Table 2.
Treatment-emergent adverse events (≥15% of any grade in phase 1b or phase 2 in either group) by CTCAE term
| Phase 1b | Phase 2a | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Galunisertib + Gemcitabine (N = 14) | Placebo Group (N = 52) | Galunisertib Group (N = 103) | |||||||
| Grade 1–2 | Grade 3 | Grade 4 | Grade 1–2 | Grade 3 | Grade 4 | Grade 1–2 | Grade 3 | Grade 4 | |
| Anaemia | 5 (36%) | 3 (21%) | 1 (7%) | 19 (37%) | 9 (17%) | 0 | 32 (31%) | 12 (12%) | 0 |
| Neutrophil count decreased | 1 (7%) | 4 (29%) | 2 (14%) | 7 (13%) | 13 (25%) | 1 (2%) | 6 (6%) | 33 (32%) | 3 (3%) |
| Platelet count decreased | 3 (21%) | 2 (14%) | 1 (7%) | 14 (27%) | 5 (10%) | 1 (2%) | 35 (34%) | 8 (8%) | 0 |
| Nausea | 10 (71%) | 0 | 0 | 16 (31%) | 2 (4%) | 0 | 36 (35%) | 5 (5%) | 0 |
| Vomiting | 9 (64%) | 0 | 0 | 16 (31%) | 4 (8%) | 0 | 22 (21%) | 4 (4%) | 2 (2%) |
| Constipation | 5 (36%) | 0 | 0 | 14 (27%) | 2 (4%) | 0 | 30 (29%) | 1 (1%) | 0 |
| Abdominal pain | 2 (14%) | 2 (14%) | 0 | 12 (23%) | 3 (6%) | 0 | 28 (27%) | 8 (8%) | 1 (1%) |
| Diarrhoea | 5 (36%) | 1 (7%) | 0 | 12 (23%) | 0 | 0 | 23 (22%) | 0 | 1 (1%) |
| Fever | 6 (43%) | 0 | 0 | 11 (21%) | 1 (2%) | 0 | 36 (35%) | 3 (3%) | 0 |
| Oedema limbs | 4 (29%) | 0 | 0 | 11 (21%) | 1 (2%) | 0 | 21 (20%) | 2 (2%) | 1 (1%) |
| Fatigue | 7 (50%) | 3 (21%) | 0 | 21 (40%) | 5 (10%) | 0 | 41 (40%) | 13 (13%) | 0 |
| ALT increased | 4 (29%) | 0 | 0 | 2 (4%) | 1 (2%) | 0 | 6 (6%) | 5 (5%) | 0 |
| AST increased | 4 (29%) | 0 | 0 | 2 (4%) | 1 (2%) | 0 | 4 (4%) | 4 (4%) | 0 |
| Anorexia | 5 (36%) | 0 | 0 | 12 (23%) | 1 (2%) | 0 | 26 (25%) | 4 (4%) | 1 (1%) |
| Hypocalcemia | 3 (21%) | 0 | 0 | 2 (4%) | 0 | 0 | 4 (4%) | 2 (2%) | 0 |
| Hypoalbuminemia | 5 (36%) | 0 | 0 | 1 (2%) | 0 | 0 | 3 (3%) | 0 | 1 (1%) |
| Headache | 5 (36%) | 0 | 0 | 6 (12%) | 0 | 0 | 6 (6%) | 0 | 0 |
| Myalgia | 4 (29%) | 0 | 0 | 1 (2%) | 0 | 0 | 7 (7%) | 0 | 0 |
aIn phase 2, Grade 5 events occurred that did not meet the ≥15% threshold; these included: (placebo group) 1 multiorgan failure, 1 peritoneal infection, 1 sepsis, and 1 ascites; (galunisertib group) 2 stroke, 1 pericardial effusion, 1 upper gastrointestinal haemorrhage, 1 infusion related reaction, 1 endocarditis infection, 1 lung infection, 1 arterial injury, and 1 respiratory failure.
ALT=alanine aminotransferase; AST=aspartate aminotransferase; CTCAE=Common Terminology Criteria for Adverse Event