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NCT02400476 · OUTCOME

Percentage of Patients With Serious Adverse Events and Other Adverse Events of Special Interest

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 serious adverse events (SAEs) and other adverse events of special interest (AESI). AESIs were selected based on the known safety profile of neratinib as well as typical key body system toxicity concerns generally reviewed for any new drug. These AESIs were grouped into the following categories: gastrointestinal toxicity (diarrhea and stomatitis), hepatotoxicity, pulmonary toxicity (interstitial lung disease), cardiac toxicity (LVEF decreased), and dermatologic toxicity (rash and nail disorders). The AESIs were analyzed by searching the clinical database for all TEAEs and SAEs using either Standardized MedDRA Queries (SMQs) or, if an applicable SMQ did not exist, a Sponsor-defined list of MedDRA preferred terms.

Analysis population: All subjects who received at least one dose of neratinib.

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 with SAEs
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide6.57Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide6.25Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide6.62Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed2.88Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 18.33Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 28.06Not reportedNot reportedNot reportedNot reported
Percentage of Patients with AESI-Gastrointestinal Toxicities (Diarrhoea and Stomatitis Broad Search)
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide81.75Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide87.5Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide83.82Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed96.15Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 198.33Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 298.39Not reportedNot reportedNot reportedNot reported
Percentage of Patients with-Hepatotoxicities SMQ (Broad Search)
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide12.41Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide7.81Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide4.41Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed4.81Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 18.33Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 24.84Not reportedNot reportedNot reportedNot reported
Percentage of Patients with AESI- Interstitial Lung Disease SMQ (Broad Search)
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide0Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide0Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide0Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed0Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 10Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 20Not reportedNot reportedNot reportedNot reported
Percentage of Patients with AESI-Cardiac Toxicities SMQ (Broad Search)
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide5.84Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide6.25Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide10.29Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed7.69Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 110.00Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 24.84Not reportedNot reportedNot reportedNot reported
Percentage of Patients with AESI - Dermatologic Toxicities (Rash and Nail Disorders)
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide12.41Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide37.50Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide23.53Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed18.27Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 111.67Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 230.65Not reportedNot reportedNot reportedNot reported
Percentage of Patients with AESI-Gastrointestinal Toxicities (Narrow Search)
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide80.29Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide85.94Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide83.09Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed95.19Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 198.33Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 298.39Not reportedNot reportedNot reportedNot reported
Percentage of Patients with AESI-Hepatotoxicities SMQ (Narrow Search)
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide10.95Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide7.81Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide3.68Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed3.85Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 18.33Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 24.84Not reportedNot reportedNot reportedNot reported
Percentage of Patients with AESI- Interstitial Lung Disease SMQ (Narrow Search)
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide0Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide0Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide0Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed0Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 10Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 20Not reportedNot reportedNot reportedNot reported
Percentage of Patients with AESI-Cardiac Toxicities SMQ (Narrow Search)
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Loperamide2.92Not reportedNot reportedNot reportedNot reported
Budesonide and Loperamide0Not reportedNot reportedNot reportedNot reported
Colestipol and Loperamide1.47Not reportedNot reportedNot reportedNot reported
Colestipol With Loperamide as Needed0.96Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 11.67Not reportedNot reportedNot reportedNot reported
Neratinib Dose Escalation 20Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        6.57
      2. group Id
        OG001
        value
        6.25
      3. group Id
        OG002
        value
        6.62
      4. group Id
        OG003
        value
        2.88
      5. group Id
        OG004
        value
        8.33
      6. group Id
        OG005
        value
        8.06
    title
    Percentage of Patients with SAEs
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        81.75
      2. group Id
        OG001
        value
        87.5
      3. group Id
        OG002
        value
        83.82
      4. group Id
        OG003
        value
        96.15
      5. group Id
        OG004
        value
        98.33
      6. group Id
        OG005
        value
        98.39
    title
    Percentage of Patients with AESI-Gastrointestinal Toxicities (Diarrhoea and Stomatitis Broad Search)
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        12.41
      2. group Id
        OG001
        value
        7.81
      3. group Id
        OG002
        value
        4.41
      4. group Id
        OG003
        value
        4.81
      5. group Id
        OG004
        value
        8.33
      6. group Id
        OG005
        value
        4.84
    title
    Percentage of Patients with-Hepatotoxicities SMQ (Broad Search)
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      6. group Id
        OG005
        value
        0
    title
    Percentage of Patients with AESI- Interstitial Lung Disease SMQ (Broad Search)
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        5.84
      2. group Id
        OG001
        value
        6.25
      3. group Id
        OG002
        value
        10.29
      4. group Id
        OG003
        value
        7.69
      5. group Id
        OG004
        value
        10.00
      6. group Id
        OG005
        value
        4.84
    title
    Percentage of Patients with AESI-Cardiac Toxicities SMQ (Broad Search)
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        12.41
      2. group Id
        OG001
        value
        37.50
      3. group Id
        OG002
        value
        23.53
      4. group Id
        OG003
        value
        18.27
      5. group Id
        OG004
        value
        11.67
      6. group Id
        OG005
        value
        30.65
    title
    Percentage of Patients with AESI - Dermatologic Toxicities (Rash and Nail Disorders)
  7. categories
    1. measurements
      1. group Id
        OG000
        value
        80.29
      2. group Id
        OG001
        value
        85.94
      3. group Id
        OG002
        value
        83.09
      4. group Id
        OG003
        value
        95.19
      5. group Id
        OG004
        value
        98.33
      6. group Id
        OG005
        value
        98.39
    title
    Percentage of Patients with AESI-Gastrointestinal Toxicities (Narrow Search)
  8. categories
    1. measurements
      1. group Id
        OG000
        value
        10.95
      2. group Id
        OG001
        value
        7.81
      3. group Id
        OG002
        value
        3.68
      4. group Id
        OG003
        value
        3.85
      5. group Id
        OG004
        value
        8.33
      6. group Id
        OG005
        value
        4.84
    title
    Percentage of Patients with AESI-Hepatotoxicities SMQ (Narrow Search)
  9. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      6. group Id
        OG005
        value
        0
    title
    Percentage of Patients with AESI- Interstitial Lung Disease SMQ (Narrow Search)
  10. categories
    1. measurements
      1. group Id
        OG000
        value
        2.92
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        1.47
      4. group Id
        OG003
        value
        0.96
      5. group Id
        OG004
        value
        1.67
      6. group Id
        OG005
        value
        0
    title
    Percentage of Patients with AESI-Cardiac Toxicities SMQ (Narrow Search)
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 serious adverse events (SAEs) and other adverse events of special interest (AESI). AESIs were selected based on the known safety profile of neratinib as well as typical key body system toxicity concerns generally reviewed for any new drug. These AESIs were grouped into the following categories: gastrointestinal toxicity (diarrhea and stomatitis), hepatotoxicity, pulmonary toxicity (interstitial lung disease), cardiac toxicity (LVEF decreased), and dermatologic toxicity (rash and nail disorders). The AESIs were analyzed by searching the clinical database for all TEAEs and SAEs using either Standardized MedDRA Queries (SMQs) or, if an applicable SMQ did not exist, a Sponsor-defined list of MedDRA preferred terms.
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
population Description
All subjects who received at least one dose of neratinib.
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 Serious Adverse Events and Other Adverse Events of Special Interest
type
SECONDARY
unit Of Measure
percentage of participants

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