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NCT02400476 · OUTCOME

Percentage of Patients With Diarrhea by Grade, According to the National Cancer Institute Common Terminology Criteria (NCI CTCAE), Version 4.0.

An Open-Label Study to Characterize the Incidence and Severity of Diarrhea in Patients With Early-Stage HER2+ Breast Cancer Treated With Neratinib and Loperamide · Source last updated 2022-05-06

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
Percentage of participants
Interval / dispersion
Not reported
Time frame
From first dose of investigational product through 28 days after last dose, up to 15.5 months.

What was measured

Assess the percentage of patients with diarrhea after the administration of an anti-inflammatory agent, a bile acid sequestrant, or following two different dose-escalation regimens of neratinib, by maximum CTC grade. Grade 1: an increase of \<4 stools per day over baseline; mild increase in ostomy output compared to baseline. Grade 2: Increase of 4 - 6 stools per day over baseline; moderate increase in ostomy output compared to baseline. Grade 3: Increase of \>=7 stools per day over baseline; incontinence; hospitalization indicated; severe increase in ostomy output compared to baseline; limiting self care ADL. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death.

Groups in this outcome

Loperamide

240 mg Neratinib orally once daily with food for thirteen 28-day cycles. Loperamide daily for two 28-day cycles and then as needed. Neratinib Loperamide

Budesonide and Loperamide

240 mg Neratinib orally once daily with food for thirteen 28-day cycles. Anti-inflammatory treatment for 1 cycle and Loperamide to be administered daily for two 28-day cycles and then as needed, thereafter. Neratinib Loperamide Budesonide: 9 mg extended release tablets once daily with or without food for 28 days

Colestipol and Loperamide

240 mg Neratinib orally once daily with food for thirteen 28-day cycles. Colestipol for 1 cycle and loperamide to be administered 1 cycle and then as needed, thereafter. Neratinib Loperamide Colestipol: 2 g twice daily with or without food for one 28 day cycle

Colestipol With Loperamide as Needed

240 mg Neratinib orally once daily with food for thirteen 28-day cycles. Colestipol for 1 cycle and loperamide to be administered as needed. Neratinib Loperamide Colestipol: 2 g twice daily with or without food for one 28 day cycle

Neratinib Dose Escalation 1

120 mg Neratinib for Week 1, followed by 160 mg Neratinib starting for Week 2, followed by 240 mg Neratinib starting at Week 3 and thereafter (C1D15 to End of Treatment). Loperamide administered as needed. Neratinib Loperamide

Neratinib Dose Escalation 2

160 mg neratinib for the first 2 weeks, followed by 200 mg neratinib for the next 2 weeks, followed by 240 mg neratinib thereafter (C2D1 to End of treatment. Loperamide will be administered on an as-needed basis only. Neratinib Loperamide

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Loperamide137
Budesonide and Loperamide64
Colestipol and Loperamide136
Colestipol With Loperamide as Needed104
Neratinib Dose Escalation 160
Neratinib Dose Escalation 262

Reported measurements

Percentage of Patients w Grade 1 Diarrhea
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide24.1Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide23.4Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide27.9Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed32.7Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 140.0Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 237.1Not reportedNot reportedNot reportedNot reported
Percentage of Patients w Grade 2 Diarrhea
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide24.8Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide34.4Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide34.6Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed29.8Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 145.0Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 233.9Not reportedNot reportedNot reportedNot reported
Percentage of Patients w Grade 3 Diarrhea
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide30.7Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide28.1Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide20.6Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed32.7Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 113.3Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 227.4Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        24.1
      2. group Id
        OG001
        value
        23.4
      3. group Id
        OG002
        value
        27.9
      4. group Id
        OG003
        value
        32.7
      5. group Id
        OG004
        value
        40.0
      6. group Id
        OG005
        value
        37.1
    title
    Percentage of Patients w Grade 1 Diarrhea
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        24.8
      2. group Id
        OG001
        value
        34.4
      3. group Id
        OG002
        value
        34.6
      4. group Id
        OG003
        value
        29.8
      5. group Id
        OG004
        value
        45.0
      6. group Id
        OG005
        value
        33.9
    title
    Percentage of Patients w Grade 2 Diarrhea
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        30.7
      2. group Id
        OG001
        value
        28.1
      3. group Id
        OG002
        value
        20.6
      4. group Id
        OG003
        value
        32.7
      5. group Id
        OG004
        value
        13.3
      6. group Id
        OG005
        value
        27.4
    title
    Percentage of Patients w Grade 3 Diarrhea
denoms
  1. counts
    1. group Id
      OG000
      value
      137
    2. group Id
      OG001
      value
      64
    3. group Id
      OG002
      value
      136
    4. group Id
      OG003
      value
      104
    5. group Id
      OG004
      value
      60
    6. group Id
      OG005
      value
      62
    units
    Participants
description
Assess the percentage of patients with diarrhea after the administration of an anti-inflammatory agent, a bile acid sequestrant, or following two different dose-escalation regimens of neratinib, by maximum CTC grade. Grade 1: an increase of \<4 stools per day over baseline; mild increase in ostomy output compared to baseline. Grade 2: Increase of 4 - 6 stools per day over baseline; moderate increase in ostomy output compared to baseline. Grade 3: Increase of \>=7 stools per day over baseline; incontinence; hospitalization indicated; severe increase in ostomy output compared to baseline; limiting self care ADL. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death.
groups
  1. description
    240 mg Neratinib orally once daily with food for thirteen 28-day cycles. Loperamide daily for two 28-day cycles and then as needed. Neratinib Loperamide
    id
    OG000
    title
    Loperamide
  2. description
    240 mg Neratinib orally once daily with food for thirteen 28-day cycles. Anti-inflammatory treatment for 1 cycle and Loperamide to be administered daily for two 28-day cycles and then as needed, thereafter. Neratinib Loperamide Budesonide: 9 mg extended release tablets once daily with or without food for 28 days
    id
    OG001
    title
    Budesonide and Loperamide
  3. description
    240 mg Neratinib orally once daily with food for thirteen 28-day cycles. Colestipol for 1 cycle and loperamide to be administered 1 cycle and then as needed, thereafter. Neratinib Loperamide Colestipol: 2 g twice daily with or without food for one 28 day cycle
    id
    OG002
    title
    Colestipol and Loperamide
  4. description
    240 mg Neratinib orally once daily with food for thirteen 28-day cycles. Colestipol for 1 cycle and loperamide to be administered as needed. Neratinib Loperamide Colestipol: 2 g twice daily with or without food for one 28 day cycle
    id
    OG003
    title
    Colestipol With Loperamide as Needed
  5. description
    120 mg Neratinib for Week 1, followed by 160 mg Neratinib starting for Week 2, followed by 240 mg Neratinib starting at Week 3 and thereafter (C1D15 to End of Treatment). Loperamide administered as needed. Neratinib Loperamide
    id
    OG004
    title
    Neratinib Dose Escalation 1
  6. description
    160 mg neratinib for the first 2 weeks, followed by 200 mg neratinib for the next 2 weeks, followed by 240 mg neratinib thereafter (C2D1 to End of treatment. Loperamide will be administered on an as-needed basis only. Neratinib Loperamide
    id
    OG005
    title
    Neratinib Dose Escalation 2
param Type
NUMBER
reporting Status
POSTED
time Frame
From first dose of investigational product through 28 days after last dose, up to 15.5 months.
title
Percentage of Patients With Diarrhea by Grade, According to the National Cancer Institute Common Terminology Criteria (NCI CTCAE), Version 4.0.
type
SECONDARY
unit Of Measure
Percentage of participants

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Preserved source evidence · Not medical advice