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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04658862
Other study ID # CR108917
Secondary ID 2020-002620-3617
Status Recruiting
Phase Phase 3
First received
Last updated
Start date December 7, 2020
Est. completion date December 26, 2029

Study information

Verified date June 2024
Source Janssen Research & Development, LLC
Contact Study Contact
Phone 844-434-4210
Email Participate-In-This-Study@its.jnj.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of study is to compare bladder intact-event free survival (BI-EFS) in participants receiving TAR-200 in combination with intravenous (IV) cetrelimab versus concurrent chemoradiotherapy.


Recruitment information / eligibility

Status Recruiting
Enrollment 550
Est. completion date December 26, 2029
Est. primary completion date December 30, 2026
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Ineligible for or have elected not to undergo radical cystectomy - All adverse events associated with any prior surgery and/or intravesical therapy must have resolved to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 Grade less than (<) 2 prior to randomization - Eastern Cooperative Oncology Group (ECOG) performance status Grade 0, 1, or 2 - Thyroid function tests are within the normal range per investigator assessment (or stable on hormone supplementation). Investigators may consult an endocrinologist for participant eligibility assessment in the case of equivocal or marginal test results - Adequate bone marrow, liver, and renal function: Bone marrow function (without the support of cytokines or erythropoiesis-stimulating agent in preceding two weeks): Absolute neutrophil count (ANC) greater than or equal to (>=) 1,500/cubic millimeters (mm^3); Platelet count >=80,000/mm^3; Hemoglobin >=9.0 grams per deciliter (g/dL); Liver function: (Total bilirubin less than or equal to (<=) 1.5 * upper limit of normal (ULN) or direct bilirubin <= ULN for participants with total bilirubin levels greater than (>)1.5*ULN (except participants with Gilbert's Syndrome, who must have a total bilirubin < 3.0 mg/dL), and Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) less than or equal to (<=) 2.5* institutional ULN); Renal function: Creatinine clearance >=30 mL/min using the Cockcroft-Gault formula. 24-hour creatinine clearance test will also be accepted for estimating renal function in situations where Cockcroft-Gault formula is not a good predictor of estimating adequate renal function Exclusion Criteria: - Must not have had urothelial carcinoma or histological variant at any site outside of the urinary bladder. Ta/T1/Carcinoma in situ (CIS) of the upper urinary tract (including renal pelvis and ureter) is allowable if treated with complete nephroureterectomy more than 24 months prior to initiating study - Must not have diffuse CIS based on cystoscopy and biopsy. Diffuse, or multi-focal, CIS is defined as the presence of at least 4 distinct CIS lesions in the bladder at the time of the Screening re-TURBT - Participants must not have evidence of cT4b, or N1-3, or M1 disease based on local radiology staging (chest, abdomen, and pelvis must be performed using Computed tomography [CT] or Magnetic resonance imaging [MRI]) within 42 days prior to randomization - Presence of any bladder or urethral anatomic feature that, in the opinion of the investigator, may prevent the safe placement, indwelling use, or removal of TAR 200 - Evidence of bladder perforation during diagnostic cystoscopy. Participant is eligible if perforation has healed prior to randomization

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
Cetrelimab
Participants will receive intravenous Cetrelimab.
Drug:
TAR-200
Participants will receive intravesical TAR-200.
Cisplatin
Participants will receive cisplatin intravenously.
Gemcitabine
Participants will receive gemcitabine intravenously.
Radiation:
Conventional radiation therapy
Participants will receive conventional radiation therapy for bladder (64 gy).
Hypo-fractioned radiation therapy
Participants will receive hypo-fractioned radiation therapy for bladder (55 gy).

Locations

Country Name City State
Argentina Fundacion Intecnus Bariloche
Argentina Instituto Medico Especializado Alexander Fleming Buenos Aires
Argentina Sociedade Beneficente de Senhoras - Hospital Sírio Libanês Buenos Aires
Argentina Centro de Urologia (CDU) Ciudad Automoma Buenos Aires
Argentina Hospital Italiano de Buenos Aires Ciudad Autónoma De Buenos Aires
Argentina Cemaic - Centro Privado de Especialidades Medicas Ambulatorias e Investigacion Clinica Córdoba
Argentina Centro Urologico Profesor Bengio Córdoba
Argentina Sanatorio Allende Cerro Córdoba
Argentina Centro Oncologico Riojano Integral (Cori) La Rioja
Argentina Centro de Investigacion Pergamino SA Pergamino
Argentina CEDIC Centro de Investigaciones Clinicas Viedma
Australia Flinders Medical Centre Bedford Park
Austria Krankenhaus der barmherzigen Schwestern Linz
Austria Universitaetsklinikum Salzburg Landeskrankenhaus Salzburg
Austria Medizinische Universitat Wien Wien
Belgium Hopital Erasme Anderlecht
Belgium ZNA Middelheim Antwerpen
Belgium AZ Sint-Lucas Assebroek
Belgium AZ Sint-Jan Brugge-Oostende AV Brugge
Belgium Az Groeninge Kortrijk
Belgium Algemeen Ziekenhuis Delta Roeselare
Brazil Fundacao Pio XII Barretos
Brazil Fundação Hospitalar São Francisco de Assis Belo Horizonte
Brazil Liga Paranaense de Combate ao Cancer Curitiba
Brazil Centro Regional Integrado de Oncologia CRIO Fortaleza
Brazil Clinica de Oncologia Reichow Jardim Blumenau
Brazil Fundacao Doutor Amaral Carvalho Jau
Brazil Liga Norte Riograndense Contra O Cancer Natal
Brazil Hospital das Clinicas de Porto Alegre Porto Alegre
Brazil Hospital Moinhos de Vento Porto Alegre
Brazil Uniao Brasileira de Educacao e Assistencia Hospital Sao Lucas da PUCRS Porto Alegre
Brazil Hospital Regional do Cancer - Hospital de Esperança Presidente Prudente
Brazil Hospital Sao Rafael Salvador
Brazil CEPHO - Centro de Estudos e Pesquisa de Hematologia e Oncologia Santo André
Brazil Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto - Hospital de Base Sao Jose do Rio Preto
Brazil Ac Camargo Cancer Center Sao Paulo
Brazil Fundacao Faculdade de Medicina - Instituto do Cancer do Estado de Sao Paulo Sao Paulo
Brazil Hospital Alemao Oswaldo Cruz Sao Paulo
Brazil Instituto de Assistencia Medica ao Servidor Publico Estadual IAMSPE Sao Paulo
Brazil Sociedade Beneficente de Senhoras - Hospital Sirio Libanes Sao Paulo
Brazil Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein São Paulo
Brazil Centro Oncológico do Triângulo Uberlândia
Canada McGill University Health Centre Montreal Quebec
Canada CHU de Quebec L Hotel Dieu de Quebec Québec Quebec
Canada Centre Hospitalier Universitaire de Sherbrooke Sherbrooke Quebec
China Beijing Hospital Beijing
China Chinese Academy of Medical Sciences(CAMS) & Peking Union Medical College(PUMC) Beijing
China Peking University First Hospital Beijing
China Peking University Third Hospital Beijing
China The First Hospital of Jilin University Changchun
China The Third Xiangya Hospital of Central Sourth University Changsha
China Hunan Cancer hospital Changsha Shi
China West China Hospital of Sichuan University Chengdu
China Chongqing University Cancer Hospital Chongqing
China Guangzhou First Municipal People's Hospital Guang Zhou Shi
China Sun Yat-Sen University Cancer Center Guangzhou
China Zhejiang Provincial People's Hospital Hangzhou
China The First Hospital of Jiaxing Jiaxing
China Nanjing Drum Tower Hospital Nanjing
China Qingdao Municipal Hospital Qingdao
China Renji Hospital Shanghai
China Ruijin Hospital Shanghai
China Shengjing Hospital Of China Medical University Shenyang
China Tianjin Medical University Cancer Institute and Hospital Tianjin
China The First Affiliated Hospital of Wenzhou Medical University Wenzhou Shi
China Wuhan Tongji Hospital Tongji Medical College Wuhan
China Wuhan Union Hospital Wuhan
China Yantai Yuhuangding Hospital Yantai
China Henan Cancer Hospital Zhengzhou
Czechia Slezska nemocnice v Opave Opava
Czechia Fakultni nemocnice Plze Plzen-Bory
Czechia Fakultni nemocnice Kralovske Vinohrady Praha
Czechia Urocentrum Praha Praha 2
Czechia Vseobecna fakultni nemocnice v Praze Praha 2
Czechia Thomayerova nemocnice Praha 4
Czechia Fakultni nemocnice v Motole Praha 5
Czechia Nemocnice Na Bulovce Praha 8
France Hopital Pellegrin CHU Bordeaux Bordeaux
France ICH Hopital A. Morvan Brest
France Hôpital Côte de Nacre Caen Cedex 9
France Pole Sante Leonard de Vinci Chambray-lès-Tours
France Clinique Sainte Marguerite Hyeres
France CHRU Lille Lille
France Polyclinique de Limoges - Francois Chenieux Limoges
France Hôpital Edouard Herriot Lyon Cedex 03
France Hôpital Européen Marseille
France Institut Paoli-Calmettes Marseille
France Institut Regional du Cancer de Montpellier Montpellier
France CHU Nîmes Nimes
France Hôpital Bichat - Claude Bernard Paris
France Hopital Europeen Georges-Pompidou Paris
France Hopital Tenon Paris
France Institut Mutualiste Montsouris Paris
France Clinical La Croix Du Sud - Ramsay Santé Quint-Fonsegrives
France Centre hospitalier universitaire de St Etienne Saint-Etienne Cedex 2
France Centre Hospitalier Prive Saint-Grégoire
France Hopital Foch Suresnes
France Institut de Cancérologie de Lorraine Vandoeuvre-les-Nancy
France Gustave Roussy Villejuif Cedex
Germany Staedtisches Klinikum Braunschweig Braunschweig
Germany Universitatsklinikum Carl Gustav Carus Dresden Dresden
Germany Universitätsklinikum Düsseldorf Düesseldorf
Germany Urologicum Duisburg Duisburg
Germany Klinik und Poliklinik für Urologie Essen
Germany Agaplesion Frankfurter Diakonie Kliniken GmbH, Markus Krankenhaus Frankfurt Am Main
Germany Universitatsklinikum Frankfurt Frankfurt am Main
Germany SLK-Kliniken Heilbronn - Klinikum am Gesundbrunnen Heilbronn
Germany Klinikum Herne - Urologie Herne
Germany Matthias Schulze - Germany Markkleeberg
Germany Universitatsklinikum Munster Münster
Germany Klinikum Nürnberg Nord - Hautklinik Nürnberg
Germany Krankenhaus der Barmherzigen Bruder Trier Trier
Greece Alexandra General Hospital of Athens Athens
Greece Metropolitan General A E Holargos
Greece Athens Medical Center Maroussi
Greece Metropolitan Hospital Neo Faliro
Greece Bioclinic - Thessaloniki Thessaloniki
Greece Clinic Agios Loukas Thessaloniki
Greece Euromedica General Clinic Thessaloniki
Greece Papageorgiou General Hospital Of Thessaloniki Thessaloniki
Greece Anassa General Clinic Volos
Hungary Bajcsy-Zsilinszky Kórház és Rendelointézet Budapest
Hungary Eszak Pesti Centrumkorhaz Honvedkorhaz Budapest
Hungary Orszagos Onkologiai Intezet Budapest N/a
Hungary Debreceni Egyetem Klinikai Kozpont Debrecen
Hungary Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz Nyíregyháza
India Sujan Surgical Cancer Hospital & Amravati Cancer Foundation Amravati
India Bangalore Medical College and Research Institute Bangalore
India Acharya Tulsi Regional Cancer Treatment Research Institute Bikaner
India Shatabdi Super Speciality Hospital Nashik
India Aakash Healthcare Super Speciality Hospital New Delhi
India BLK Super Specialty Hospital New Delhi
India Rajiv Gandhi Cancer Institute & Research Centre New Delhi
India Indira Gandhi Institute of Medical Sciences Patna
India Jehangir Clinical Development Center Pvt Ltd Pune
Italy Ospedale San Donato Arezzo
Italy Fondazione del Piemonte per I Oncologia IRCC Candiolo Candiolo
Italy Ospedale Civile Ramazzini Carpi
Italy Ospedale Cannizzaro Catania
Italy Azienda Ospedaliero Universitaria Ospedali Riuniti di Foggia Foggia
Italy Ospedale San Martino Genova
Italy SPDC Villa Scassi Genova
Italy Ospedale Umberto I di Lugo Lugo
Italy Ospedale San Raffaele Milan
Italy Istituto Europeo di Oncologia Milano
Italy Azienda Ospedaliera Universitaria Federico II Napoli
Italy Istituto Oncologico Veneto - IRCCS Padova
Italy Azienda Sanitaria Locale Salerno - Po Andrea Tortora Di Pagani Pagani
Italy Azienda Ospedaliero Universitaria Pisana Pisa
Italy ASL Napoli 2 Nord-SM delle Grazie Hospital Pozzuoli
Italy Azienda Ospedaliera Sant Andrea Roma
Italy Policlinico Universitario Agostino Gemelli Roma
Italy Istituto Nazionale Tumori Regina Elena Rome
Italy Universita Campus Bio-Medico di Roma Rome
Italy Istituto Clinico Humanitas Rozzano, IRCCS Rozzano
Italy Azienda Ospedaliera Universitaria Senese Policlinico Santa Maria alle Scotte Siena
Italy Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino Torino
Italy Ospedale di Circolo e Fondazione Macchi Varese
Italy Ospedale San Bortolo Vicenza
Japan Aso Co.,Ltd Iizuka Hospital Iizuka
Japan St Marianna University Hospital Kanagawa
Japan Nara Medical University Hospital Kashihara
Japan Saitama Medical University Hospital Kawagoe-Shi
Japan Kimitsu Chuo Hospital Kisarazu-shi
Japan Nagasaki University Hospital Nagasaki-shi
Japan JOHAS Osaka Rosai Hospital Osaka
Japan Tokuyama Central Hospital Shunan
Japan Nippon Medical School Hospital Tokyo
Japan Toranomon Hospital Tokyo
Japan Fujita Health University Hospital Toyoake
Japan Yamaguchi University Hospital Ube
Japan Yokohama City University Medical Center Yokohama
Korea, Republic of Inje University Haeundae Paik Hospital Busan
Korea, Republic of Keimyung University Dongsan Hospital Daegu
Korea, Republic of Kyungpook National University Chilgok Hospital Daegu
Korea, Republic of Samsung Medical Center Gangnam Gu
Korea, Republic of National Cancer Center Goyang-si
Korea, Republic of Chonnam National University Hwasun Hospital Hwasun-gun
Korea, Republic of Gachon University Gil Medical Center Namdong
Korea, Republic of Gangnam Severance Hospital Seoul
Korea, Republic of Hanyang University Hospital Seoul
Korea, Republic of Seoul National University Hospital Seoul
Korea, Republic of Severance Hospital Seoul
Korea, Republic of The Catholic University of Korea Seoul St Mary s Hospital Seoul
Korea, Republic of Pusan National University Yangsan Hospital Yangsan Si
Mexico Oncologia Integral Satelite Ciudad de México
Mexico Consultorio Privado Dr Jose Arturo Rodriguez Rivera Guadalajara
Mexico Hospital Civil de Guadalajara Fray Antonio Alcalde Guadalajara
Mexico Centro De Estudio Y Prevencion Del Cancer Juchitan De Zaragoza
Mexico Dr. Marco Antonio Badillo Santoyo Leon
Mexico i Can Oncology Center Monterrey
Mexico Centro de Investigacion Clinica Chapultepec Morelia
Mexico Centro de Investigacion Clinica de Oaxaca Oaxaca
Mexico Oncologico Potosino San Luis Potosi
Mexico Investigación Biomedica para el desarrollo de Farmacos, S.A. de C.V. Zapopan
Poland Samodzielny Publiczny Szpital Wojewodzki im. Papieza Jana Pawla II Siedlce
Poland Centrum Medyczne Pratia Poznan Skorzewo
Poland Centralny Szpital Kliniczny MSWiA w Warszawie Warszawa
Poland Uniwersytecki Szpital Kliniczny Wroclaw
Portugal Hospital Garcia de Orta Almada
Portugal Centro Hospitalar e Universitario de Coimbra Coimbra
Portugal Centro Hospitalar de Lisboa Central Lisboa
Portugal H. Santa Maria - Centro Hospitalar de Lisboa Norte Lisboa
Portugal Fund. Champalimaud Lisbon
Portugal Hospital de Sao Joao Porto
Russian Federation Altlay Regional Oncology Dispensary Barnaul
Russian Federation Ivanovo Regional Oncology Dispensary Ivanovo
Russian Federation Krasnoyarsk Regional Oncology Dispensary Krasnoyarsk
Russian Federation Hertzen Oncology Research Institute Moscow
Russian Federation A. Tsyb Medical Radiological Research Center Obninsk
Russian Federation BHI of Omsk region Clinical Oncology Dispensary Omsk
Russian Federation Ryazan State Medical University named after I.P.Pavlov Ryazan
Russian Federation N.N. Petrov Research Institute Of Oncology Saint Petersburg
Russian Federation Ogarev Mordovian State University Saransk
Russian Federation State Medical Institution Oncological Center #2 of Healthcare Department at Krasnodar Regio Sochi
Russian Federation Multifunctional clinical medical center 'Medical city' Tyumen
Russian Federation Bashkir State Medical University Ufa
Spain Hosp. Univ. A Coruna A Coruña
Spain Hosp. Univ. Germans Trias I Pujol Badalona
Spain Fund. Puigvert Barcelona
Spain Hosp. Univ. Vall D Hebron Barcelona
Spain Hosp. Univ. Virgen de Las Nieves Granada
Spain Hosp. de Jerez de La Frontera Jerez de la Frontera
Spain Clinica Univ. de Navarra Madrid
Spain Hosp. Univ. 12 de Octubre Madrid
Spain Hosp. Univ. de La Paz Madrid
Spain Hosp. Univ. Hm Sanchinarro Madrid
Spain Corporacio Sanitari Parc Tauli Sabadell
Spain Hosp. Univ. Marques de Valdecilla Santander
Spain Hosp. Clinico Univ. de Valencia Valencia
Spain Instituto Valenciano de Oncologia Valencia
Taiwan Kaohsiung Medical University Chung-Ho Memorial Hospital Kaohsiung
Taiwan China Medical University Hospital Taichung
Taiwan Taichung Veterans General Hospital Taichung
Taiwan National Cheng Kung University Hospital Tainan
Taiwan National Taiwan University Hospital Taipei
Taiwan Tri-Service General Hospital Taipei
Taiwan Chang Gung Memorial Hospital Linkou Branch Taoyuan
Turkey Adana Baskent Yuregir Hospital Adana
Turkey Ankara Universitesi Tip Fakultesi Cebeci Hastanesi Ankara
Turkey Yildirim Beyazit University Medical Faculty Ankara Atatürk Research and Training Hospital Ankara
Turkey Dokuz Eylul Universitesi Tip Fakultesi Balcova
Turkey Bezmialem University Medical Faculty Fatih
Turkey Medical Park Gaziantep Hastanesi Gaziantep
Turkey Istanbul Medeniyet University Goztepe Training and Research Hospital Istanbul
Turkey Istanbul University Cerrahpasa Medical Faculty Istanbul
Turkey Izmir Medical Park Hospital Izmir
Turkey Inonu University Medical Faculty Malatya
Turkey Erciyes Univ MKD Hospital Melikgazi
Turkey T.C. Saglik Bakanligi Ankara Numune Egitim ve Arastirma Hastanesi Seyhan
Ukraine Chernihivskyi oblasnyi onkolohichnyi dyspanser Chernihiv
Ukraine SE Dnipropetrovsk Medical Academy Dnipro
Ukraine Kharkiv Regional Clinical Hospital Kharkiv
Ukraine Khersonsky Regional Oncology Center Kherson
Ukraine Asklepion LLC Kiev
Ukraine Kyiv City Clinical Hospital #3 Kyiv
Ukraine P.L. Shupyk National Medical Academy of Post-Graduate Education Kyiv
Ukraine State Institution Academy Of Medical Sciences Of Ukraine Kyiv
Ukraine Lviv Regional Clinical Hospital Lviv
United States University Hospitals Seidman Cancer Center Ann Arbor Michigan
United States Winship Cancer Institute of Emory University Atlanta Georgia
United States MidLantic Urology Bala-Cynwyd Pennsylvania
United States Boca Raton Regional Hospital Boca Raton Florida
United States Cardiology Clinic at Montefiore Hutchinson Complex Bronx New York
United States Wexner Medical Center at the Ohio State University Columbus Ohio
United States The Urology Center of Colorado Denver Colorado
United States Duke University Medical Center Durham North Carolina
United States Foothills Urology - Golden Off Golden Colorado
United States Vidant Urology - Greenville Greenville North Carolina
United States Urological Research Network Hialeah Florida
United States Houston Metro Urology Houston Texas
United States University of Tennessee Medical Center Knoxville Tennessee
United States University of Texas Medical Branch League City Texas
United States DuPage Medical Group Lisle Illinois
United States Loma Linda Univ Faculty Medic Loma Linda California
United States University of Southern California Los Angeles California
United States Carolina Urologic Research Center Myrtle Beach South Carolina
United States Virginia Oncology Associates Norfolk Virginia
United States Stephenson Cancer Center Oklahoma City Oklahoma
United States Adult Pediatric Urology & Urogynecology, P.C Omaha Nebraska
United States Memorial Healthcare System Pembroke Pines Florida
United States Providence Saint John s Health Center Santa Monica California
United States Stanford University Medical Center Stanford California
United States Michigan Institute of Urology Troy Michigan
United States New Jersey Urology LLC Voorhees New Jersey
United States Wake Forest University Baptist Medical Center (WFUBMC) - Comprehensive Cancer Center Winston-Salem North Carolina

Sponsors (1)

Lead Sponsor Collaborator
Janssen Research & Development, LLC

Countries where clinical trial is conducted

United States,  Argentina,  Australia,  Austria,  Belgium,  Brazil,  Canada,  China,  Czechia,  France,  Germany,  Greece,  Hungary,  India,  Italy,  Japan,  Korea, Republic of,  Mexico,  Poland,  Portugal,  Russian Federation,  Spain,  Taiwan,  Turkey,  Ukraine, 

Outcome

Type Measure Description Time frame Safety issue
Primary Time from Randomization to the First Bladder Intact Event-free Survival (BI-EFS) event Time from randomization to the first BI-EFS event includes histologically proven presence of muscle-invasive bladder cancer (MIBC), clinical evidence of nodal or metastatic disease (as assessed by RECIST 1.1 criteria), radical cystectomy (RC), or death due to any cause. Up to 8 years
Secondary Metastasis-free survival (MFS) MFS is measured from time from randomization to first radiologic (as assessed by RECIST 1.1 criteria) evidence of metastatic disease or death due to any cause. Up to 8 years
Secondary Overall Survival (OS) OS is defined as time from randomization to death. Up to 8 years
Secondary Overall Response Rate (ORR) ORR is defined as the proportion of participants who achieve a complete response (CR) or partial response (PR). CR is defined as Negative biopsy, and Computed tomography/Magnetic resonance imaging (CT/MRI) showing no evidence of locally advanced or metastatic disease. PR (down-staging) is defined as biopsy proven non-muscle invasive disease (Ta, T1, Tis) and CT/MRI showing no evidence of locally advanced or metastatic disease. Non-Response (NR) includes those not achieving a CR or PR. Those who do not undergo a biopsy will be considered Non-Evaluable (NE). Up to 8 years
Secondary Number of Participants with Adverse Events (AEs) According to Common Terminology Criteria for Adverse Events (CTCAE) Number of Participants with AEs by Severity as assessed by CTCAE version 5 will be reported. Grade refers to the severity of the AE as follows: Grade 1- Mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2- Moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental Activities of Daily Living (ADL); Grade 3- Severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated, disabling, limiting self-care ADL; Grade 4- Life-threatening consequences, urgent intervention indicated; Grade 5- Death related to AE. Up to 8 years
Secondary Number of Participants with AEs by Severity according to Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (NCI PRO-CTCAE) NCI PRO-CTCAE is a patient-reported item library used to evaluate symptomatic treatment-emergent adverse events in participants on cancer clinical trials. The items selected for this study include all NCI PRO-CTCAE gastrointestinal items and urinary items. These items include taste changes, decreased appetite, nausea, vomiting, heartburn, gas, bloating, hiccups, constipation, diarrhea, abdominal pain, fecal incontinence, painful, urination, urinary urgency, urinary frequency, change in usual urine color, and urinary incontinence. Up to 8 years
Secondary Number of Participants with Clinical Laboratory Abnormalities Number of participants with clinical laboratory abnormalities will be reported. Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening, and Grade 5= Death related to adverse event. Up to 8 years
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