Table 2 (A) Grade 3 or 4 adverse events suspected to be related to study drug; (B) adverse events suspected to be related to study drug (all grades, in ≥ 10% of patients).

From: Pharmacokinetic–pharmacodynamic guided optimisation of dose and schedule of CGM097, an HDM2 inhibitor, in preclinical and clinical studies

 

10 mg Reg 1

20 mgReg 1

40 mgReg 1

80 mgReg 1

150 mg Reg 1

300 mgReg 1

400 mgReg 1

300 mgReg 3

500 mgReg 3

700 mgReg 3

All patients

 

N = 3

N = 4

N = 4

N = 4

N = 4

N = 7

N = 5

N = 8

N = 6

N = 6

N = 51

(A) Preferred term, n %

           

Thrombocytopenia

0

0

0

0

0

4 (57.1)

4 (80.0)

0

1 (16.7)

3 (50.0)

12 (23.5)

Lymphopenia

1 (33.3)

0

0

0

0

0

1 (20.0)

1 (12.5)

1 (16.7)

1 (16.7)

5 (9.8)

Neutropenia

0

0

0

0

0

1 (14.3)

1 (20.0)

0

1 (16.7)

3 (50.0)

6 (11.8)

Lipase increased

0

0

1 (25.0)

0

0

1 (14.3)

0

1 (12.5)

1 (16.7)

1 (16.7)

5 (9.8)

Leukopenia

0

0

0

0

0

1 (14.3)

2 (40.0)

0

0

1 (16.7)

4 (7.8)

Anaemia

0

0

0

0

0

2 (28.6)

0

0

0

2 (33.3)

4 (7.8)

White blood cell count decreased

0

0

0

0

0

3 (42.9)

1 (20.0)

0

0

0

4 (7.8)

Granulocytopenia

0

0

0

0

0

1 (14.3)

0

0

0

0

1 (2.0)

Nausea

0

0

0

0

0

0

0

1 (12.5)

1 (16.7)

0

2 (3.9)

Lymphocyte count decreased

0

0

0

0

0

1 (14.3)

0

0

0

0

1 (2.0)

Neutrophil count decreased

0

0

0

0

0

2 (28.6)

0

0

0

0

2 (3.9)

Hyperlipasaemia

0

0

0

0

0

0

0

0

0

1 (16.7)

1 (2.0)

Hyperlipidaemia

0

0

0

0

0

1 (14.3)

0

0

0

0

1 (2.0)

Proteinuria

0

0

0

0

0

0

1 (20.0)

0

0

0

1 (2.0)

(B) Preferred term, n %

           

Thrombocytopenia

0

0

0

0

1 (25.0)

6 (85.7)

5 (100.0)

2 (25.0)

4 (66.6)

4 (66.6)

22 (43)

Nausea

0

0

0

0

0

5 (71.4)

3 (60.0)

5 (62.5)

5 (83.3)

4 (66.6)

22 (43)

Leukopenia

1 (33.3)

0

1 (25.0)

0

0

3 (42.8)

4 (80.0)

1 (12.5)

1 (16.7)

3 (50.0)

14 (27)

Fatigue

1 (33.3)

0

1 (25.0)

0

0

4 (57.1)

1 (20.0)

3 (37.5)

2 (33.3)

1 (16.7)

13 (26)

Vomiting

0

1 (25.0)

0

0

0

2 (28.6)

3 (60.0)

3 (37.5)

3 (50.0)

2 (33.3)

14 (27)

Diarrhoea

0

1 (25.0)

0

0

1 (25.0)

2 (28.6)

2 (40.0)

2 (25.0)

1 (16.7)

2 (33.3)

11 (22)

Neutropenia

0

0

0

0

0

3 (42.8)

3 (60.0)

1 (12.5)

1 (16.7)

3 (50.0)

11 (22)

Lymphopenia

1 (33.3)

0

1 (25.0)

0

1 (25.0)

1 (14.3)

1 (20.0)

2 (25.0)

2 (33.3)

1 (16.7)

10 (20)

Decreased appetite

0

0

0

0

0

3 (42.8)

2 (40.0)

1 (12.5)

1 (16.7)

2 (33.3)

9 (18)

Anaemia

0

0

0

1 (25.0)

0

2 (28.6)

3 (60.0)

0

0

2 (33.3)

8 (16)

Dysgeusia

0

0

1 (25.0)

0

0

0

0

2 (25.0)

2 (33.3)

2 (33.3)

7 (14)

Abdominal pain upper

0

0

0

0

0

1 (14.3)

1 (20.0)

1 (12.5)

2 (33.3)

1 (16.7)

6 (12)

Asthenia

1 (33.3)

1 (25.0)

0

0

1 (25.0)

1 (14.3)

1 (20.0)

0

0

2 (33.3)

7 (14)

Blood CPK increased

0

0

1 (25.0)

1 (25.0)

0

2 (28.6)

0

2 (25.0)

0

0

6 (12)

Lipase increased

0

0

1 (25.0)

0

0

1 (14.3)

1 (20.0)

1 (12.5)

1 (16.7)

1 (16.7)

6 (12)

ALT increased

0

2 (50.0)

0

0

0

1 (14.3)

1 (20.0)

0

0

1 (16.7)

5 (10)

AST increased

0

1 (25.0)

0

0

1 (25.0)

1 (14.3)

1 (20.0)

1 (12.5)

0

0

5 (10)

Dizziness

0

1 (25.0)

0

0

0

1 (14.3)

1 (20.0)

1 (12.5)

1 (16.7)

0

5 (10)

Hypoalbuminemia

0

0

0

0

2 (50.0)

1 (14.3)

1 (20.0)

0

0

1 (16.7)

5 (10)

  1. ALT alanine aminotransferase, AST aspartate amino transferase, CPK creatine phosphokinase.
  2. Adverse events suspected to be related to study drug (all grades, in ≥10% of patients.
  3. Reg 1: 3qw dosing, 4-week treatment cycle, continuous; Reg 3: 3qw dosing, 3-week treatment cycle; 2 weeks on treatment and 1 week off treatment.