Table 2.
Dose, mg/d patients treatedb | 5 (n = 2)
|
10 (n = 1)
|
20 (n = 1)
|
40 (n = 1)
|
80 (n = 1)
|
150 (n = 3)
|
300 (n = 5)
|
600 (n = 6)
|
900a (n =25)
|
1,300 (n =9)
|
||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NCI-CTCAE grade | 1–2 | 3–4 | 1–2 | 3–4 | 1–2 | 3–4 | 1–2 | 3–4 | 1–2 | 3–4 | 1–2 | 3–4 | 1–2 | 3–4 | 1–2 | 3–4 | 1–2 | 3–4 | 1–2 | 3–4 |
Blood/bone marrow | ||||||||||||||||||||
Thrombocytopenia | 1 | 1 | ||||||||||||||||||
Anemia | 2 | |||||||||||||||||||
Hemoglobin | 1 | 1 | ||||||||||||||||||
Gastrointestinal | ||||||||||||||||||||
Nausea | 1 | 2 | 9 | 1 | 3 | |||||||||||||||
Diarrhea | 1 | 1 | 1 | 6 | 3 | |||||||||||||||
Vomiting | 1 | 1 | 6 | 2 | ||||||||||||||||
Dysgeusia | 1 | 2 | 4 | 3 | ||||||||||||||||
Constipation | 2 | 2 | 1 | |||||||||||||||||
Oral mucosal exfoliation | 1 | 1 | 1 | 2 | 1 | 1 | ||||||||||||||
Abdominal distention | 1 | 1 | 1 | |||||||||||||||||
Dry mouth | 2 | 1 | ||||||||||||||||||
Stomatitis/oral mucosal blistering | 1 | 1 | 1 | |||||||||||||||||
Abdominal pain | 1 | 1 | ||||||||||||||||||
Constitutional symptoms | ||||||||||||||||||||
Fatigue | 1 | 1 | 12 | 3 | 2 | |||||||||||||||
Anorexia/decreased appetite | 1 | 1 | 7 | 1 | 4 | |||||||||||||||
Weight loss | 2 | 2 | ||||||||||||||||||
Myalgia | 1 | 1 | 2 | |||||||||||||||||
Headache | 1 | 1 | ||||||||||||||||||
Night sweats/hot flash | 1 | 1 | 1 | |||||||||||||||||
Metabolic/laboratory | ||||||||||||||||||||
Elevated AST | 1 | 8 | 3 | |||||||||||||||||
Elevated ALT | 1 | 7 | 1 | 1 | 2 | |||||||||||||||
Hypomagnesemia | 3 | 1 | ||||||||||||||||||
Other | ||||||||||||||||||||
Rash/psoriasis/pruritus | 1 | 4 | ||||||||||||||||||
Muscle spasm | 1 | 1 | 4 | 2 |
NOTE: Drug-related is defined as possibly, probably, or definitely related to bardoxolone methyl. Abbreviation: NCI-CTCAE, National Cancer Institute-Common Terminology Criteria for Adverse Events.
A total of 900 mg/d is the recommended phase II dose for bardoxolone methyl administered orally once a day for 21 consecutive days during a 28-day treatment cycle.
Number of patients treated at each dose level is greater than the total number of patients enrolled due to dose adjustments during the study.