe: Baseline to 52 weeks
Intervention | Severe adverse event (Number) |
---|---|
Zepatier (Grazoprevir 100mg and Elbasvir 50 mg) | 0 |
Hepatitis C Virus (HCV) ribonucleic acid (RNA) was measured using the Roche COBAS® Taqman® HCV Test, v2.0 assay. SVR12 was defined as HCV RNA
Timeframe: Week 24 (12 weeks after the end of treatment)
Intervention | Percentage of participants (Number) |
---|---|
Immediate Treatment Group | 94.6 |
Hepatitis C Virus RNA was measured using the Roche COBAS® Taqman® HCV Test, v2.0 assay. SVR24 was defined as HCV RNA
Timeframe: Week 36 (24 weeks after the end of treatment)
Intervention | Percentage of participants (Number) |
---|---|
Immediate Treatment Group | 94.3 |
Hepatitis C Virus RNA was measured using the Roche COBAS® Taqman® HCV Test, v2.0 assay. SVR4 was defined as HCV RNA
Timeframe: Week 16 (4 weeks after the end of treatment)
Intervention | Percentage of participants (Number) |
---|---|
Immediate Treatment Group | 97.2 |
An adverse event is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an adverse event. (NCT02105467)
Timeframe: Up to Week 12 (end of Blinded Treatment)
Intervention | Percentage of participants (Number) |
---|---|
Immediate Treatment Group | 0.9 |
Deferred Treatment Group | 1.0 |
An adverse event is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an adverse event. (NCT02105467)
Timeframe: Up to Week 14 (14 days after the Blinded Treatment was completed)
Intervention | Percentage of participants (Number) |
---|---|
Immediate Treatment Group | 67.4 |
Deferred Treatment Group | 68.6 |
(NCT00110812)
Timeframe: two years following close of main study
Intervention | cell/mm^3 (Mean) |
---|---|
IL-2 | 499.9 |
Control | 557.2 |
change from baseline to month 12 in CD4 T lymphocyte count (NCT00110812)
Timeframe: At Month 12
Intervention | cell/mm^3 (Mean) |
---|---|
No IL-2 | -8.4 |
IL-2 Without ART | 59.0 |
IL-2 With Pericycle HAART | 49.8 |
(NCT00110812)
Timeframe: month 12
Intervention | copies/ml (log 10) (Mean) |
---|---|
No IL-2 | -0.64 |
IL-2 Without ART | -0.28 |
IL-2 With Pericycle HAART | -0.09 |
Number of patients commencing continuous antiretroviral treatment. (NCT00110812)
Timeframe: from randomization through February 28, 2011, the end of the extension phase
Intervention | participants (Number) |
---|---|
IL-2 | 108 |
Control | 66 |
Patients receiving fewer than 3 cycles of IL-2 by week 32 (NCT00110812)
Timeframe: week 32
Intervention | participants (Number) |
---|---|
IL-2 Without ART | 12 |
IL-2 With Pericycle HAART | 32 |
occurrence of an opportunistic event (AIDS-defining infection or malignancy) or death (NCT00110812)
Timeframe: throughout study, through Feb 28 2009 (median followup of 19 months)
Intervention | participants (Number) |
---|---|
No IL-2 | 1 |
IL-2 Without ART | 5 |
IL-2 With Pericycle HAART | 7 |
total fasting cholesterol (NCT00110812)
Timeframe: week 32
Intervention | mg/dl (Mean) |
---|---|
No IL-2 | 173.4 |
IL-2 Without ART | 167.0 |
IL-2 With Pericycle HAART | 164.6 |
Patients who developed mutations associated with antiretroviral drugs. (NCT00110812)
Timeframe: after 3rd cycle of IL-2
Intervention | participants (Number) |
---|---|
IL-2 With Pericycle HAART | 2 |
While patients were not taking ART at baseline or while undergoing IL-2 cycles (other than use of pericycle ART in one of the three groups), some chose to start an ART regimen during the study. (NCT00110812)
Timeframe: from randomization through February 28, 2009
Intervention | participants (Number) |
---|---|
No IL-2 | 34 |
IL-2 Without ART | 23 |
IL-2 With Pericycle HAART | 14 |
Change in CD4 count from baseline to week 32. (NCT00110812)
Timeframe: Week 32
Intervention | cell/mm^3 (Mean) |
---|---|
No IL-2 | -21.8 |
IL-2 Without ART | 113.7 |
IL-2 With Pericycle HAART | 110.4 |
Incidence of an opportunistic event (AIDS-defining infection or malignancy) or death between February 28, 2009, when the main study ended, and February 28, 2011, when the extended phase was completed. (NCT00110812)
Timeframe: two years following close of main study
Intervention | participants (Number) |
---|---|
IL-2 | 8 |
Control | 3 |
change from baseline in HIV-RNA copies/ml (log10) (NCT00110812)
Timeframe: At Week 32
Intervention | copies/ml (log 10) (Mean) |
---|---|
No IL-2 | -.39 |
IL-2 Without ART | -.07 |
IL-2 With Pericycle HAART | -.01 |
Number of participants with aspartate aminotransferase (SGOT) greater than 5 times the upper limit of normal (NCT00110812)
Timeframe: week 32
Intervention | participants (Number) |
---|---|
No IL-2 | 1 |
IL-2 Without ART | 0 |
IL-2 With Pericycle HAART | 0 |
Number of participants with thyroid stimulating hormone greater than the upper limit of normal (NCT00110812)
Timeframe: week 32
Intervention | participants (Number) |
---|---|
No IL-2 | 3 |
IL-2 Without ART | 2 |
IL-2 With Pericycle HAART | 7 |
Patients with undetectable HIV-RNA levels measured at 24 months after the close of the main study, at the end of the extension phase. (NCT00110812)
Timeframe: 24 months post-trial
Intervention | participants (Number) |
---|---|
IL-2 | 97 |
Control | 60 |
5 reviews available for carbamates and Nausea
Article | Year |
---|---|
Efficacy and safety of cenobamate in patients with uncontrolled focal seizures: A meta-analysis.
Topics: Anticonvulsants; Carbamates; Chlorophenols; Dizziness; Dose-Response Relationship, Drug; Drug Resist | 2021 |
Sofosbuvir/Velpatasvir for the treatment of Hepatitis C Virus infection.
Topics: Adult; Antiviral Agents; Carbamates; Clinical Trials as Topic; Drug Therapy, Combination; Fatigue; F | 2018 |
Daclatasvir: A NS5A Replication Complex Inhibitor for Hepatitis C Infection.
Topics: Antiviral Agents; Carbamates; Drug Therapy, Combination; Genotype; Headache; Hepacivirus; Hepatitis | 2016 |
Elbasvir/grazoprevir (Zepatier) for hepatitis C.
Topics: Amides; Antiviral Agents; Benzofurans; Carbamates; Clinical Trials as Topic; Cyclopropanes; Drug Com | 2016 |
Management of acute childhood poisonings caused by selected insecticides and herbicides.
Topics: Absorption; Adolescent; Animals; Anticonvulsants; Atropine; Carbamates; Central Nervous System; Chil | 1986 |
13 trials available for carbamates and Nausea
13 other studies available for carbamates and Nausea
Article | Year |
---|---|
Attenuation of anticipatory nausea in a rat model of contextually elicited conditioned gaping by enhancement of the endocannabinoid system.
Topics: Amidohydrolases; Animals; Anticipation, Psychological; Arachidonic Acids; Brain; Cannabinoid Recepto | 2014 |
Effect of selective inhibition of monoacylglycerol lipase (MAGL) on acute nausea, anticipatory nausea, and vomiting in rats and Suncus murinus.
Topics: Animals; Carbamates; Disease Models, Animal; Female; Male; Monoacylglycerol Lipases; Nausea; Rats; R | 2015 |
Interference with acute nausea and anticipatory nausea in rats by fatty acid amide hydrolase (FAAH) inhibition through a PPARα and CB1 receptor mechanism, respectively: a double dissociation.
Topics: Acute Disease; Amidohydrolases; Animals; Anticipation, Psychological; Benzamides; Carbamates; Male; | 2015 |
Endocannabinoid regulation of nausea is mediated by 2-arachidonoylglycerol (2-AG) in the rat visceral insular cortex.
Topics: Animals; Arachidonic Acids; Carbamates; Cerebral Cortex; Endocannabinoids; Glycerides; Nausea; Neuro | 2016 |
OCCUPATIONAL CARBAMATE POISONING IN THAILAND.
Topics: Adolescent; Adult; Aged; Agricultural Workers' Diseases; Carbamates; Carbofuran; Child; Diarrhea; Fe | 2015 |
Grazoprevir and Elbasvir in Patients with Genotype 1 Hepatitis C Virus Infection: A Comprehensive Efficacy and Safety Analysis.
Topics: Amides; Antiviral Agents; Asthenia; Benzofurans; Carbamates; Cyclopropanes; Drug Therapy, Combinatio | 2017 |
Coadministration of esomeprazole with fosamprenavir has no impact on steady-state plasma amprenavir pharmacokinetics.
Topics: Administration, Oral; Adolescent; Adult; Carbamates; Diarrhea; Drug Administration Schedule; Drug Co | 2006 |
Effects of the FAAH inhibitor, URB597, and anandamide on lithium-induced taste reactivity responses: a measure of nausea in the rat.
Topics: Amidohydrolases; Animals; Arachidonic Acids; Association Learning; Avoidance Learning; Benzamides; C | 2007 |
The effect of cannabidiol and URB597 on conditioned gaping (a model of nausea) elicited by a lithium-paired context in the rat.
Topics: Amidohydrolases; Animals; Antiemetics; Antineoplastic Agents; Benzamides; Cannabidiol; Carbamates; C | 2008 |
Amprenavir: a new HIV protease inhibitor.
Topics: Administration, Oral; Adolescent; Adult; Anti-HIV Agents; Carbamates; Child; Clinical Trials as Topi | 1999 |
Acute pancreatitis in children with anticholinesterase insecticide intoxication.
Topics: Abdominal Pain; Acute Disease; Amylases; Blood Glucose; Butyrylcholinesterase; Carbamates; Child; Ch | 1992 |
Evaluation of a new antiarrhythmic drug.
Topics: Animals; Anti-Arrhythmia Agents; Blood Pressure; Carbamates; Cardiac Output; Cats; Depression, Chemi | 1974 |
Pharmacoclinical study of oral estramustine phosphate (Estracyt) in advanced carcinoma of the prostate.
Topics: Acid Phosphatase; Administration, Oral; Antineoplastic Agents; Carbamates; Carcinoembryonic Antigen; | 1974 |