46 5.17 1.65 1.85 3.74 5.98 3.31 [1.95] M3 0.64 0.36 0.5 0.7 0.76 1.42 0.73 [0.37] M4 0 0.12 0.08 0 0 0.27 0.08 [0.11] HP2 8.65 4.09 4.18 8.25 2.12 2.04 4.89 [2.9] Suma 10.75 9.74 6.41 10.8

6.62 9.71 9.01 [1.99] TRA 36.36 see more 36.08 36.53 34.77 32.83 43.1 36.61 [3.47]  0–168 hours TRA 42.16 50.69 45.26 40.44 43.11 51.11 45.46 [4.49]  0–EoCb TRA 47.6 57.93 48.26 40.44 47.86 51.93 49 [5.75] Feces (% excretion)  0–168 hours TRA 30.3 8.92 34.44 31.88 29.45 16.1 25.18 [10.22]  0–EoCb TRA 32.64 8.92 34.44 31.88 35.08 18.89 26.98 [10.67] Total (% excretion)  0–168 hours TRA 72.46 59.61 79.7 72.32 72.56 67.21 70.64 [6.71]  0–EoCb TRA 80.24 66.85 82.7 72.32 82.94 70.82 75.98 [6.86] EoC end of collection period, HP2 Cilengitide nmr dihydroxy bendamustine, M3 γ-hydroxy-bendamustine, M4 N-desmethyl-bendamustine, Pevonedistat chemical structure SD standard deviation, TRA total radioactivity aThese values represent the sum of bendamustine, M3, M4, and HP2 bThe time of the EoC varied among patients and ranged

from 168 to 504 hours The mean cumulative urinary excretion of TRA and unchanged bendamustine, M3, M4, and HP2 during the first 24 hours is shown in Fig. 5 and is summarized per patient in Table 3. Urinary recovery of bendamustine, M3, and M4 was predominantly in collections during the first 4 hours after the start of the infusion. After 8 hours, there were no measurable levels of these compounds in urine. The excretion of HP2 continued slowly, and low but quantifiable levels were still present in the urine samples of 16–24 hours. Fig. 5 Mean (±standard deviation) [n = 6] cumulative urinary excretion of total radioactivity; unchanged

bendamustine; and the metabolites γ-hydroxy-bendamustine, N-desmethyl-bendamustine, and dihydroxy bendamustine up to 24 hours after the start of a 60-minute (120 mg/m2, 80–95 μCi) 14C-bendamustine hydrochloride infusion. HP2 dihydroxy bendamustine, Nabilone M3 γ-hydroxy-bendamustine, M4 N-desmethyl-bendamustine, TRA total radioactivity 3.4 Safety All patients completed assessment period A, receiving a mean of 4 (range 2–6) doses of bendamustine. All were withdrawn during assessment period B: four because of disease progression, one because of an AE (dyspnea), and one because of election to discontinue from the study. During the treatment period, all six patients experienced at least one AE that was considered treatment related. The numbers of patients experiencing worst-value hematologic toxicities occurring during the study are shown in Table 4. A grade 3 or 4 absolute lymphocyte count decrease was observed in all six patients at some point during the study. No other grade 3 or 4 hematologic abnormalities were seen.