Page 1 of 27 RTOG 1010 February, 2015
RTOG 1010
Report Based on Data Through: 10/31/2014
A Phase III Trial Evaluating the Addition of Trastuzumab to Trimodality Treatment of HER2-
Overexpressing Esophageal Adenocarcinoma
STEP 1 REGISTRATION
↓
HER2 Testing
Mandatory submission of tissue for HER2 testing
NOTE: Tumor tissue must be received and patients must have confirmed HER2 positivity before randomization
can occur. Patients with confirmed HER2 negativity will not be randomized.
↓
STEP 2 REGISTRATION
STRATIFY
Presence of adenopathy: No vs. Yes—celiac absent vs. Yes—celiac present ≤ 2 cm
RANDOMIZE
↓ ↓
Arm 1
Radiation (50.4 Gy), paclitaxel, carboplatin, and
trastuzumab
Followed by surgery 5-8 weeks after completion of
radiation
Then maintenance trastuzumab, every 3 weeks for 13
treatments
Arm 2
Radiation (50.4 Gy), paclitaxel, and
carboplatin
Followed by surgery 5-8 weeks after
completion of radiation
Study Chairs: Medical Oncology
Howard Safran, M.D. (Principal Investigator) NRG Oncology
Lawrence Leichman, M.D. SWOG
Radiation Oncology
Theodore S. Hong, M.D. NRG Oncology
Michael Haddock, M.D. NRG Oncology
Thomas Dipetrillo, M.D. Alliance
Surgical Oncology
Carolyn Reed, M.D. Alliance
Page 2 of 27 RTOG 1010 February, 2015
Correlative Science
Chandan Guha, M.D., Ph.D. NRG Oncology
Heinz Joseph Lenz, M.D. SWOG
Pathology
Murray Resnick, M.D., Ph.D. NRG Oncology
Translational
Ulrich Rodeck, M.D., Ph.D. NRG Oncology
Quality of Life
Lisa Kachnic, M.D. NRG Oncology
Protocol Statisticians: Kathryn Winter, M.S.
Jennifer Moughan, M.S.
Research Associates: Wendy Bergantz, R.N.
Debora Grant, R.N., M.S.N.
Dosimetrist: Susan McNulty, B.S., R.T. (R)(T), CMD
Activated: 12/30/2010
Status: Accruing
Objectives
Primary:
To determine if trastuzumab increases disease-free survival when combined with trimodality treatment
(radiation plus chemotherapy followed by surgery) for patients with HER2-overexpressing esophageal
adenocarcinoma
Secondary:
To evaluate if the addition of trastuzumab to trimodality treatment increases the pathologic complete response
rate and overall survival for patients with HER2-overexpressing esophageal adenocarcinoma.
To develop a tissue bank of tumor tissue from patients with non-metastatic esophageal adenocarcinoma.
To determine molecular correlates of complete pathologic response, disease-free survival, and overall survival
for patients with HER2 overexpressing esophageal adenocarcinoma treated with neoadjuvant and
maintenance trastuzumab.
To evaluate predictors of cardiotoxicity in patients with esophageal cancer treated with trastuzumab and
chemoradiation.
To evaluate adverse events associated with the addition of trastuzumab to trimodality treatment for patients
with non-metastatic esophageal adenocarcinoma.
Patient-Reported Quality of Life Objectives
To determine if the addition of trastuzumab to trimodality treatment improves the patient-reported Functional
Assessment of Cancer Therapy for Esophageal Cancer (FACT-E) Esophageal Cancer Subscale (ECS) score.
Page 3 of 27 RTOG 1010 February, 2015
To determine if an improvement in the FACT-E ECS score at 6-8 weeks post completion of neoadjuvant
chemoradiation correlates with pathologic complete response.
To determine if pathologic complete response correlates with the FACT-E ECS score at 1 year and/or 2 years
from the start of chemoradiation.
To determine if the addition of trastuzumab to trimodality treatment improves the Swallow Index and Eating
Index Subscale scores of the FACT-E.
To determine if the addition of trastuzumab to paclitaxel, carboplatin, and radiation impacts quality-adjusted
survival
Patient Population
All patients must have pathologically confirmed adenocarcinoma of the esophagus that involves the mid (up to 25
cm), distal, or esophagogastric junction. The cancer may involve the stomach up to 5 cm. Patients must have an
endoscopy with biopsy and have the intention to submit tissue for central HER2 testing. Patients must have
disease stage T1N1-2, T2-3N0-2, according to the American Joint Committee on Cancer (AJCC) 7th edition
staging., Patients may have regional adenopathy including para-esophageal, gastric, gastrohepatic and celiac
nodes (Note: if celiac adenopathy is present, it must be ≤ 2 cm); and patients with tumors at the level of the carina
must undergo bronchoscopy to exclude fistula. All patients must be ≥ 18 years of age and have a Zubrod
performance status of 0-2. Prior to 2nd
step registration, all patients must have HER2 expressing adenocarcinoma
of the esophagus centrally assessed and patients must have LVEF ≥ institutional lower limit of normal by cardiac
echo or MUGA scan.
Summary
This is a randomized phase III study designed to assess the efficacy of trastuzumab for patients with HER2-
overexpressing (HER2+) esophageal adenocarcinoma. The primary endpoint for this study is disease-free
survival. Accrual was activated on December 30, 2010, and as of October 31, 2014, 156 HER2+ patients have
been randomized. The trial was recently amended to increase the sample size to 197 randomized HER2+ patients.
This was based on a prospective plan in the protocol to increase the sample size if the accrual was going well and
adverse events were acceptable, in order to detect a slightly smaller yet still clinically meaningful difference in
disease-free survival. The distributions by patient and tumor characteristics are shown in Tables 5 and 6. Median
(min-max) age is 63 years (24-83). As of October 31, 2014 the median time of follow-up for vital status is 11.7
months. AEs were graded with CTCAE version 4. As of October 31, 2014, there have been 19 patients (27.1%)
with reported grade 4 events and 4 (5.7%) with reported grade 5 events on the trastuzumab arm compared to 15
patients (22.4%) with reported grade 4 events and 3 (4.5%) with grade 5 events on the non-trastuzumab arm
(Table 7). Two of the grade 5 events on the trastuzumab arm are new as of this report, one unrelated and one
probably related to treatment. Two of the grade 5 events on the non-trastuzumab arm are new as of this report,
one possibly and one probably related to treatment (Table 10). The first interim analysis of efficacy is projected
for September 2015. The second interim analysis of toxicity is projected for February 2015.
Page 4 of 27 RTOG 1010 February, 2015
Patient Accession Data
Cumulative Accrual for HER2 Status Assessment for RTOG 1010 - Data as of 10/31/2014
Table 1
RTOG 1010 Accrual for HER2 Status Assessment Summary – Data as of
10/31/2014
Date activated to accrual: December 30, 2010
Targeted sample size: 591
Projected monthly accrual: 9.9
Average monthly accrual over last 6 months: 8.3
Projected accrual as of 10/31/2014: 366
Total accrual as of 10/31/2014: 454
Percent of projected accrual achieved as of 10/31/2014: 124.04%
Percent of total targeted accrual as of 10/31/2014: 76.82%
0
75
150
225
300
375
450
525
600
Cum
ula
tive
Nu
mb
er o
f P
atie
nts
En
roll
ed
Month and Year
Projected Accrual
Observed Accrual
454
366
Page 5 of 27 RTOG 1010 February, 2015
Cumulative Accrual for HER2+ Randomized for RTOG 1010 - Data as of 10/31/2014
Table 2
RTOG 1010 Accrual for HER2+ Randomized Summary - Data as of 10/31/2014
Date activated to accrual: December 30, 2010
Targeted sample size: 197
Projected monthly accrual: 3.4
Average monthly accrual over last 6 months: 3.5
Projected accrual as of 10/31/2014: 123
Total accrual as of 10/31/2014: 156
Percent of projected accrual achieved as of 10/31/2014: 126.83%
Percent of total targeted accrual as of 10/31/2014: 79.19%
Table 3
RTOG 1010 Accrual/Eligibility - Data as of 10/31/2014
RT+Paclitaxel+
Carboplatin+Trastuzumab
RT+Paclitaxel+
Carboplatin Total
Screened - - 454
Randomized 78 78 156
Ineligible 3 4 7
Eligible 75 74 149
0
50
100
150
200
Cum
ula
tive
Nu
mb
er o
f P
atie
nts
Ran
do
miz
ed
Month and Year
Projected Accrual
Observed Accrual
156
123
Page 6 of 27 RTOG 1010 February, 2015
Table 4
RTOG 1010 Cases Excluded - Data as of 10/31/2014
RT+Paclitaxel+
Carboplatin+
Trastuzumab
(n=3)
RT+Paclitaxel+
Carboplatin
(n=4)
Total
(n=7)
Reason n % n % n %
Ineligible - H-P not done within specified window 1 33.3 2 50.0 3 42.9
Ineligible - Eligibility form >1 month overdue 1 33.3 0 0.0 1 14.3
Ineligible - Endoscopic ultrasound not done 0 0.0 1 25.0 1 14.3
Ineligible - PET-CT not done within specified window 1 33.3 0 0.0 1 14.3
Ineligible - T4 disease with proximal thoracic cancer 0 0.0 1 25.0 1 14.3
Patient Characteristics
Table 5
1st Step Registration
Patient and Tumor Characteristics for All Screened
Patients in RTOG 1010 - Data as of 10/31/2014
Patient or Tumor Characteristic n %
Age (years)
≤ 39 9 2.0
40 - 49 22 4.8
50 - 59 125 27.5
60-69 180 39.6
70-79 108 23.8
≥ 80 10 2.2
Gender
Male 412 90.7
Female 42 9.3
Race
American Indian or Alaska Native 3 0.7
Asian 5 1.1
Black or African American 9 2.0
White 429 94.5
Unknown 8 1.8
Ethnicity
Hispanic or Latino 16 3.5
Not Hispanic or Latino 426 93.8
Unknown 12 2.6
Total 454 100.0
Page 7 of 27 RTOG 1010 February, 2015
Table 6
2nd
Step Randomization
Patient and Tumor Characteristics for All Eligible Patients with On-Study Data in
RTOG 1010 - Data as of 10/31/2014
RT+Paclitaxel+
Carboplatin+
Trastuzumab
RT+Paclitaxel
+Carboplatin Total
Patient or Tumor Characteristic n % n % n %
Age (years)
≤ 39 0 0.0 3 4.1 3 2.0
40 - 49 2 2.7 4 5.4 6 4.1
50 - 59 22 29.7 17 23.0 39 26.4
60-69 32 43.2 24 32.4 56 37.8
70-79 17 23.0 23 31.1 40 27.0
≥ 80 1 1.4 3 4.1 4 2.7
Gender
Male 67 90.5 62 83.8 129 87.2
Female 7 9.5 12 16.2 19 12.8
Race
American Indian or Alaska Native 0 0.0 1 1.4 1 0.7
Asian 2 2.7 0 0.0 2 1.4
Black or African American 1 1.4 0 0.0 1 0.7
White 71 95.9 72 97.3 143 96.6
Unknown 0 0.0 1 1.4 1 0.7
Ethnicity
Hispanic or Latino 1 1.4 4 5.4 5 3.4
Not Hispanic or Latino 72 97.3 69 93.2 141 95.3
Unknown 1 1.4 1 1.4 2 1.4
Zubrod Performance Status
0 50 67.6 48 64.9 98 66.2
1 23 31.1 23 31.1 46 31.1
2 1 1.4 3 4.1 4 2.7
T stage, clinical
T1 1 1.4 3 4.1 4 2.7
T2 13 17.6 11 14.9 24 16.2
T3 60 81.1 60 81.1 120 81.1
N stage, clinical
N0 19 25.7 22 29.7 41 27.7
N1 42 56.8 40 54.1 82 55.4
N2 13 17.6 12 16.2 25 16.9
M stage, clinical
M0 74 100.0 74 100.0 148 100.0
Page 8 of 27 RTOG 1010 February, 2015
Table 6
2nd
Step Randomization
Patient and Tumor Characteristics for All Eligible Patients with On-Study Data in
RTOG 1010 - Data as of 10/31/2014
RT+Paclitaxel+
Carboplatin+
Trastuzumab
RT+Paclitaxel
+Carboplatin Total
Patient or Tumor Characteristic n % n % n %
Presence of Adenopathy
No 26 35.1 27 36.5 53 35.8
Yes adenopathy, but celiac absent 38 51.4 40 54.1 78 52.7
Yes adenopathy and celiac present ≤ 2 cm 10 13.5 7 9.5 17 11.5
Total 74 100.0 74 100.0 148 100.0
One eligible patient does not have on-study data and is excluded from this table.
Adverse Events
Table 7
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by System Organ Class - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
Overall Highest Grade 0 14 33 19 4 0 10 39 15 3
(0.0) (20.0) (47.1) (27.1) (5.7) (0.0) (14.9) (58.2) (22.4) (4.5)
Blood and lymphatic system
disorders
21 11 8 1 0
24 15 4 0 0
(30.0) (15.7) (11.4) (1.4) (0.0) (35.8) (22.4) (6.0) (0.0) (0.0)
Cardiac disorders 3 8 4 1 0 11 3 3 2 0
(4.3) (11.4) (5.7) (1.4) (0.0) (16.4) (4.5) (4.5) (3.0) (0.0)
Ear and labyrinth disorders 3 0 0 0 0 4 1 0 0 0
(4.3) (0.0) (0.0) (0.0) (0.0) (6.0) (1.5) (0.0) (0.0) (0.0)
Eye disorders 3 0 0 0 0 1 1 0 0 0
(4.3) (0.0) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0) (0.0) (0.0)
Gastrointestinal disorders 18 28 18 2 0 18 28 16 1 0
(25.7) (40.0) (25.7) (2.9) (0.0) (26.9) (41.8) (23.9) (1.5) (0.0)
General disorders and
administration site conditions
28 23 4 1 2
14 30 6 0 2
(40.0) (32.9) (5.7) (1.4) (2.9) (20.9) (44.8) (9.0) (0.0) (3.0)
Hepatobiliary disorders 0 0 0 1 0 0 0 0 0 0
(0.0) (0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Infections and infestations 1 11 8 6 0 0 6 8 1 1
(1.4) (15.7) (11.4) (8.6) (0.0) (0.0) (9.0) (11.9) (1.5) (1.5)
Page 9 of 27 RTOG 1010 February, 2015
Table 7
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by System Organ Class - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
Injury, poisoning and
procedural complications
9 3 2 0 0
10 1 1 1 0
(12.9) (4.3) (2.9) (0.0) (0.0) (14.9) (1.5) (1.5) (1.5) (0.0)
Investigations 8 18 23 14 0 4 26 25 12 0
(11.4) (25.7) (32.9) (20.0) (0.0) (6.0) (38.8) (37.3) (17.9) (0.0)
Metabolism and nutrition
disorders
18 23 12 1 0
11 19 20 0 0
(25.7) (32.9) (17.1) (1.4) (0.0) (16.4) (28.4) (29.9) (0.0) (0.0)
Musculoskeletal and connective
tissue disorders
11 5 2 0 0
6 10 3 0 0
(15.7) (7.1) (2.9) (0.0) (0.0) (9.0) (14.9) (4.5) (0.0) (0.0)
Nervous system disorders 21 5 3 0 0 13 11 3 1 0
(30.0) (7.1) (4.3) (0.0) (0.0) (19.4) (16.4) (4.5) (1.5) (0.0)
Psychiatric disorders 16 7 2 0 0 13 8 1 0 0
(22.9) (10.0) (2.9) (0.0) (0.0) (19.4) (11.9) (1.5) (0.0) (0.0)
Renal and urinary disorders 4 2 1 1 0 1 1 1 0 0
(5.7) (2.9) (1.4) (1.4) (0.0) (1.5) (1.5) (1.5) (0.0) (0.0)
Reproductive system and breast
disorders
0 0 0 0 0
0 1 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Respiratory, thoracic and
mediastinal disorders
17 15 3 1 2
16 9 7 2 0
(24.3) (21.4) (4.3) (1.4) (2.9) (23.9) (13.4) (10.4) (3.0) (0.0)
Skin and subcutaneous tissue
disorders
22 5 0 0 0
13 5 2 0 0
(31.4) (7.1) (0.0) (0.0) (0.0) (19.4) (7.5) (3.0) (0.0) (0.0)
Surgical and medical
procedures
0 1 0 0 0
0 0 1 1 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0)
Vascular disorders 1 7 6 2 0 3 10 5 1 0
(1.4) (10.0) (8.6) (2.9) (0.0) (4.5) (14.9) (7.5) (1.5) (0.0)
Adverse events were graded with CTCAE version 4.0.
Page 10 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
BLOOD AND
LYMPHATIC SYSTEM
DISORDERS
21 11 8 1 0
24 15 4 0 0
(30.0) (15.7) (11.4) (1.4) (0.0) (35.8) (22.4) (6.0) (0.0) (0.0)
Anemia 24 12 2 1 0 25 14 3 0 0
(34.3) (17.1) (2.9) (1.4) (0.0) (37.3) (20.9) (4.5) (0.0) (0.0)
Blood and lymphatic
system disorders - Other,
specify
1 0 2 0 0
3 1 0 0 0
(1.4) (0.0) (2.9) (0.0) (0.0) (4.5) (1.5) (0.0) (0.0) (0.0)
Febrile neutropenia 0 0 3 0 0 0 0 1 0 0
(0.0) (0.0) (4.3) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
Leukocytosis 0 0 1 0 0 0 0 0 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Thrombotic
thrombocytopenic purpura
1 0 0 0 0
0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
CARDIAC DISORDERS 3 8 4 1 0 11 3 3 2 0
(4.3) (11.4) (5.7) (1.4) (0.0) (16.4) (4.5) (4.5) (3.0) (0.0)
Atrial fibrillation 0 2 1 0 0 0 1 0 1 0
(0.0) (2.9) (1.4) (0.0) (0.0) (0.0) (1.5) (0.0) (1.5) (0.0)
Atrial flutter 0 0 2 0 0 0 0 1 0 0
(0.0) (0.0) (2.9) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
Cardiac arrest 0 0 0 1 0 0 0 0 1 0
(0.0) (0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0)
Cardiac disorders - Other,
specify
0 1 0 0 0
3 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (4.5) (0.0) (0.0) (0.0) (0.0)
Chest pain - cardiac 0 2 0 0 0 1 0 0 0 0
(0.0) (2.9) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Myocardial infarction 0 1 0 0 0 0 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Palpitations 1 0 0 0 0 1 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Pericardial effusion 0 2 0 0 0 0 1 0 0 0
(0.0) (2.9) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Pericarditis 0 0 0 0 0 1 1 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0) (0.0) (0.0)
Sinus bradycardia 1 0 0 0 0 1 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Sinus tachycardia 2 0 2 0 0 7 1 0 0 0
(2.9) (0.0) (2.9) (0.0) (0.0) (10.4) (1.5) (0.0) (0.0) (0.0)
Page 11 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
Supraventricular
tachycardia
0 0 0 0 0
0 0 2 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (3.0) (0.0) (0.0)
Ventricular arrhythmia 0 0 0 0 0 0 1 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Ventricular tachycardia 0 0 0 0 0 0 1 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
EAR AND LABYRINTH
DISORDERS
3 0 0 0 0
4 1 0 0 0
(4.3) (0.0) (0.0) (0.0) (0.0) (6.0) (1.5) (0.0) (0.0) (0.0)
Ear and labyrinth
disorders - Other, specify
0 0 0 0 0
1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Hearing impaired 0 0 0 0 0 1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Tinnitus 2 0 0 0 0 2 1 0 0 0
(2.9) (0.0) (0.0) (0.0) (0.0) (3.0) (1.5) (0.0) (0.0) (0.0)
Vertigo 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
EYE DISORDERS 3 0 0 0 0 1 1 0 0 0
(4.3) (0.0) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0) (0.0) (0.0)
Blurred vision 1 0 0 0 0 0 1 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Eye disorders - Other,
specify
1 0 0 0 0
1 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Floaters 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
GASTROINTESTINAL
DISORDERS
18 28 18 2 0
18 28 16 1 0
(25.7) (40.0) (25.7) (2.9) (0.0) (26.9) (41.8) (23.9) (1.5) (0.0)
Abdominal distension 0 1 0 0 0 0 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Abdominal pain 10 6 0 0 0 9 3 4 0 0
(14.3) (8.6) (0.0) (0.0) (0.0) (13.4) (4.5) (6.0) (0.0) (0.0)
Bloating 1 0 0 0 0 3 2 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (4.5) (3.0) (0.0) (0.0) (0.0)
Constipation 15 4 0 0 0 18 8 0 0 0
(21.4) (5.7) (0.0) (0.0) (0.0) (26.9) (11.9) (0.0) (0.0) (0.0)
Diarrhea 16 8 4 0 0 19 4 1 0 0
(22.9) (11.4) (5.7) (0.0) (0.0) (28.4) (6.0) (1.5) (0.0) (0.0)
Dry mouth 2 0 0 0 0 3 1 0 0 0
Page 12 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
(2.9) (0.0) (0.0) (0.0) (0.0) (4.5) (1.5) (0.0) (0.0) (0.0)
Duodenal perforation 0 0 0 0 0 0 0 0 1 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0)
Duodenal stenosis 0 0 0 0 0 0 1 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Dyspepsia 10 5 1 0 0 6 5 0 0 0
(14.3) (7.1) (1.4) (0.0) (0.0) (9.0) (7.5) (0.0) (0.0) (0.0)
Dysphagia 19 18 4 0 0 8 18 5 0 0
(27.1) (25.7) (5.7) (0.0) (0.0) (11.9) (26.9) (7.5) (0.0) (0.0)
Esophageal hemorrhage 0 0 1 0 0 0 1 0 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Esophageal obstruction 0 0 0 0 0 0 0 1 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
Esophageal pain 4 6 0 0 0 5 4 0 0 0
(5.7) (8.6) (0.0) (0.0) (0.0) (7.5) (6.0) (0.0) (0.0) (0.0)
Esophageal perforation 0 0 0 1 0 0 0 0 0 0
(0.0) (0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Esophageal stenosis 0 1 2 0 0 0 1 1 0 0
(0.0) (1.4) (2.9) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0) (0.0)
Esophageal ulcer 0 0 0 0 0 0 1 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Esophagitis 14 19 5 0 0 15 13 2 0 0
(20.0) (27.1) (7.1) (0.0) (0.0) (22.4) (19.4) (3.0) (0.0) (0.0)
Flatulence 2 0 0 0 0 1 0 0 0 0
(2.9) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Gastric hemorrhage 0 0 1 0 0 0 0 0 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Gastric perforation 0 0 1 0 0 0 0 0 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Gastric ulcer 0 1 1 0 0 0 0 0 0 0
(0.0) (1.4) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Gastritis 1 1 0 0 0 0 0 0 0 0
(1.4) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Gastroesophageal reflux
disease
6 7 0 0 0
2 1 0 0 0
(8.6) (10.0) (0.0) (0.0) (0.0) (3.0) (1.5) (0.0) (0.0) (0.0)
Gastrointestinal disorders -
Other, specify
3 2 3 0 0
4 3 1 0 0
(4.3) (2.9) (4.3) (0.0) (0.0) (6.0) (4.5) (1.5) (0.0) (0.0)
Gastrointestinal pain 3 1 0 0 0 0 0 0 0 0
(4.3) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Gastroparesis 0 0 0 0 0 0 1 0 0 0
Page 13 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Hemorrhoids 0 0 0 0 0 1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Ileus 0 1 0 0 0 0 0 1 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
Intra-abdominal
hemorrhage
0 0 1 0 0
0 0 0 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Malabsorption 0 1 0 0 0 0 1 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Mucositis oral 6 1 0 0 0 8 3 0 0 0
(8.6) (1.4) (0.0) (0.0) (0.0) (11.9) (4.5) (0.0) (0.0) (0.0)
Nausea 24 9 9 0 0 25 17 6 0 0
(34.3) (12.9) (12.9) (0.0) (0.0) (37.3) (25.4) (9.0) (0.0) (0.0)
Obstruction gastric 0 0 0 1 0 0 1 0 0 0
(0.0) (0.0) (0.0) (1.4) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Oral pain 1 0 0 0 0 2 1 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (3.0) (1.5) (0.0) (0.0) (0.0)
Rectal hemorrhage 1 0 1 0 0 1 0 0 0 0
(1.4) (0.0) (1.4) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Rectal pain 0 0 0 0 0 1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Salivary duct
inflammation
1 0 0 0 0
0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Small intestinal
obstruction
0 0 1 0 0
0 0 1 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
Stomach pain 1 0 0 0 0 0 3 1 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (4.5) (1.5) (0.0) (0.0)
Vomiting 12 5 1 0 0 16 7 3 0 0
(17.1) (7.1) (1.4) (0.0) (0.0) (23.9) (10.4) (4.5) (0.0) (0.0)
GENERAL DISORDERS
AND ADMINISTRATION
SITE CONDITIONS
28 23 4 1 2
14 30 6 0 2
(40.0) (32.9) (5.7) (1.4) (2.9) (20.9) (44.8) (9.0) (0.0) (3.0)
Chills 8 1 0 0 0 7 1 0 0 0
(11.4) (1.4) (0.0) (0.0) (0.0) (10.4) (1.5) (0.0) (0.0) (0.0)
Death NOS 0 0 0 0 1 0 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0)
Edema limbs 4 1 0 0 0 4 0 0 0 0
(5.7) (1.4) (0.0) (0.0) (0.0) (6.0) (0.0) (0.0) (0.0) (0.0)
Page 14 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
Fatigue 30 20 3 0 0 16 25 5 0 0
(42.9) (28.6) (4.3) (0.0) (0.0) (23.9) (37.3) (7.5) (0.0) (0.0)
Fever 6 2 2 0 0 6 2 0 0 0
(8.6) (2.9) (2.9) (0.0) (0.0) (9.0) (3.0) (0.0) (0.0) (0.0)
Flu like symptoms 2 1 0 0 0 1 0 0 0 0
(2.9) (1.4) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Gait disturbance 0 0 0 0 0 1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
General disorders and
administration site
conditions - Other, specify
3 0 1 0 0
0 1 0 0 0
(4.3) (0.0) (1.4) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Infusion related reaction 1 3 0 1 0 1 3 1 0 0
(1.4) (4.3) (0.0) (1.4) (0.0) (1.5) (4.5) (1.5) (0.0) (0.0)
Localized edema 0 0 0 0 0 1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Malaise 2 0 0 0 0 0 0 0 0 0
(2.9) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Multi-organ failure 0 0 0 0 0 0 0 0 0 2
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (3.0)
Non-cardiac chest pain 2 3 1 0 0 1 2 0 0 0
(2.9) (4.3) (1.4) (0.0) (0.0) (1.5) (3.0) (0.0) (0.0) (0.0)
Pain 6 6 0 0 0 5 7 0 0 0
(8.6) (8.6) (0.0) (0.0) (0.0) (7.5) (10.4) (0.0) (0.0) (0.0)
Sudden death NOS 0 0 0 0 1 0 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0)
HEPATOBILIARY
DISORDERS
0 0 0 1 0
0 0 0 0 0
(0.0) (0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Hepatic failure 0 0 0 1 0 0 0 0 0 0
(0.0) (0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
INFECTIONS AND
INFESTATIONS
1 11 8 6 0
0 6 8 1 1
(1.4) (15.7) (11.4) (8.6) (0.0) (0.0) (9.0) (11.9) (1.5) (1.5)
Bladder infection 0 1 0 0 0 0 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Catheter related infection 0 1 2 0 0 0 0 2 0 0
(0.0) (1.4) (2.9) (0.0) (0.0) (0.0) (0.0) (3.0) (0.0) (0.0)
Esophageal infection 0 1 0 0 0 0 1 1 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0) (0.0)
Infections and infestations
- Other, specify
0 1 2 0 0
0 0 1 0 0
Page 15 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
(0.0) (1.4) (2.9) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
Lung infection 0 0 3 1 0 0 3 4 0 0
(0.0) (0.0) (4.3) (1.4) (0.0) (0.0) (4.5) (6.0) (0.0) (0.0)
Mediastinal infection 0 0 1 0 0 0 0 0 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Mucosal infection 1 0 1 0 0 1 0 0 0 0
(1.4) (0.0) (1.4) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Papulopustular rash 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Pleural infection 0 1 0 0 0 0 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Rhinitis infective 0 1 0 0 0 0 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Sepsis 0 0 0 5 0 0 0 0 1 1
(0.0) (0.0) (0.0) (7.1) (0.0) (0.0) (0.0) (0.0) (1.5) (1.5)
Sinusitis 0 2 0 0 0 0 1 0 0 0
(0.0) (2.9) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Skin infection 1 0 0 0 0 0 2 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (3.0) (0.0) (0.0) (0.0)
Stoma site infection 0 1 1 0 0 0 1 0 0 0
(0.0) (1.4) (1.4) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Upper respiratory
infection
0 4 0 0 0
0 1 0 0 0
(0.0) (5.7) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Urinary tract infection 0 2 1 0 0 0 0 1 0 0
(0.0) (2.9) (1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
Wound infection 0 0 0 0 0 0 0 1 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
INJURY, POISONING
AND PROCEDURAL
COMPLICATIONS
9 3 2 0 0
10 1 1 1 0
(12.9) (4.3) (2.9) (0.0) (0.0) (14.9) (1.5) (1.5) (1.5) (0.0)
Bruising 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Dermatitis radiation 7 0 0 0 0 7 0 0 0 0
(10.0) (0.0) (0.0) (0.0) (0.0) (10.4) (0.0) (0.0) (0.0) (0.0)
Esophageal anastomotic
leak
0 1 0 0 0
0 0 1 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
Fall 0 1 0 0 0 1 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Fracture 0 1 1 0 0 0 0 0 0 0
Page 16 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
(0.0) (1.4) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Gastrointestinal
anastomotic leak
0 0 0 0 0
0 0 0 1 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0)
Radiation recall reaction
(dermatologic)
2 0 0 0 0
3 0 0 0 0
(2.9) (0.0) (0.0) (0.0) (0.0) (4.5) (0.0) (0.0) (0.0) (0.0)
Seroma 0 0 0 0 0 0 1 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Tracheal hemorrhage 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Wound dehiscence 0 0 1 0 0 0 0 0 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
INVESTIGATIONS 8 18 23 14 0 4 26 25 12 0
(11.4) (25.7) (32.9) (20.0) (0.0) (6.0) (38.8) (37.3) (17.9) (0.0)
Activated partial
thromboplastin time
prolonged
0 0 0 0 0
1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Alanine aminotransferase
increased
6 1 0 0 0
6 0 0 0 0
(8.6) (1.4) (0.0) (0.0) (0.0) (9.0) (0.0) (0.0) (0.0) (0.0)
Alkaline phosphatase
increased
5 0 0 0 0
4 0 0 0 0
(7.1) (0.0) (0.0) (0.0) (0.0) (6.0) (0.0) (0.0) (0.0) (0.0)
Aspartate
aminotransferase
increased
10 1 0 0 0
5 1 0 0 0
(14.3) (1.4) (0.0) (0.0) (0.0) (7.5) (1.5) (0.0) (0.0) (0.0)
Blood bilirubin increased 3 1 0 0 0 4 1 0 0 0
(4.3) (1.4) (0.0) (0.0) (0.0) (6.0) (1.5) (0.0) (0.0) (0.0)
CD4 lymphocytes
decreased
0 0 0 0 0
0 0 2 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (3.0) (0.0) (0.0)
Cardiac troponin I
increased
0 0 0 0 0
1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Cholesterol high 0 0 0 0 0 1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Creatinine increased 1 0 0 0 0 4 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (6.0) (0.0) (0.0) (0.0) (0.0)
Page 17 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
Ejection fraction
decreased
0 2 0 0 0
0 0 1 0 0
(0.0) (2.9) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
INR increased 0 0 0 0 0 1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Investigations - Other,
specify
2 0 0 0 0
2 1 0 0 0
(2.9) (0.0) (0.0) (0.0) (0.0) (3.0) (1.5) (0.0) (0.0) (0.0)
Lipase increased 0 0 0 1 0 0 0 0 0 0
(0.0) (0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Lymphocyte count
decreased
0 3 11 11 0
3 2 10 11 0
(0.0) (4.3) (15.7) (15.7) (0.0) (4.5) (3.0) (14.9) (16.4) (0.0)
Lymphocyte count
increased
0 0 1 0 0
0 1 0 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Neutrophil count
decreased
10 7 14 1 0
9 14 10 1 0
(14.3) (10.0) (20.0) (1.4) (0.0) (13.4) (20.9) (14.9) (1.5) (0.0)
Platelet count decreased 39 3 1 0 0 38 6 0 0 0
(55.7) (4.3) (1.4) (0.0) (0.0) (56.7) (9.0) (0.0) (0.0) (0.0)
Weight gain 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Weight loss 11 12 3 0 0 12 12 6 0 0
(15.7) (17.1) (4.3) (0.0) (0.0) (17.9) (17.9) (9.0) (0.0) (0.0)
White blood cell
decreased
13 21 16 4 0
5 29 21 3 0
(18.6) (30.0) (22.9) (5.7) (0.0) (7.5) (43.3) (31.3) (4.5) (0.0)
METABOLISM AND
NUTRITION DISORDERS
18 23 12 1 0
11 19 20 0 0
(25.7) (32.9) (17.1) (1.4) (0.0) (16.4) (28.4) (29.9) (0.0) (0.0)
Acidosis 0 0 0 0 0 1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Anorexia 12 12 5 0 0 7 18 5 0 0
(17.1) (17.1) (7.1) (0.0) (0.0) (10.4) (26.9) (7.5) (0.0) (0.0)
Dehydration 1 12 5 0 0 1 11 11 0 0
(1.4) (17.1) (7.1) (0.0) (0.0) (1.5) (16.4) (16.4) (0.0) (0.0)
Glucose intolerance 1 0 0 0 0 0 1 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Hypercalcemia 0 0 0 0 0 1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Hyperglycemia 11 7 5 1 0 9 10 2 0 0
Page 18 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
(15.7) (10.0) (7.1) (1.4) (0.0) (13.4) (14.9) (3.0) (0.0) (0.0)
Hyperkalemia 2 2 1 0 0 2 3 0 0 0
(2.9) (2.9) (1.4) (0.0) (0.0) (3.0) (4.5) (0.0) (0.0) (0.0)
Hypermagnesemia 0 0 1 0 0 0 0 0 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Hypernatremia 4 0 1 0 0 3 0 0 0 0
(5.7) (0.0) (1.4) (0.0) (0.0) (4.5) (0.0) (0.0) (0.0) (0.0)
Hyperuricemia 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Hypoalbuminemia 10 5 0 0 0 8 6 1 0 0
(14.3) (7.1) (0.0) (0.0) (0.0) (11.9) (9.0) (1.5) (0.0) (0.0)
Hypocalcemia 6 5 1 0 0 8 4 1 0 0
(8.6) (7.1) (1.4) (0.0) (0.0) (11.9) (6.0) (1.5) (0.0) (0.0)
Hypoglycemia 3 0 0 0 0 1 0 0 0 0
(4.3) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Hypokalemia 7 0 1 0 0 7 3 3 0 0
(10.0) (0.0) (1.4) (0.0) (0.0) (10.4) (4.5) (4.5) (0.0) (0.0)
Hypomagnesemia 3 0 0 0 0 8 0 0 0 0
(4.3) (0.0) (0.0) (0.0) (0.0) (11.9) (0.0) (0.0) (0.0) (0.0)
Hyponatremia 18 0 1 0 0 16 0 1 0 0
(25.7) (0.0) (1.4) (0.0) (0.0) (23.9) (0.0) (1.5) (0.0) (0.0)
Hypophosphatemia 0 1 1 0 0 1 2 1 0 0
(0.0) (1.4) (1.4) (0.0) (0.0) (1.5) (3.0) (1.5) (0.0) (0.0)
Metabolism and nutrition
disorders - Other, specify
1 1 0 0 0
1 0 1 0 0
(1.4) (1.4) (0.0) (0.0) (0.0) (1.5) (0.0) (1.5) (0.0) (0.0)
MUSCULOSKELETAL
AND CONNECTIVE
TISSUE DISORDERS
11 5 2 0 0
6 10 3 0 0
(15.7) (7.1) (2.9) (0.0) (0.0) (9.0) (14.9) (4.5) (0.0) (0.0)
Arthralgia 3 0 0 0 0 0 0 0 0 0
(4.3) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Arthritis 0 1 0 0 0 1 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Back pain 4 0 0 0 0 5 3 1 0 0
(5.7) (0.0) (0.0) (0.0) (0.0) (7.5) (4.5) (1.5) (0.0) (0.0)
Chest wall pain 1 1 0 0 0 0 0 0 0 0
(1.4) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Generalized muscle
weakness
1 1 2 0 0
1 4 2 0 0
(1.4) (1.4) (2.9) (0.0) (0.0) (1.5) (6.0) (3.0) (0.0) (0.0)
Page 19 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
Muscle weakness left-
sided
0 1 0 0 0
0 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Musculoskeletal and
connective tissue disorder
- Other, specify
2 0 0 0 0
0 0 0 0 0
(2.9) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Myalgia 3 1 0 0 0 1 1 0 0 0
(4.3) (1.4) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0) (0.0) (0.0)
Neck pain 0 1 0 0 0 0 2 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (3.0) (0.0) (0.0) (0.0)
Pain in extremity 2 0 0 0 0 0 2 0 0 0
(2.9) (0.0) (0.0) (0.0) (0.0) (0.0) (3.0) (0.0) (0.0) (0.0)
NERVOUS SYSTEM
DISORDERS
21 5 3 0 0
13 11 3 1 0
(30.0) (7.1) (4.3) (0.0) (0.0) (19.4) (16.4) (4.5) (1.5) (0.0)
Amnesia 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Cognitive disturbance 1 0 1 0 0 0 0 0 0 0
(1.4) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Dizziness 10 2 0 0 0 4 2 0 0 0
(14.3) (2.9) (0.0) (0.0) (0.0) (6.0) (3.0) (0.0) (0.0) (0.0)
Dysesthesia 0 0 0 0 0 1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Dysgeusia 8 2 0 0 0 5 7 0 0 0
(11.4) (2.9) (0.0) (0.0) (0.0) (7.5) (10.4) (0.0) (0.0) (0.0)
Headache 4 0 1 0 0 4 2 1 0 0
(5.7) (0.0) (1.4) (0.0) (0.0) (6.0) (3.0) (1.5) (0.0) (0.0)
Lethargy 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Movements involuntary 0 0 0 0 0 1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Nervous system disorders
- Other, specify
1 1 0 0 0
1 1 0 0 0
(1.4) (1.4) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0) (0.0) (0.0)
Paresthesia 1 0 0 0 0 1 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Peripheral motor
neuropathy
1 0 0 0 0
0 1 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Peripheral sensory
neuropathy
9 0 0 0 0
10 2 0 0 0
Page 20 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
(12.9) (0.0) (0.0) (0.0) (0.0) (14.9) (3.0) (0.0) (0.0) (0.0)
Presyncope 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Recurrent laryngeal nerve
palsy
0 0 0 0 0
0 0 1 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
Seizure 0 1 0 0 0 0 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Stroke 0 1 0 0 0 0 0 0 1 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0)
Syncope 0 0 1 0 0 0 0 1 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
Tremor 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Vagus nerve disorder 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
PSYCHIATRIC
DISORDERS
16 7 2 0 0
13 8 1 0 0
(22.9) (10.0) (2.9) (0.0) (0.0) (19.4) (11.9) (1.5) (0.0) (0.0)
Agitation 1 0 0 0 0 1 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Anxiety 5 6 0 0 0 7 3 1 0 0
(7.1) (8.6) (0.0) (0.0) (0.0) (10.4) (4.5) (1.5) (0.0) (0.0)
Confusion 2 0 0 0 0 0 0 0 0 0
(2.9) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Delirium 0 0 1 0 0 1 0 0 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Depression 4 1 0 0 0 3 2 0 0 0
(5.7) (1.4) (0.0) (0.0) (0.0) (4.5) (3.0) (0.0) (0.0) (0.0)
Insomnia 11 0 0 0 0 8 5 0 0 0
(15.7) (0.0) (0.0) (0.0) (0.0) (11.9) (7.5) (0.0) (0.0) (0.0)
Mania 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Psychiatric disorders -
Other, specify
0 0 1 0 0
0 0 0 0 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
RENAL AND URINARY
DISORDERS
4 2 1 1 0
1 1 1 0 0
(5.7) (2.9) (1.4) (1.4) (0.0) (1.5) (1.5) (1.5) (0.0) (0.0)
Acute kidney injury 1 1 0 1 0 0 1 0 0 0
(1.4) (1.4) (0.0) (1.4) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Hematuria 0 2 0 0 0 0 0 1 0 0
Page 21 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
(0.0) (2.9) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
Proteinuria 0 1 1 0 0 0 0 0 0 0
(0.0) (1.4) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Renal calculi 0 1 0 0 0 0 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Urinary frequency 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Urinary incontinence 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Urinary tract obstruction 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Urinary tract pain 0 0 0 0 0 2 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (3.0) (0.0) (0.0) (0.0) (0.0)
Urine discoloration 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
REPRODUCTIVE
SYSTEM AND BREAST
DISORDERS
0 0 0 0 0
0 1 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Erectile dysfunction 0 0 0 0 0 0 1 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
RESPIRATORY,
THORACIC AND
MEDIASTINAL
DISORDERS
17 15 3 1 2
16 9 7 2 0
(24.3) (21.4) (4.3) (1.4) (2.9) (23.9) (13.4) (10.4) (3.0) (0.0)
Allergic rhinitis 3 1 0 0 0 2 1 0 0 0
(4.3) (1.4) (0.0) (0.0) (0.0) (3.0) (1.5) (0.0) (0.0) (0.0)
Aspiration 0 0 1 0 0 0 1 1 1 0
(0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (1.5) (1.5) (1.5) (0.0)
Atelectasis 2 0 0 0 0 1 1 1 0 0
(2.9) (0.0) (0.0) (0.0) (0.0) (1.5) (1.5) (1.5) (0.0) (0.0)
Bronchopleural fistula 0 0 0 0 1 0 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0)
Chylothorax 0 0 2 0 0 0 0 1 0 0
(0.0) (0.0) (2.9) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0)
Cough 10 3 0 0 0 11 2 0 0 0
(14.3) (4.3) (0.0) (0.0) (0.0) (16.4) (3.0) (0.0) (0.0) (0.0)
Dyspnea 15 5 0 0 0 8 3 2 0 0
(21.4) (7.1) (0.0) (0.0) (0.0) (11.9) (4.5) (3.0) (0.0) (0.0)
Epistaxis 4 2 0 0 0 3 2 0 0 0
(5.7) (2.9) (0.0) (0.0) (0.0) (4.5) (3.0) (0.0) (0.0) (0.0)
Page 22 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
Hiccups 0 0 0 0 0 4 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (6.0) (0.0) (0.0) (0.0) (0.0)
Hoarseness 2 1 0 0 0 3 2 1 0 0
(2.9) (1.4) (0.0) (0.0) (0.0) (4.5) (3.0) (1.5) (0.0) (0.0)
Hypoxia 0 0 0 0 0 0 1 1 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0) (0.0)
Laryngeal inflammation 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Laryngopharyngeal
dysesthesia
1 0 0 0 0
0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Nasal congestion 1 0 0 0 0 1 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Pharyngolaryngeal pain 0 0 0 0 0 0 1 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Pleural effusion 0 3 0 0 0 1 3 1 0 0
(0.0) (4.3) (0.0) (0.0) (0.0) (1.5) (4.5) (1.5) (0.0) (0.0)
Pleuritic pain 1 0 0 0 0 1 0 1 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (1.5) (0.0) (0.0)
Pneumonitis 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Pneumothorax 0 2 0 0 0 2 0 2 0 0
(0.0) (2.9) (0.0) (0.0) (0.0) (3.0) (0.0) (3.0) (0.0) (0.0)
Productive cough 1 0 0 0 0 5 3 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (7.5) (4.5) (0.0) (0.0) (0.0)
Pulmonary fibrosis 0 0 0 0 0 0 1 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Respiratory failure 0 0 0 2 1 0 0 0 0 0
(0.0) (0.0) (0.0) (2.9) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0)
Respiratory, thoracic and
mediastinal disorders -
Other, specify
2 4 1 0 0
0 0 2 1 0
(2.9) (5.7) (1.4) (0.0) (0.0) (0.0) (0.0) (3.0) (1.5) (0.0)
Sinus disorder 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Sleep apnea 0 1 0 0 0 0 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Sore throat 3 2 0 0 0 1 0 0 0 0
(4.3) (2.9) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Tracheal mucositis 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Voice alteration 0 1 0 0 0 1 0 1 0 0
Page 23 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
(0.0) (1.4) (0.0) (0.0) (0.0) (1.5) (0.0) (1.5) (0.0) (0.0)
Wheezing 1 0 0 0 0 1 1 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0) (0.0) (0.0)
SKIN AND
SUBCUTANEOUS
TISSUE DISORDERS
22 5 0 0 0
13 5 2 0 0
(31.4) (7.1) (0.0) (0.0) (0.0) (19.4) (7.5) (3.0) (0.0) (0.0)
Alopecia 6 1 0 0 0 4 2 0 0 0
(8.6) (1.4) (0.0) (0.0) (0.0) (6.0) (3.0) (0.0) (0.0) (0.0)
Bullous dermatitis 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Dry skin 3 0 0 0 0 2 0 0 0 0
(4.3) (0.0) (0.0) (0.0) (0.0) (3.0) (0.0) (0.0) (0.0) (0.0)
Erythema multiforme 0 0 0 0 0 2 0 1 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (3.0) (0.0) (1.5) (0.0) (0.0)
Hyperhidrosis 1 0 0 0 0 1 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Pain of skin 1 0 0 0 0 0 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Pruritus 1 2 0 0 0 4 0 0 0 0
(1.4) (2.9) (0.0) (0.0) (0.0) (6.0) (0.0) (0.0) (0.0) (0.0)
Rash acneiform 1 0 0 0 0 1 0 0 0 0
(1.4) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Rash maculo-papular 5 1 0 0 0 6 2 1 0 0
(7.1) (1.4) (0.0) (0.0) (0.0) (9.0) (3.0) (1.5) (0.0) (0.0)
Skin and subcutaneous
tissue disorders - Other,
specify
6 1 0 0 0
1 0 0 0 0
(8.6) (1.4) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Skin hyperpigmentation 2 0 0 0 0 0 0 0 0 0
(2.9) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Skin ulceration 0 0 0 0 0 0 1 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
SURGICAL AND
MEDICAL PROCEDURES
0 1 0 0 0
0 0 1 1 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0)
Surgical and medical
procedures - Other,
specify
0 1 0 0 0
0 0 1 1 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0)
VASCULAR DISORDERS 1 7 6 2 0 3 10 5 1 0
(1.4) (10.0) (8.6) (2.9) (0.0) (4.5) (14.9) (7.5) (1.5) (0.0)
Page 24 of 27 RTOG 1010 February, 2015
Table 8
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by Specific Adverse Event Term - Data as of 10/31/2014
Any Relationship to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class/Term n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
Flushing 1 1 0 0 0 1 0 0 0 0
(1.4) (1.4) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Hot flashes 0 0 0 0 0 1 0 0 0 0
(0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0) (0.0)
Hypertension 1 3 2 0 0 1 6 2 0 0
(1.4) (4.3) (2.9) (0.0) (0.0) (1.5) (9.0) (3.0) (0.0) (0.0)
Hypotension 0 3 3 2 0 1 7 2 0 0
(0.0) (4.3) (4.3) (2.9) (0.0) (1.5) (10.4) (3.0) (0.0) (0.0)
Superficial
thrombophlebitis
0 1 0 0 0
0 0 0 0 0
(0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Thromboembolic event 0 1 2 0 0 0 1 2 1 0
(0.0) (1.4) (2.9) (0.0) (0.0) (0.0) (1.5) (3.0) (1.5) (0.0)
Adverse events were graded with CTCAE version 4.0.
Table 9
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by System Organ Class - Data as of 10/31/2014
Definitely, Probably, or Possibly Related to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
Overall Highest Grade 3 22 26 16 3 0 16 35 14 2
(4.3) (31.4) (37.1) (22.9) (4.3) (0.0) (23.9) (52.2) (20.9) (3.0)
Blood and lymphatic system
disorders
24 9 7 1 0
23 15 2 0 0
(34.3) (12.9) (10.0) (1.4) (0.0) (34.3) (22.4) (3.0) (0.0) (0.0)
Cardiac disorders 2 3 3 0 0 5 1 1 1 0
(2.9) (4.3) (4.3) (0.0) (0.0) (7.5) (1.5) (1.5) (1.5) (0.0)
Ear and labyrinth disorders 2 0 0 0 0 2 1 0 0 0
(2.9) (0.0) (0.0) (0.0) (0.0) (3.0) (1.5) (0.0) (0.0) (0.0)
Gastrointestinal disorders 22 31 11 2 0 18 28 13 1 0
(31.4) (44.3) (15.7) (2.9) (0.0) (26.9) (41.8) (19.4) (1.5) (0.0)
General disorders and
administration site conditions
27 20 2 1 2
19 25 6 0 1
(38.6) (28.6) (2.9) (1.4) (2.9) (28.4) (37.3) (9.0) (0.0) (1.5)
Hepatobiliary disorders 0 0 0 1 0 0 0 0 0 0
(0.0) (0.0) (0.0) (1.4) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0)
Page 25 of 27 RTOG 1010 February, 2015
Table 9
Distribution of RTOG 1010 Patients by Highest Grade Adverse Event
by System Organ Class - Data as of 10/31/2014
Definitely, Probably, or Possibly Related to Protocol Treatment
RT+Paclitaxel+
Carboplatin+Trastuzumab (n=70) RT+Paclitaxel+Carboplatin (n=67)
System Organ Class n and (%) of Patients by Grade n and (%) of Patients by Grade
1 2 3 4 5 1 2 3 4 5
Infections and infestations 0 1 5 3 0 0 3 5 1 1
(0.0) (1.4) (7.1) (4.3) (0.0) (0.0) (4.5) (7.5) (1.5) (1.5)
Injury, poisoning and
procedural complications
9 0 0 0 0
10 0 1 1 0
(12.9) (0.0) (0.0) (0.0) (0.0) (14.9) (0.0) (1.5) (1.5) (0.0)
Investigations 8 22 21 12 0 6 24 25 12 0
(11.4) (31.4) (30.0) (17.1) (0.0) (9.0) (35.8) (37.3) (17.9) (0.0)
Metabolism and nutrition
disorders
19 17 9 0 0
10 16 15 0 0
(27.1) (24.3) (12.9) (0.0) (0.0) (14.9) (23.9) (22.4) (0.0) (0.0)
Musculoskeletal and connective
tissue disorders
6 3 0 0 0
3 3 2 0 0
(8.6) (4.3) (0.0) (0.0) (0.0) (4.5) (4.5) (3.0) (0.0) (0.0)
Nervous system disorders 18 5 0 0 0 11 9 2 1 0
(25.7) (7.1) (0.0) (0.0) (0.0) (16.4) (13.4) (3.0) (1.5) (0.0)
Psychiatric disorders 4 2 2 0 0 7 5 0 0 0
(5.7) (2.9) (2.9) (0.0) (0.0) (10.4) (7.5) (0.0) (0.0) (0.0)
Renal and urinary disorders 0 0 0 1 0 0 1 0 0 0
(0.0) (0.0) (0.0) (1.4) (0.0) (0.0) (1.5) (0.0) (0.0) (0.0)
Respiratory, thoracic and
mediastinal disorders
8 8 0 1 1
11 5 4 1 0
(11.4) (11.4) (0.0) (1.4) (1.4) (16.4) (7.5) (6.0) (1.5) (0.0)
Skin and subcutaneous tissue
disorders
17 4 0 0 0
12 4 1 0 0
(24.3) (5.7) (0.0) (0.0) (0.0) (17.9) (6.0) (1.5) (0.0) (0.0)
Surgical and medical
procedures
0 0 0 0 0
0 0 1 1 0
(0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (0.0) (1.5) (1.5) (0.0)
Vascular disorders 1 4 3 1 0 2 5 4 0 0
(1.4) (5.7) (4.3) (1.4) (0.0) (3.0) (7.5) (6.0) (0.0) (0.0)
Adverse events were graded with CTCAE version 4.0.
Page 26 of 27 RTOG 1010 February, 2015
Table 10
Grade 5 Adverse Events for RTOG 1010 Patients - Data as of 10/31/2014
Any Relationship to Protocol Treatment
Assigned
Treatment
System Organ Class
Term
Relationship
to Treatment
Days from
Start of
Treatment
Days from
End of
Treatment
RT+Paclitaxel+
Carboplatin+
Trastuzumab
Respiratory, thoracic and
mediastinal disorders
Bronchopleural fistula Definite 105 49
General disorders and
administration site
conditions
Death NOS Possible 35 0
Respiratory, thoracic and
mediastinal disorders
Respiratory failure Unrelated 525 487
General disorders and
administration site
conditions
Sudden death NOS Probable 102 61
RT+Paclitaxel+
Carboplatin
General disorders and
administration site
conditions
Multi-organ failure Unlikely 104 67
General disorders and
administration site
conditions
Multi-organ failure Possible 143 106
Infections and
infestations
Sepsis Probable 78 40
Adverse events were graded with CTCAE version 4.
Health Outcomes Research
Table 11
Pretreatment PRO-QOL Compliance for All Eligible Patients with On-Study Data in
RTOG 1010 - Data as of 10/31/2014
RT+Paclitaxel
+Carboplatin+
Trastuzumab
(n=74)
RT+Paclitaxel
+Carboplatin
(n=74)
Total
(n=148)
n % n % n %
Consented to PRO-QOL collection 67 90.5 66 89.2 133 89.9
Did not consent to PRO-QOL collection 7 9.5 8 10.8 15 10.1
Functional Assessment of Cancer Therapy - Esophagus 67 66 133
Completed, prior to start of treatment 65 97.0 60 90.9 125 94.0
Completed, after start of treatment 1 1.5 2 3.0 3 2.3
Not completed, institution error 1 1.5 0 0.0 1 0.8
Page 27 of 27 RTOG 1010 February, 2015
Table 11
Pretreatment PRO-QOL Compliance for All Eligible Patients with On-Study Data in
RTOG 1010 - Data as of 10/31/2014
RT+Paclitaxel
+Carboplatin+
Trastuzumab
(n=74)
RT+Paclitaxel
+Carboplatin
(n=74)
Total
(n=148)
n % n % n %
Not completed, patient refusal 0 0.0 1 1.5 1 0.8
Not completed, unknown reason 0 0.0 1 1.5 1 0.8
Not received 0 0.0 2 3.0 2 1.5
Health Utility Measurement EuroQOL 67 66 133
Completed, prior to start of treatment 52 77.6 47 71.2 99 74.4
Completed, after start of treatment 1 1.5 3 4.5 4 3.0
Not completed, institution error 0 0.0 1 1.5 1 0.8
Not completed, patient refusal 0 0.0 1 1.5 1 0.8
Not completed, unknown reason 1 1.5 0 0.0 1 0.8
Not received 13 19.4 14 21.2 27 20.3
PRO = patient-reported outcome; QOL = quality of life.
Translational Research
Table 12
Translational Research Consent and Specimen Submission for All Eligible Patients with On-
Study Data in RTOG 1010 - Data as of 10/31/2014
RT+Paclitaxel+
Carboplatin+
Trastuzumab
(n=74)
RT+Paclitaxel+
Carboplatin
(n=74)
Total
(n=148)
n % n % n %
Consented to tissue collection 69 93.2 66 89.2 135 91.2
Block(s) submitted only 31 44.9 34 51.5 65 48.1
Block(s) and unstained slides submitted 37 53.6 30 45.5 67 49.6
Consented to blood collection 65 87.8 66 89.2 131 88.5
Whole blood submitted 56 86.2 53 80.3 109 83.2
Plasma submitted 56 86.2 53 80.3 109 83.2
Consented to urine collection 66 89.2 65 87.8 131 88.5
Urine submitted 57 86.4 51 78.5 108 82.4
Submission is as of October 31, 2014.
Publications
No Publications.