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    Clinical Trial Results:
    A randomized, open-label, multicenter Phase III study to evaluate the efficacy and safety of nilotinib versus imatinib in adult patients with unresectable or metastatic gastrointestinal stromal tumors (GIST) Due to EudraCT system limitations, which EMA is aware of, results of crossover studies are not accurately represented in this record. Please go to https://www.novctrd.com/CtrdWeb/home.nov for complete trial results.

    Summary
    EudraCT number
    2008-004758-34
    Trial protocol
    AT   ES   SK   CZ   SE   HU   NL   DE   FR   IT   GB   DK   GR   BG  
    Global end of trial date
    23 Oct 2014

    Results information
    Results version number
    v1(current)
    This version publication date
    15 Jul 2018
    First version publication date
    15 Jul 2018
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CAMN107G2301
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00785785
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Pharma AG
    Sponsor organisation address
    CH-4002, Basel, Switzerland,
    Public contact
    Clinical Disclosure Office, Novartis Pharma AG, 41 613241111,
    Scientific contact
    Clinical Disclosure Office, Novartis Pharma AG, 41 613241111,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    23 Oct 2014
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    23 Oct 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of the study was to compare the progression free survival (PFS) of nilotinib and imatinib when used as initial therapy in adult patients with unresectable or metastatic gastrointestinal stromal tumors (GIST). This was summarized in the Core clinical study report (CSR) and is not repeated for the final analysis.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and the International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines. All the local regulatory requirements pertinent to safety of trial subjects were also followed during the conduct of the trial.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    16 Mar 2009
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Argentina: 8
    Country: Number of subjects enrolled
    Austria: 14
    Country: Number of subjects enrolled
    Brazil: 17
    Country: Number of subjects enrolled
    Bulgaria: 2
    Country: Number of subjects enrolled
    Canada: 22
    Country: Number of subjects enrolled
    China: 93
    Country: Number of subjects enrolled
    Czech Republic: 2
    Country: Number of subjects enrolled
    Denmark: 5
    Country: Number of subjects enrolled
    Egypt: 13
    Country: Number of subjects enrolled
    France: 32
    Country: Number of subjects enrolled
    Germany: 16
    Country: Number of subjects enrolled
    United Kingdom: 23
    Country: Number of subjects enrolled
    Hong Kong: 8
    Country: Number of subjects enrolled
    Hungary: 20
    Country: Number of subjects enrolled
    Israel: 5
    Country: Number of subjects enrolled
    Italy: 27
    Country: Number of subjects enrolled
    Japan: 51
    Country: Number of subjects enrolled
    Korea, Republic of: 22
    Country: Number of subjects enrolled
    Mexico: 4
    Country: Number of subjects enrolled
    Netherlands: 8
    Country: Number of subjects enrolled
    Norway: 5
    Country: Number of subjects enrolled
    Poland: 18
    Country: Number of subjects enrolled
    Romania: 13
    Country: Number of subjects enrolled
    Russian Federation: 33
    Country: Number of subjects enrolled
    Singapore: 12
    Country: Number of subjects enrolled
    Slovakia: 5
    Country: Number of subjects enrolled
    South Africa: 6
    Country: Number of subjects enrolled
    Spain: 10
    Country: Number of subjects enrolled
    Sweden: 20
    Country: Number of subjects enrolled
    Taiwan: 18
    Country: Number of subjects enrolled
    Thailand: 30
    Country: Number of subjects enrolled
    Turkey: 11
    Country: Number of subjects enrolled
    United States: 70
    Country: Number of subjects enrolled
    Venezuela, Bolivarian Republic of: 1
    Worldwide total number of subjects
    644
    EEA total number of subjects
    220
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    453
    From 65 to 84 years
    189
    85 years and over
    2

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Patients were on either: imatinib 400mg once daily or nilotinib 400 mg twice a day in the core phase and then crossed over to nilotinib 400 mg twice a day or imatinib 400mg once daily in the extension phase.

    Period 1
    Period 1 title
    Core Phase up to 36 months (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Investigator, Monitor, Carer, Data analyst, Subject, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Imatinib first, then Nilotinib
    Arm description
    patients were on imatinib 400mg once daily in the core phase and then crossed over to nilotinib 400 mg twice a day in the extension phase
    Arm type
    Experimental

    Investigational medicinal product name
    Imatinib
    Investigational medicinal product code
    STI571
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Imatinib 400mg tablet orally once a day

    Arm title
    Nilotinib first, then Imatinib
    Arm description
    patients were on nilotinib 400 mg twice a day in the core phase and then crossed over to in the extension phase imatinib 400mg once daily
    Arm type
    Experimental

    Investigational medicinal product name
    Nilotinib
    Investigational medicinal product code
    AMN107
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    Nilotinib 400 mg capsule orally twice daily

    Number of subjects in period 1
    Imatinib first, then Nilotinib Nilotinib first, then Imatinib
    Started
    324
    320
    Completed
    0
    0
    Not completed
    324
    320
         Patients didn't receive 1st line therapy
    3
    4
         Adverse event, serious fatal
    5
    8
         Consent withdrawn by subject
    16
    17
         Disease progression
    139
    119
         Adverse event, non-fatal
    31
    21
         Protocol deviation
    5
    6
         Administrative problems
    3
    3
         Abnormal laboratory value
    1
    -
         Study terminated by sponsor
    116
    133
         Lost to follow-up
    3
    7
         Abnormal test procedure result
    2
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Imatinib first, then Nilotinib
    Reporting group description
    patients were on imatinib 400mg once daily in the core phase and then crossed over to nilotinib 400 mg twice a day in the extension phase

    Reporting group title
    Nilotinib first, then Imatinib
    Reporting group description
    patients were on nilotinib 400 mg twice a day in the core phase and then crossed over to in the extension phase imatinib 400mg once daily

    Reporting group values
    Imatinib first, then Nilotinib Nilotinib first, then Imatinib Total
    Number of subjects
    324 320 644
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    225 228 453
        From 65-84 years
    99 90 189
        85 years and over
    0 2 2
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    57.4 ( 12.91 ) 57.3 ( 12.63 ) -
    Gender, Male/Female
    Units: participants
        Male
    179 187 366
        Female
    145 133 278
    Subject analysis sets

    Subject analysis set title
    Nilotinib
    Subject analysis set type
    Full analysis
    Subject analysis set description
    nilotinib 400 mg twice aday

    Subject analysis set title
    Imatinib
    Subject analysis set type
    Full analysis
    Subject analysis set description
    imatinib 400 mg once daily

    Subject analysis sets values
    Nilotinib Imatinib
    Number of subjects
    324
    320
    Age categorical
    Units: Subjects
        In utero
    0
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
    0
        Newborns (0-27 days)
    0
    0
        Infants and toddlers (28 days-23 months)
    0
    0
        Children (2-11 years)
    0
    0
        Adolescents (12-17 years)
    0
    0
        Adults (18-64 years)
    225
    228
        From 65-84 years
    99
    90
        85 years and over
    0
    2
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    57.4 ( 12.91 )
    57.3 ( 12.63 )
    Gender, Male/Female
    Units: participants
        Male
    179
    187
        Female
    145
    133

    End points

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    End points reporting groups
    Reporting group title
    Imatinib first, then Nilotinib
    Reporting group description
    patients were on imatinib 400mg once daily in the core phase and then crossed over to nilotinib 400 mg twice a day in the extension phase

    Reporting group title
    Nilotinib first, then Imatinib
    Reporting group description
    patients were on nilotinib 400 mg twice a day in the core phase and then crossed over to in the extension phase imatinib 400mg once daily

    Subject analysis set title
    Nilotinib
    Subject analysis set type
    Full analysis
    Subject analysis set description
    nilotinib 400 mg twice aday

    Subject analysis set title
    Imatinib
    Subject analysis set type
    Full analysis
    Subject analysis set description
    imatinib 400 mg once daily

    Primary: Time to Progression Free Survival (PFS)

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    End point title
    Time to Progression Free Survival (PFS)
    End point description
    PFS was defined as the time from the date of start of treatment to the date of the first documented progression or death due to any cause. Progression is defined as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions
    End point type
    Primary
    End point timeframe
    up to month 37
    End point values
    Nilotinib Imatinib
    Number of subjects analysed
    324
    320
    Units: months
        median (full range (min-max))
    25.9 (0 to 32.8)
    29.7 (0 to 36.1)
    Statistical analysis title
    Time to Progression Free Survival (PFS)
    Comparison groups
    Imatinib v Nilotinib
    Number of subjects included in analysis
    644
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.0081
    Method
    Hazard Ratio
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.466
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.104
         upper limit
    1.945

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All adverse events reported in this record are from date of First Patient First Treatment until Last Patient Last Visit
    Adverse event reporting additional description
    Consistent with EudraCT disclosure specifications, Novartis has reported under the Serious adverse events field “number of deaths resulting from adverse events” all those deaths, resulting from serious adverse events that are deemed to be causally related to treatment by the investigator.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.1
    Reporting groups
    Reporting group title
    First-line Nilotinib
    Reporting group description
    First-line Nilotinib

    Reporting group title
    First-line Imatinib
    Reporting group description
    First-line Imatinib

    Reporting group title
    Crossover Nilotinib
    Reporting group description
    Crossover Nilotinib

    Reporting group title
    Crossover Imatinib
    Reporting group description
    Crossover Imatinib

    Serious adverse events
    First-line Nilotinib First-line Imatinib Crossover Nilotinib Crossover Imatinib
    Total subjects affected by serious adverse events
         subjects affected / exposed
    80 / 321 (24.92%)
    85 / 316 (26.90%)
    15 / 39 (38.46%)
    26 / 125 (20.80%)
         number of deaths (all causes)
    13
    11
    1
    7
         number of deaths resulting from adverse events
    0
    1
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adenoma benign
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bladder cancer
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Colon cancer
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastric cancer
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal stromal tumour
         subjects affected / exposed
    2 / 321 (0.62%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hodgkin's disease
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatic neoplasm
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infected neoplasm
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lip and/or oral cavity cancer
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lung neoplasm malignant
         subjects affected / exposed
    1 / 321 (0.31%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metastases to liver
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metastases to peritoneum
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Neoplasm
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pancreatic carcinoma metastatic
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Small intestine carcinoma
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Thyroid cancer
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tumour haemorrhage
         subjects affected / exposed
    3 / 321 (0.93%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    2 / 4
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tumour necrosis
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tumour perforation
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tumour pain
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract neoplasm
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    1 / 321 (0.31%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Femoral artery occlusion
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypotension
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peripheral arterial occlusive disease
         subjects affected / exposed
    2 / 321 (0.62%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Thrombosis
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    1 / 39 (2.56%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vena cava thrombosis
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Venous thrombosis limb
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Surgical and medical procedures
    Gastrectomy
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cytoreductive surgery
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    1 / 39 (2.56%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tumour excision
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Death
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Disease progression
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    1 / 39 (2.56%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Face oedema
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Fatigue
         subjects affected / exposed
    0 / 321 (0.00%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Generalised oedema
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Multi-organ failure
         subjects affected / exposed
    1 / 321 (0.31%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Oedema mucosal
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Oedema peripheral
         subjects affected / exposed
    1 / 321 (0.31%)
    3 / 316 (0.95%)
    1 / 39 (2.56%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    3 / 3
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pain
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    2 / 39 (5.13%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Performance status decreased
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    2 / 321 (0.62%)
    6 / 316 (1.90%)
    0 / 39 (0.00%)
    3 / 125 (2.40%)
         occurrences causally related to treatment / all
    1 / 2
    1 / 6
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    Hypersensitivity
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Scrotal oedema
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Atelectasis
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    2 / 321 (0.62%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cough
         subjects affected / exposed
    1 / 321 (0.31%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Dyspnoea
         subjects affected / exposed
    2 / 321 (0.62%)
    1 / 316 (0.32%)
    1 / 39 (2.56%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    1 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Interstitial lung disease
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Laryngeal oedema
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pleural effusion
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumothorax
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary fibrosis
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary infarction
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary oedema
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory failure
         subjects affected / exposed
    2 / 321 (0.62%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Upper respiratory tract congestion
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory tract haemorrhage
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Mental status changes
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Confusional state
         subjects affected / exposed
    0 / 321 (0.00%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Aspartate aminotransferase increased
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bilirubin conjugated increased
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood bilirubin increased
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood creatinine increased
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood potassium decreased
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lipase increased
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haemoglobin decreased
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Weight decreased
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Accidental overdose
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Fall
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Femur fracture
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Fracture
         subjects affected / exposed
    0 / 321 (0.00%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Multiple fractures
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Overdose
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Post procedural bile leak
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Procedural pain
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Thermal burn
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Transfusion reaction
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Congenital, familial and genetic disorders
    Dermoid cyst
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Angina unstable
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Acute myocardial infarction
         subjects affected / exposed
    2 / 321 (0.62%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Angina pectoris
         subjects affected / exposed
    2 / 321 (0.62%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac arrest
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Arrhythmia
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atrial fibrillation
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac failure
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac failure congestive
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardio-respiratory arrest
         subjects affected / exposed
    0 / 321 (0.00%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    1 / 321 (0.31%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Mitral valve stenosis
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Supraventricular tachycardia
         subjects affected / exposed
    0 / 321 (0.00%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pericardial effusion
         subjects affected / exposed
    2 / 321 (0.62%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Palpitations
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Altered state of consciousness
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cerebral haemorrhage
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cerebral infarction
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cerebral ischaemia
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cerebrovascular accident
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cognitive disorder
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Complex partial seizures
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Convulsion
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Dizziness
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    2 / 39 (5.13%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Epilepsy
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haemorrhage intracranial
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Haemorrhagic stroke
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hemiparesis
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Headache
         subjects affected / exposed
    1 / 321 (0.31%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ischaemic stroke
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    IIIrd nerve paralysis
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Loss of consciousness
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Migraine
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peripheral motor neuropathy
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myelitis transverse
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peripheral sensory neuropathy
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Radiculopathy
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sciatica
         subjects affected / exposed
    2 / 321 (0.62%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Status epilepticus
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    6 / 321 (1.87%)
    3 / 316 (0.95%)
    2 / 39 (5.13%)
    3 / 125 (2.40%)
         occurrences causally related to treatment / all
    1 / 7
    1 / 4
    0 / 2
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Febrile neutropenia
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal mass
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal hernia
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Anal fissure
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal pain
         subjects affected / exposed
    15 / 321 (4.67%)
    12 / 316 (3.80%)
    4 / 39 (10.26%)
    3 / 125 (2.40%)
         occurrences causally related to treatment / all
    1 / 15
    5 / 14
    2 / 5
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal pain upper
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ascites
         subjects affected / exposed
    2 / 321 (0.62%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    2 / 125 (1.60%)
         occurrences causally related to treatment / all
    1 / 2
    1 / 1
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Anal fistula
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    1 / 321 (0.31%)
    4 / 316 (1.27%)
    0 / 39 (0.00%)
    2 / 125 (1.60%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 4
    0 / 0
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Colonic fistula
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    1 / 39 (2.56%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    3 / 321 (0.93%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    2 / 3
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastric ulcer
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Faecaloma
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastritis haemorrhagic
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastritis
         subjects affected / exposed
    2 / 321 (0.62%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastric ulcer haemorrhage
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal obstruction
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal haemorrhage
         subjects affected / exposed
    5 / 321 (1.56%)
    5 / 316 (1.58%)
    1 / 39 (2.56%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 5
    5 / 7
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haematemesis
         subjects affected / exposed
    1 / 321 (0.31%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haematochezia
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ileus
         subjects affected / exposed
    2 / 321 (0.62%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haemorrhoids
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    4 / 321 (1.25%)
    2 / 316 (0.63%)
    1 / 39 (2.56%)
    3 / 125 (2.40%)
         occurrences causally related to treatment / all
    1 / 5
    0 / 2
    0 / 1
    1 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intestinal perforation
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intra-abdominal haemorrhage
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Jejunal perforation
         subjects affected / exposed
    0 / 321 (0.00%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Large intestinal stenosis
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Mechanical ileus
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    2 / 321 (0.62%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    1 / 2
    2 / 2
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peptic ulcer
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Small intestinal haemorrhage
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    1 / 39 (2.56%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Upper gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 321 (0.31%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Subileus
         subjects affected / exposed
    2 / 321 (0.62%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    5 / 321 (1.56%)
    3 / 316 (0.95%)
    1 / 39 (2.56%)
    4 / 125 (3.20%)
         occurrences causally related to treatment / all
    2 / 5
    2 / 3
    2 / 3
    1 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Bile duct obstruction
         subjects affected / exposed
    1 / 321 (0.31%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatic failure
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cholangitis
         subjects affected / exposed
    2 / 321 (0.62%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatic pain
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    1 / 39 (2.56%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hyperbilirubinaemia
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatic function abnormal
         subjects affected / exposed
    1 / 321 (0.31%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Jaundice
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Jaundice cholestatic
         subjects affected / exposed
    1 / 321 (0.31%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Portal hypertension
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Dermatitis
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Exfoliative rash
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Erythema multiforme
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pityriasis rosea
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Rash
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    1 / 39 (2.56%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Rash generalised
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Anuria
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Haematuria
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal failure
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    1 / 39 (2.56%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Pollakiuria
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal failure acute
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal impairment
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract obstruction
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    3 / 321 (0.93%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Fibromyalgia
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Joint swelling
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Osteoporosis
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Osteoarthritis
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pain in extremity
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tenosynovitis
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Abdominal infection
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal wall abscess
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Appendicitis
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bacterial sepsis
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bronchitis
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    1 / 39 (2.56%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cellulitis
         subjects affected / exposed
    1 / 321 (0.31%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ear infection
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Eye infection
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    2 / 321 (0.62%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Helicobacter gastritis
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infection
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infectious pleural effusion
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lung infection
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Periodontitis
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peritonitis
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    3 / 321 (0.93%)
    4 / 316 (1.27%)
    1 / 39 (2.56%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    1 / 3
    1 / 4
    0 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    Post procedural infection
         subjects affected / exposed
    0 / 321 (0.00%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Postoperative wound infection
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    1 / 39 (2.56%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory tract infection
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    2 / 321 (0.62%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Septic shock
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 321 (0.31%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    4 / 321 (1.25%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Viral infection
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    4 / 321 (1.25%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    3 / 4
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Dehydration
         subjects affected / exposed
    0 / 321 (0.00%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    3 / 125 (2.40%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diabetes mellitus
         subjects affected / exposed
    2 / 321 (0.62%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Fluid overload
         subjects affected / exposed
    1 / 321 (0.31%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypokalaemia
         subjects affected / exposed
    1 / 321 (0.31%)
    3 / 316 (0.95%)
    1 / 39 (2.56%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 4
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypoglycaemia
         subjects affected / exposed
    3 / 321 (0.93%)
    0 / 316 (0.00%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypomagnesaemia
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hyponatraemia
         subjects affected / exposed
    0 / 321 (0.00%)
    2 / 316 (0.63%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypophosphataemia
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypovolaemia
         subjects affected / exposed
    0 / 321 (0.00%)
    1 / 316 (0.32%)
    0 / 39 (0.00%)
    0 / 125 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    First-line Nilotinib First-line Imatinib Crossover Nilotinib Crossover Imatinib
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    291 / 321 (90.65%)
    289 / 316 (91.46%)
    28 / 39 (71.79%)
    89 / 125 (71.20%)
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    27 / 321 (8.41%)
    29 / 316 (9.18%)
    0 / 39 (0.00%)
    6 / 125 (4.80%)
         occurrences all number
    35
    41
    0
    10
    Face oedema
         subjects affected / exposed
    5 / 321 (1.56%)
    43 / 316 (13.61%)
    0 / 39 (0.00%)
    13 / 125 (10.40%)
         occurrences all number
    9
    60
    0
    13
    Fatigue
         subjects affected / exposed
    66 / 321 (20.56%)
    65 / 316 (20.57%)
    7 / 39 (17.95%)
    12 / 125 (9.60%)
         occurrences all number
    104
    99
    8
    14
    Oedema peripheral
         subjects affected / exposed
    29 / 321 (9.03%)
    68 / 316 (21.52%)
    2 / 39 (5.13%)
    17 / 125 (13.60%)
         occurrences all number
    38
    94
    2
    20
    Pyrexia
         subjects affected / exposed
    23 / 321 (7.17%)
    30 / 316 (9.49%)
    3 / 39 (7.69%)
    4 / 125 (3.20%)
         occurrences all number
    32
    40
    4
    8
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    28 / 321 (8.72%)
    21 / 316 (6.65%)
    1 / 39 (2.56%)
    3 / 125 (2.40%)
         occurrences all number
    37
    31
    3
    3
    Dyspnoea
         subjects affected / exposed
    17 / 321 (5.30%)
    21 / 316 (6.65%)
    2 / 39 (5.13%)
    5 / 125 (4.00%)
         occurrences all number
    22
    24
    2
    5
    Psychiatric disorders
    Insomnia
         subjects affected / exposed
    21 / 321 (6.54%)
    20 / 316 (6.33%)
    1 / 39 (2.56%)
    2 / 125 (1.60%)
         occurrences all number
    27
    23
    2
    2
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    45 / 321 (14.02%)
    18 / 316 (5.70%)
    5 / 39 (12.82%)
    3 / 125 (2.40%)
         occurrences all number
    63
    22
    7
    3
    Aspartate aminotransferase increased
         subjects affected / exposed
    23 / 321 (7.17%)
    15 / 316 (4.75%)
    2 / 39 (5.13%)
    2 / 125 (1.60%)
         occurrences all number
    30
    17
    2
    5
    Amylase increased
         subjects affected / exposed
    8 / 321 (2.49%)
    13 / 316 (4.11%)
    2 / 39 (5.13%)
    2 / 125 (1.60%)
         occurrences all number
    14
    20
    4
    2
    Blood alkaline phosphatase increased
         subjects affected / exposed
    7 / 321 (2.18%)
    3 / 316 (0.95%)
    3 / 39 (7.69%)
    2 / 125 (1.60%)
         occurrences all number
    8
    3
    3
    2
    Blood bilirubin increased
         subjects affected / exposed
    32 / 321 (9.97%)
    4 / 316 (1.27%)
    2 / 39 (5.13%)
    1 / 125 (0.80%)
         occurrences all number
    48
    4
    3
    1
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    9 / 321 (2.80%)
    2 / 316 (0.63%)
    4 / 39 (10.26%)
    1 / 125 (0.80%)
         occurrences all number
    16
    3
    6
    1
    Haemoglobin decreased
         subjects affected / exposed
    10 / 321 (3.12%)
    20 / 316 (6.33%)
    3 / 39 (7.69%)
    5 / 125 (4.00%)
         occurrences all number
    17
    25
    3
    8
    Lipase increased
         subjects affected / exposed
    27 / 321 (8.41%)
    23 / 316 (7.28%)
    1 / 39 (2.56%)
    6 / 125 (4.80%)
         occurrences all number
    35
    34
    1
    7
    Neutrophil count decreased
         subjects affected / exposed
    2 / 321 (0.62%)
    24 / 316 (7.59%)
    1 / 39 (2.56%)
    7 / 125 (5.60%)
         occurrences all number
    2
    40
    1
    9
    Weight decreased
         subjects affected / exposed
    27 / 321 (8.41%)
    20 / 316 (6.33%)
    3 / 39 (7.69%)
    3 / 125 (2.40%)
         occurrences all number
    38
    25
    3
    3
    White blood cell count decreased
         subjects affected / exposed
    3 / 321 (0.93%)
    21 / 316 (6.65%)
    0 / 39 (0.00%)
    11 / 125 (8.80%)
         occurrences all number
    3
    36
    0
    16
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    22 / 321 (6.85%)
    19 / 316 (6.01%)
    2 / 39 (5.13%)
    4 / 125 (3.20%)
         occurrences all number
    31
    28
    2
    4
    Dysgeusia
         subjects affected / exposed
    10 / 321 (3.12%)
    9 / 316 (2.85%)
    2 / 39 (5.13%)
    3 / 125 (2.40%)
         occurrences all number
    13
    12
    2
    4
    Headache
         subjects affected / exposed
    54 / 321 (16.82%)
    24 / 316 (7.59%)
    5 / 39 (12.82%)
    2 / 125 (1.60%)
         occurrences all number
    76
    35
    6
    2
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    38 / 321 (11.84%)
    61 / 316 (19.30%)
    7 / 39 (17.95%)
    20 / 125 (16.00%)
         occurrences all number
    60
    92
    9
    22
    Neutropenia
         subjects affected / exposed
    4 / 321 (1.25%)
    42 / 316 (13.29%)
    1 / 39 (2.56%)
    11 / 125 (8.80%)
         occurrences all number
    7
    72
    1
    12
    Thrombocytopenia
         subjects affected / exposed
    2 / 321 (0.62%)
    5 / 316 (1.58%)
    2 / 39 (5.13%)
    1 / 125 (0.80%)
         occurrences all number
    2
    11
    2
    1
    Leukopenia
         subjects affected / exposed
    4 / 321 (1.25%)
    35 / 316 (11.08%)
    1 / 39 (2.56%)
    10 / 125 (8.00%)
         occurrences all number
    6
    70
    1
    11
    Eye disorders
    Eyelid oedema
         subjects affected / exposed
    5 / 321 (1.56%)
    55 / 316 (17.41%)
    0 / 39 (0.00%)
    19 / 125 (15.20%)
         occurrences all number
    8
    87
    0
    23
    Lacrimation increased
         subjects affected / exposed
    3 / 321 (0.93%)
    21 / 316 (6.65%)
    0 / 39 (0.00%)
    3 / 125 (2.40%)
         occurrences all number
    5
    31
    0
    4
    Periorbital oedema
         subjects affected / exposed
    2 / 321 (0.62%)
    58 / 316 (18.35%)
    0 / 39 (0.00%)
    9 / 125 (7.20%)
         occurrences all number
    2
    89
    0
    10
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    17 / 321 (5.30%)
    12 / 316 (3.80%)
    1 / 39 (2.56%)
    1 / 125 (0.80%)
         occurrences all number
    18
    14
    1
    1
    Abdominal pain
         subjects affected / exposed
    63 / 321 (19.63%)
    61 / 316 (19.30%)
    6 / 39 (15.38%)
    18 / 125 (14.40%)
         occurrences all number
    94
    86
    11
    19
    Constipation
         subjects affected / exposed
    49 / 321 (15.26%)
    24 / 316 (7.59%)
    3 / 39 (7.69%)
    3 / 125 (2.40%)
         occurrences all number
    68
    31
    4
    3
    Abdominal pain upper
         subjects affected / exposed
    38 / 321 (11.84%)
    15 / 316 (4.75%)
    1 / 39 (2.56%)
    5 / 125 (4.00%)
         occurrences all number
    47
    16
    1
    10
    Diarrhoea
         subjects affected / exposed
    46 / 321 (14.33%)
    106 / 316 (33.54%)
    2 / 39 (5.13%)
    17 / 125 (13.60%)
         occurrences all number
    65
    170
    3
    27
    Nausea
         subjects affected / exposed
    73 / 321 (22.74%)
    105 / 316 (33.23%)
    12 / 39 (30.77%)
    20 / 125 (16.00%)
         occurrences all number
    102
    163
    14
    25
    Stomatitis
         subjects affected / exposed
    10 / 321 (3.12%)
    14 / 316 (4.43%)
    2 / 39 (5.13%)
    1 / 125 (0.80%)
         occurrences all number
    11
    19
    2
    1
    Vomiting
         subjects affected / exposed
    51 / 321 (15.89%)
    65 / 316 (20.57%)
    5 / 39 (12.82%)
    10 / 125 (8.00%)
         occurrences all number
    69
    105
    6
    24
    Hepatobiliary disorders
    Hyperbilirubinaemia
         subjects affected / exposed
    63 / 321 (19.63%)
    11 / 316 (3.48%)
    3 / 39 (7.69%)
    3 / 125 (2.40%)
         occurrences all number
    128
    16
    5
    3
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    33 / 321 (10.28%)
    13 / 316 (4.11%)
    1 / 39 (2.56%)
    3 / 125 (2.40%)
         occurrences all number
    40
    20
    1
    3
    Pruritus
         subjects affected / exposed
    39 / 321 (12.15%)
    25 / 316 (7.91%)
    4 / 39 (10.26%)
    2 / 125 (1.60%)
         occurrences all number
    62
    42
    5
    2
    Dry skin
         subjects affected / exposed
    19 / 321 (5.92%)
    21 / 316 (6.65%)
    0 / 39 (0.00%)
    3 / 125 (2.40%)
         occurrences all number
    29
    25
    0
    3
    Rash
         subjects affected / exposed
    89 / 321 (27.73%)
    46 / 316 (14.56%)
    4 / 39 (10.26%)
    12 / 125 (9.60%)
         occurrences all number
    139
    85
    4
    16
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    20 / 321 (6.23%)
    15 / 316 (4.75%)
    2 / 39 (5.13%)
    3 / 125 (2.40%)
         occurrences all number
    28
    22
    2
    3
    Back pain
         subjects affected / exposed
    32 / 321 (9.97%)
    18 / 316 (5.70%)
    3 / 39 (7.69%)
    3 / 125 (2.40%)
         occurrences all number
    46
    23
    5
    3
    Pain in extremity
         subjects affected / exposed
    22 / 321 (6.85%)
    16 / 316 (5.06%)
    2 / 39 (5.13%)
    3 / 125 (2.40%)
         occurrences all number
    26
    22
    4
    3
    Myalgia
         subjects affected / exposed
    39 / 321 (12.15%)
    17 / 316 (5.38%)
    2 / 39 (5.13%)
    2 / 125 (1.60%)
         occurrences all number
    49
    22
    3
    2
    Muscle spasms
         subjects affected / exposed
    18 / 321 (5.61%)
    47 / 316 (14.87%)
    1 / 39 (2.56%)
    2 / 125 (1.60%)
         occurrences all number
    25
    81
    1
    2
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    25 / 321 (7.79%)
    19 / 316 (6.01%)
    1 / 39 (2.56%)
    1 / 125 (0.80%)
         occurrences all number
    42
    24
    1
    3
    Upper respiratory tract infection
         subjects affected / exposed
    8 / 321 (2.49%)
    17 / 316 (5.38%)
    0 / 39 (0.00%)
    1 / 125 (0.80%)
         occurrences all number
    15
    21
    0
    1
    Metabolism and nutrition disorders
    Hyperglycaemia
         subjects affected / exposed
    15 / 321 (4.67%)
    7 / 316 (2.22%)
    2 / 39 (5.13%)
    2 / 125 (1.60%)
         occurrences all number
    23
    12
    2
    2
    Decreased appetite
         subjects affected / exposed
    40 / 321 (12.46%)
    50 / 316 (15.82%)
    5 / 39 (12.82%)
    5 / 125 (4.00%)
         occurrences all number
    53
    68
    5
    5
    Hyperuricaemia
         subjects affected / exposed
    2 / 321 (0.62%)
    5 / 316 (1.58%)
    2 / 39 (5.13%)
    1 / 125 (0.80%)
         occurrences all number
    3
    8
    2
    1
    Hypophosphataemia
         subjects affected / exposed
    20 / 321 (6.23%)
    53 / 316 (16.77%)
    3 / 39 (7.69%)
    10 / 125 (8.00%)
         occurrences all number
    36
    85
    5
    12
    Hypokalaemia
         subjects affected / exposed
    9 / 321 (2.80%)
    19 / 316 (6.01%)
    0 / 39 (0.00%)
    8 / 125 (6.40%)
         occurrences all number
    9
    31
    0
    9

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    23 Apr 2009
    Amendment 1: To comply with the conduct of Phase III studies at the MD Anderson Cancer Center (MDAAC), an amendment to the current clinical protocol is needed, whereby pharmacokinetic (PK) sampling is not expected from MDACC patients randomized into this study.
    18 Dec 2009
    Amend 2: To clarify the inclusion criteria prior anti-neoplastic txmt.To exclude pts with “known symptomatic brain metastasis”To clarify the inclusion criteria for lab parameters(hematology &biochem)To clarify the cardiac & GI exclusion criteria.To remove the exclusion criterion for therapeutic use of coumarin derivatives based on the info in the current Glivec Basic Prescribing Info (BPI) & Tasigna Investigator Brochure (IB Ed. 5, study CAMN107A2123).To remove requirement of male contraception based on the info in the current Glivec Investigator Brochure (IB Edition 10) & Tasigna Basic Prescribing Info (BPI).To update the list of concomitant meds excluded while on study.To provide the most recent nilotinib safety update in the background section.To correct typographical errors in the visit eval schedule.To remove requirements of postbaseline chest CT or MRI scan, unless clinically indicated, & optionally allow follow up with chest Xray.To clarify the method of tumor assessments to be performed by local & central readers. To simplify efficacy & laboratory data collection in the extension study.To allow closing of the core study after the final efficacy analysis & to transition the remaining pts to the extension study.To reflect changes made to the stat analysis specifications which were previously implemented in the stat analysis planTo harmonize the testing approach for superiority & non-inferiority.To clarify the text on the grp sequential monitoring scheme implemented via a flexible alpha spending approach. To provide modifications & additions to the sensitivity analyses & subgrp analyses.In the extension protocol, to clarify the different objectives & specify appropriate stat analyses for pts entering the study after progression in the core versus those transitioning on same txmt following final core efficacy analysis.To provide a list of CYP3A4 inducers & inhibitors in the protocol.
    04 Mar 2010
    Amend 3: Clarify ambiguous wording, of the core protocol and post-text supplement 1 Amendment 2, with respect to the specific intent of efficacy assessment in the extension study. Remove reference to central ECG reading by eRT, in the extension study, as per Amendment 2, of Post-text supplement 1.
    21 Apr 2011
    Amend 4: The purpose of this amendment is to implement the recommendations of the Data Monitoring Committee (DMC). At a meeting that was held on 4th April 2011 the DMC reviewed the results of an interim futility analysis. The DMC observed that that the futility boundary had been exceeded and therefore concluded that the study was highly unlikely to meet its primary endpoint. The majority of deaths in both arms were associated with progression of GIST. Therefore it was recommended that all patients currently enrolled in the core study who are receiving nilotinib should be offered the opportunity to receive treatment with imatinib. The DMC also recommended that patients who were receiving nilotinib and considered by the investigators to be deriving benefit should also have the option of remaining on the medication. In addition, the DMC recommended that patient recruitment should be stopped immediately (accrual was terminated on 8th April 2011). At a meeting on 7th April 2011 the SC concurred with the recommendation of DMC. The protocol is being amended to offer patients who are on-going in the nilotinib arm, who have not had disease progression, the option to enter the extension study in order to change therapy to imatinib.
    28 Jul 2011
    Amend 5: the purpose of this amendment was to define the transition of patients from the Core study to the Extension study due to termination of the Core study. Patients who were on imatinib (study drug) at the time of the closure of the Core study were to be transitioned to an alternative supply of Glivec®/Gleevec® wherever possible. In cases where it was not possible to transfer patients to commercial or other sources of Glivec®/Gleevec®, transition plans were put in place on a country-by-country basis and ensured that patients continued to receive imatinib. Patients who were on nilotinib at the time of the closure of the Core study were to be offered the opportunity to switch to Glivec®/Gleevec®. For those patients who were deriving benefit from nilotinib and the physician/patient preferred to continue nilotinib therapy, the Extension study remained open in order to provide continued access to nilotinib study drug until progression, death or withdrawal of consent unless it was otherwise required by individual HA to switch all nilotinib patients to imatinib (e.g. AFSSAPS-French HA).In addition, changes had been made to the statistical analysis plan. This amendment also included other administrative corrections and clarifications.
    25 Sep 2012
    Amend 6: the purpose of this amendment was to specify the close-out of the Extension study, defined as the LPLV (Extension) of 30-Jun-2013 which was inclusive of the 28 days follow-up period. Following the HA/ethics committee approval of amendment 6, every effort was to be made for patients to return to the sites for a scheduled or unscheduled visit (whichever was closest to the HA/ethics committee protocol approval date) to discontinue patients off the Extension study. At the time of this visit, patients on treatment were to complete the Extension end of treatment procedures. Patients deriving benefit from the treatment with imatinib, as determined by the Investigator were to make every effort to switch to commercial Glivec®/Gleevec® or an alternative supply upon discontinuation from the Extension study. In the event that patients were unable to obtain commercial Glivec®/Gleevec® or an alternative supply (i.e. patient access program) despite all efforts, these patients were eligible to enroll into the imatinib rollover protocol [Study STI571A2406]to maintain their current treatment, per the discretion of the Sponsor. Patients on nilotinib who had maintained their originally assigned treatment from the Core to Extension might have switched to commercial Glivec®/Gleevec® or an alternative supply as determined by the Investigator, upon discontinuation from the Extension protocol. Alternatively, patients deriving benefit on nilotinib were eligible to enroll into the nilotinib rollover protocol [Study AMN107A2409] and maintain their current treatment.Patients who consented for the Extension survival follow-up were also to be contacted to discontinue from the Extension study. Those patients in the survival follow-up who did not return by the Extension LPLV date were considered lost to follow-up.
    16 Dec 2013
    Amend 7: the purpose of this amendment was to extend the LPLV date of 30-Jun-2013 to allow the remaining three countries to establish viable solutions for the treatment of the ongoing patients prior to the closure of Study CAMN107G2301. In December 2013, patients were still ongoing in Romania (six patients on imatinib), China (26 patients on imatinib; three patients on nilotinib), and Germany (three patients on nilotinib). The new targeted LPLV (inclusive of the 28 days safety follow-up period), was dependent upon the availability of alternative options for the remaining patients to be able to receive drug after discontinuation from the CAMN107G2301 study. Ongoing patients must have maintained their current treatment and remained on the study until an alternative option was available for receipt of drug, or until the occurrence of disease progression, unacceptable toxicities, withdrawal of consent or death. LPLV occurred on 23-Oct-2014.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Due to EudraCT system limitations, which EMA is aware of, results of crossover studies are not accurately represented in this record. Please go to https://www.novctrd.com/CtrdWeb/home.nov for complete trial results.
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    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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