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) |