Table 2 (A): Dose-limiting toxicities. (B): Adverse events, suspected to be study drug related by preferred term. (C): Grade ≥ 3 serious adverse events, regardless of study drug relationship by preferred term.

From: A phase I trial of LXS196, a protein kinase C (PKC) inhibitor, for metastatic uveal melanoma

Table 2(A)

Dose-limiting toxicities

DLT events, n (%)

LXS196 QD schedule

LXS196 BID schedule

All patients

n = 55

100 mg

n = 3

200 mg

n = 4

300 mg

n = 15

500 mg

n = 11

800 mg

n = 1

1000 mg

n = 4

All QD

n = 38

200 mg

n = 5

300 mg

n = 6

400 mg

n = 6

All BID

n = 17

Hypotension

0

0

0

2 (18.2)

(Grade 3)

1 (100)

(Grade 4)

2 (50.0)

(Grade 2 and 4)

5 (13.2)

0

0

1 (16.7)

1 (5.9)

6 (10.9)

Nausea

0

1 (25.0)

(Grade 3)

0

0

0

0

1 (2.6)

0

0

0

0

1 (1.8)

Vomiting

0

1 (25.0)

(Grade 3)

0

0

0

0

1 (2.6)

0

0

0

0

1 (1.8)

Neutropenia

0

0

0

1 (9.1)

(Grade 4)

0

0

1 (2.6)

0

0

0

0

1 (1.8)

Generalised oedema

0

0

0

0

0

0

0

0

0

1 (16.7)

(Grade 3)

1 (5.9)

1 (1.8)

Total

0

2 (50.0)

0

3 (27.3)

1 (100)

2 (50.0)

8 (21.0)

0

0

2 (33.4)

2 (11.8)

9 (16.4)

Table 2(B)

Adverse events, suspected to be study drug related by preferred terma

Preferred term, n (%)

All LXS196 QD patients

n = 38

All LXS196 BID patients

n = 30

LXS196 300 mg BID (RDE) patients

n = 18

All LXS196 patients

N = 68

All grades

Grade ≥ 3

All grades

Grade ≥ 3

All grades

Grade ≥ 3

All grades

Grade ≥ 3

Number of patients with ≥ 1 adverse event

35 (92.1)

11 (28.9)

28 (93.3)

6 (20.0)

17 (94.4)

2 (11.1)

63 (92.6)

17 (25.0)

    Nausea

26 (68.4)

1 (2.6)

19 (63.3)

0

14 (77.8)

0

45 (66.2)

1 (1.5)

    Diarrhoea

15 (39.5)

0

16 (53.3)

1 (3.3)

11 (61.1)

1 (5.6)

31 (45.6)

1 (1.5)

    Vomiting

12 (31.6)

1 (2.6)

9 (30.0)

0

7 (38.9)

0

21 (30.9)

1 (1.5)

    Alanine aminotransferase increased

7 (18.4)

2 (5.3)

8 (26.7)

2 (6.7)

5 (27.8)

1 (5.6)

15 (22.1)

4 (5.9)

    Hypotension

8 (21.1)

5 (13.2)

7 (23.3)

1 (3.3)

3 (16.7)

0

15 (22.1)

6 (8.8)

    Fatigue

10 (26.3)

0

4 (13.3)

0

3 (16.7)

0

14 (20.6)

0

    Asthenia

6 (15.8)

0

7 (23.3)

0

4 (22.2)

0

13 (19.1)

0

    Aspartate aminotransferase increased

5 (13.2)

2 (5.3)

6 (20.0)

2 (6.7)

3 (16.7)

1 (5.6)

11 (16.2)

4 (5.9)

    Dry skin

2 (5.3)

0

6 (20.0)

0

4 (22.2)

0

8 (11.8)

0

    Rash

3 (7.9)

0

5 (16.7)

0

4 (22.2)

0

8 (11.8)

0

    Blood creatinine increased

2 (5.3)

0

5 (16.7)

0

2 (11.1)

0

7 (10.3)

0

    Constipation

4 (10.5)

0

3 (10.0)

0

1 (5.6)

0

7 (10.3)

0

Table 2(C)

Grade ≥ 3 serious adverse events, regardless of study drug relationship by preferred term

Preferred term, n (%)

LXS196 100 mg QD

LXS196 200 mg QD

LXS196 300 mg QD

LXS196 500 mg QD

LXS196 800 mg QD

LXS196 1000 mg QD

All LXS196 QD patients

LXS196 200 mg BID patients

LXS196 300 mg BID (RDE) patients

LXS196 400 mg BID patients

All LXS196 BID patients

All LXS196 patients

n = 3

n = 4

n = 15

n = 11

n = 1

n = 4

n = 38

n = 6

n = 18

n = 6

n = 30

N=68

Number of patients with ≥ 1 adverse event

0

1 (25.0)

0

3 (27.3)

1 (100)

2 (50.0)

7 (18.4)

1 (16.7)

5 (27.8)

1 (16.7)

7 (23.3)

14 (20.6)

Hypotension

0

0

0

3 (27.3)

1 (100)

1 (25.0)

5 (13.2)

0

0

1 (16.7)

1 (3.3)

6 (8.8)

Pneumonia

0

1 (25.0)

0

0

0

1 (25.0)

2 (5.3)

0

1 (5.6)

0

1 (3.3)

3 (4.4)

Acute kidney injury

0

0

0

0

0

0

0

0

1 (5.6)

0

1 (3.3)

1 (1.5)

Cellulitis

0

0

0

0

0

0

0

1 (16.7)

0

0

1 (3.3)

1 (1.5)

Constipation

0

0*

0

0

0

0

0b

0

0

0

0

0b

Diarrhoea

0

0

0

0b

0

0

0b

0

0

0

0

0b

Eyelid bleeding

0

0

0

0

0

0

0

0

1 (5.6)

0

1 (3.3)

1 (1.5)

Hepatic failure

0

0

0

0

0

0

0

0

1 (5.6)

0

1 (3.3)

1 (1.5)

Hepatic cytolysis

0

0

0

0

0

0

0

0

1 (5.6)

0

1 (3.3)

1 (1.5)

Nausea

0

1 (25.0)

0

0

0

0

1 (2.6)

0

0

0

0

1 (1.5)

Neutrophil count decreased

0

0

0

0

0

0

0

0

1 (5.6)

0

1 (3.3)

1 (1.5)

Oedema peripheral

0

0

0

0

0

0

0

0

1 (5.6)

0

1 (3.3)

1 (1.5)

Rash pruritic

0

0

0

0

0

0

0

0

1 (5.6)

0

1 (3.3)

1 (1.5)

Thrombocytopenia

0

0

0

0

0

0

0

0

1 (5.6)

0

1 (3.3)

1 (1.5)

Vomiting

0

1 (25.0)

0

0

0

0

1 (2.6)

0

0

0

0

1 (1.5)

  1. Table 2(A): BID twice a day, DLT dose-limiting toxicity, QD, once daily.
  2. Table 2(B): A patient with multiple severity grades for an adverse event is only counted under the maximum grade. MedDRA version 24.1, CTCAE version 4.03.
  3. BID twice a day, CTCAE common terminology criteria for adverse events, MedDRA medical dictionary for regulatory activities, QD once daily, RDE recommended dose for expansion.
  4. aAll grade adverse events occurring in ≥10% “All LXS196 patients”.
  5. Table 2(C): All serious adverse events were CTCAE grade ≥3 with an exception noted below.
  6. bTwo patients experienced CTCAE grade 1/2 events of constipation/diarrhoea, which were reported as serious adverse events.
  7. A patient with multiple occurrences of an AE under one treatment is counted only once in the adverse event category for that treatment.
  8. A patient with multiple adverse events is counted only once in the total row.
  9. BID twice a day, CTCAE common terminology criteria for adverse events, QD once daily, RDE recommended dose for expansion.