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    Clinical Trial Results:
    A Phase 2B Efficacy and Safety Study of PTC124 in Subjects With Nonsense-Mutation-Mediated Duchenne and Becker Muscular Dystrophy

    Summary
    EudraCT number
    2008-007648-32
    Trial protocol
    BE   FR   DE   SE   GB   ES   IT  
    Global end of trial date
    31 Jan 2009

    Results information
    Results version number
    v1(current)
    This version publication date
    11 Jul 2020
    First version publication date
    11 Jul 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    PTC124-GD-007e-DMD
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00847379
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    PTC Therapeutics, Inc.
    Sponsor organisation address
    100 Corporate Court, South Plainfield, United States, NJ 07080
    Public contact
    Medical Information, PTC Therapeutics, Inc., +353 1-866-562-4620, medinfo@ptcbio.com
    Scientific contact
    Medical Information, PTC Therapeutics International Limited, +353 19068700, medinfo@ptcbio.com
    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?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    20 Jul 2010
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    31 Jan 2009
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    The primary objective of this study was to evaluate the long-term safety of ataluren in boys with nonsense mutation Duchenne/Becker muscular dystrophy (nmDBMD), as determined by adverse events and laboratory abnormalities.
    Protection of trial subjects
    The study was conducted in accordance with the ethical principles that have their origins in the Declaration of Helsinki (revised version of Edinburgh, Scotland, 2000) and in conformance with the International Conference on Harmonisation (ICH) Good Clinical Practice (GCP) guidance documents.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    31 Jan 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
    Belgium: 5
    Country: Number of subjects enrolled
    Australia: 11
    Country: Number of subjects enrolled
    Canada: 10
    Country: Number of subjects enrolled
    France: 8
    Country: Number of subjects enrolled
    Germany: 11
    Country: Number of subjects enrolled
    Israel: 3
    Country: Number of subjects enrolled
    Italy: 13
    Country: Number of subjects enrolled
    Spain: 6
    Country: Number of subjects enrolled
    Sweden: 8
    Country: Number of subjects enrolled
    United Kingdom: 21
    Country: Number of subjects enrolled
    United States: 77
    Worldwide total number of subjects
    173
    EEA total number of subjects
    72
    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)
    146
    Adolescents (12-17 years)
    26
    Adults (18-64 years)
    1
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    A total of 173 participants were screened for eligibility to enter this extension study after completing the 48-week double-blind study PTC124-GD-007-DMD (NCT00592553). All participants met entry criteria and enrolled in this study.

    Pre-assignment
    Screening details
    Participants were categorized by the treatment group to which they had been randomly assigned in Study PTC124-GD-007-DMD (NCT00592553).

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    High-Dose Ataluren/High-Dose Ataluren
    Arm description
    Participants who were randomized to receive high-dose ataluren in study PTC124-GD-007-DMD, continued to receive ataluren suspension orally 3 times a day (TID), 20 milligrams/kilogram (mg/kg) at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of ataluren at the end of treatment visit (Week 48) in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.
    Arm type
    Experimental

    Investigational medicinal product name
    Ataluren
    Investigational medicinal product code
    PTC124
    Other name
    Pharmaceutical forms
    Oral drops, powder for suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Ataluren was administered as per dose and schedule specified in the arm.

    Arm title
    Low-Dose Ataluren/High-Dose Ataluren
    Arm description
    Participants who were randomized to receive low-dose ataluren in study PTC124-GD-007-DMD, received ataluren suspension orally TID, 20 mg/kg at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of ataluren at the end of treatment visit in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.
    Arm type
    Experimental

    Investigational medicinal product name
    Ataluren
    Investigational medicinal product code
    PTC124
    Other name
    Pharmaceutical forms
    Oral drops, powder for suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Ataluren was administered as per dose and schedule specified in the arm.

    Arm title
    Placebo/High-Dose Ataluren
    Arm description
    Participants who were randomized to receive placebo in study PTC124-GD-007-DMD, received ataluren suspension orally TID, 20 mg/kg at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of placebo at the end of treatment visit in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.
    Arm type
    Experimental

    Investigational medicinal product name
    Ataluren
    Investigational medicinal product code
    PTC124
    Other name
    Pharmaceutical forms
    Oral drops, powder for suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Ataluren was administered as per dose and schedule specified in the arm.

    Number of subjects in period 1
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren
    Started
    59
    57
    57
    As-treated population
    59
    57
    57
    Completed
    0
    0
    0
    Not completed
    59
    57
    57
         Study terminated by Sponsor
    59
    57
    57

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    High-Dose Ataluren/High-Dose Ataluren
    Reporting group description
    Participants who were randomized to receive high-dose ataluren in study PTC124-GD-007-DMD, continued to receive ataluren suspension orally 3 times a day (TID), 20 milligrams/kilogram (mg/kg) at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of ataluren at the end of treatment visit (Week 48) in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.

    Reporting group title
    Low-Dose Ataluren/High-Dose Ataluren
    Reporting group description
    Participants who were randomized to receive low-dose ataluren in study PTC124-GD-007-DMD, received ataluren suspension orally TID, 20 mg/kg at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of ataluren at the end of treatment visit in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.

    Reporting group title
    Placebo/High-Dose Ataluren
    Reporting group description
    Participants who were randomized to receive placebo in study PTC124-GD-007-DMD, received ataluren suspension orally TID, 20 mg/kg at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of placebo at the end of treatment visit in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.

    Reporting group values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Total
    Number of subjects
    59 57 57 173
    Age categorical
    Units: Subjects
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    9.4 ( 2.53 ) 9.7 ( 2.89 ) 9.3 ( 2.28 ) -
    Sex: Female, Male
    Units: Subjects
        Female
    0 0 0 0
        Male
    59 57 57 173
    Subject analysis sets

    Subject analysis set title
    Overall Participants: High-Dose Ataluren
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All participants received ataluren suspension orally TID, 20 mg/kg at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of ataluren at the end of treatment visit in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.

    Subject analysis sets values
    Overall Participants: High-Dose Ataluren
    Number of subjects
    173
    Age categorical
    Units: Subjects
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    ( )
    Sex: Female, Male
    Units: Subjects
        Female
        Male

    End points

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    End points reporting groups
    Reporting group title
    High-Dose Ataluren/High-Dose Ataluren
    Reporting group description
    Participants who were randomized to receive high-dose ataluren in study PTC124-GD-007-DMD, continued to receive ataluren suspension orally 3 times a day (TID), 20 milligrams/kilogram (mg/kg) at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of ataluren at the end of treatment visit (Week 48) in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.

    Reporting group title
    Low-Dose Ataluren/High-Dose Ataluren
    Reporting group description
    Participants who were randomized to receive low-dose ataluren in study PTC124-GD-007-DMD, received ataluren suspension orally TID, 20 mg/kg at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of ataluren at the end of treatment visit in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.

    Reporting group title
    Placebo/High-Dose Ataluren
    Reporting group description
    Participants who were randomized to receive placebo in study PTC124-GD-007-DMD, received ataluren suspension orally TID, 20 mg/kg at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of placebo at the end of treatment visit in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.

    Subject analysis set title
    Overall Participants: High-Dose Ataluren
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All participants received ataluren suspension orally TID, 20 mg/kg at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of ataluren at the end of treatment visit in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.

    Primary: Number of Participants With Treatment-Emergent Adverse Events (AEs)

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    End point title
    Number of Participants With Treatment-Emergent Adverse Events (AEs) [1]
    End point description
    AE: any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severity of an AE was classified as: mild (does not interfere with usual function), moderate (interferes to some extent with usual function) and severe (interferes significantly with usual function). Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention. TEAE: AE that occurred or worsened in period extending from first dose of study drug in this study to 6 weeks after last dose of study drug. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. As-treated population: all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e.
    End point type
    Primary
    End point timeframe
    Baseline (Week 48 of Study 007) up to Week 102
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Safety analyses were descriptive in nature.
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    59
    57
    57
    173
    Units: participants
        Any AEs
    52
    49
    48
    149
        Drug-related AEs
    10
    10
    22
    42
        Serious AEs
    0
    1
    2
    3
        Mild AEs
    34
    23
    26
    83
        Moderate AEs
    13
    22
    19
    54
        Severe AEs
    5
    4
    3
    12
    No statistical analyses for this end point

    Primary: Number of Participants With Clinically Significant Abnormal Laboratory Parameters

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    End point title
    Number of Participants With Clinically Significant Abnormal Laboratory Parameters [2]
    End point description
    Laboratory parameters tests included hematology, biochemistry assay (hepatic, renal, and serum electrolyte values), adrenal assays, and urinalysis. Clinical significance was defined as per investigator's judgement. As-treated population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e.
    End point type
    Primary
    End point timeframe
    Baseline (Week 48 of Study 007) up to Week 102
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Safety analyses were descriptive in nature.
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    59
    57
    57
    173
    Units: participants
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Change From Baseline in 6-Minute Walk Distance (6MWD) at Week 60

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    End point title
    Change From Baseline in 6-Minute Walk Distance (6MWD) at Week 60
    End point description
    The 6MWD test was performed in a 30-meters-long flat corridor, where the participant was instructed to walk as far as possible, back and forth around two cones, with the permission to slow down, rest, or stop if needed. Ambulation was assessed via the 6MWD test following standardized procedures by measuring the 6MWD in meters. Participants were not permitted to use assistive devices (walker, long leg braces, or short leg braces) during the 6MWD test. Ambulatory 007e population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, and had sufficient baseline and on-treatment data in Study 007e to assess measure of interest, excluding participants who had lost all independent ambulation. ‘n’=participants evaluable at specified timepoints.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    53
    50
    49
    152
    Units: meters
    arithmetic mean (standard deviation)
        Baseline (n=53, 50, 49, 152)
    351.60 ( 130.312 )
    375.95 ( 98.976 )
    356.25 ( 109.369 )
    361.11 ( 113.760 )
        Change at Week 60 (n=46, 46, 47, 139)
    -17.23 ( 39.608 )
    -10.50 ( 41.390 )
    -7.06 ( 50.121 )
    -11.56 ( 43.881 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Mean Activity Period/Day/Visit at Week 60, as Assessed by Step Activity Monitoring (SAM)

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    End point title
    Change From Baseline in Mean Activity Period/Day/Visit at Week 60, as Assessed by Step Activity Monitoring (SAM)
    End point description
    Participants were instructed to continue to wear SAM for at least 9 consecutive days. SAM was used to record the number of strides/minute following each visit. A stride is the leg motion that begins when the foot with SAM leaves the floor and ends when the same foot touches the floor again. For each day, an active period was defined as the first time after 3:00 AM that greater than (>) 2 strides/minute were recorded to the last time prior to midnight that >2 strides/minute were recorded. Days were deleted on which such an active period was less than (<) 50 percent (%) of the mean active period across all days for that participant's visit. Ambulatory 007e population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, and had sufficient baseline and on-treatment data in Study 007e to assess measure of interest, excluding participants who had lost all independent ambulation. ‘n’=participants evaluable at specified timepoints.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    53
    50
    49
    152
    Units: meters
    arithmetic mean (standard deviation)
        Baseline (n=52, 49, 48, 149)
    759.715 ( 77.5210 )
    742.223 ( 107.7264 )
    747.464 ( 102.6531 )
    750.016 ( 96.1057 )
        Change at Week 60 (n=41, 38, 40, 119)
    1.946 ( 61.2247 )
    34.283 ( 88.1587 )
    -1.866 ( 93.0531 )
    10.991 ( 82.6356 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Mean Total Step Count/Day/Visit During the Active Periods at Week 60, as Assessed by SAM

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    End point title
    Change From Baseline in Mean Total Step Count/Day/Visit During the Active Periods at Week 60, as Assessed by SAM
    End point description
    Participants were instructed to continue to wear SAM for at least 9 consecutive days. SAM was used to record the number of strides/minute following each visit. A stride is the leg motion that begins when the foot with SAM leaves the floor and ends when the same foot touches the floor again (that is, a stride generally equals 2 steps). For each day, an active period was defined as the first time after 3:00 AM that >2 strides/minute were recorded to the last time prior to midnight that >2 strides/minute were recorded. Days were deleted on which such an active period was <50% of the mean active period across all days for that participant's visit. Ambulatory 007e population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, and had sufficient baseline and on-treatment data in Study 007e to assess measure of interest, excluding participants who had lost all independent ambulation. ‘n’=participants evaluable at specified timepoints.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    53
    50
    49
    152
    Units: steps
    arithmetic mean (standard deviation)
        Baseline (n=52, 49, 48, 149)
    4934.575 ( 2433.230 )
    4543.766 ( 2051.300 )
    5175.330 ( 2307.436 )
    4883.613 ( 2272.108 )
        Change at Week 60 (n=41, 38, 40, 119)
    -357.679 ( 1232.109 )
    -215.062 ( 1761.773 )
    -647.504 ( 1680.522 )
    -409.558 ( 1566.386 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Mean Total Step Count/Hour During the Active Period at Week 60, as Assessed by SAM

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    End point title
    Change From Baseline in Mean Total Step Count/Hour During the Active Period at Week 60, as Assessed by SAM
    End point description
    Participants were instructed to continue to wear SAM for at least 9 consecutive days. SAM was used to record the number of strides/minute following each visit. A stride is the leg motion that begins when the foot with SAM leaves the floor and ends when the same foot touches the floor again (that is, a stride generally equals 2 steps). For each day, an active period was defined as the first time after 3:00 AM that >2 strides/minute were recorded to the last time prior to midnight that >2 strides/minute were recorded. Days were deleted on which such an active period was <50% of the mean active period across all days for that participant's visit. Ambulatory 007e population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, and had sufficient baseline and on-treatment data in Study 007e to assess measure of interest, excluding participants who had lost all independent ambulation. ‘n’=participants evaluable at specified timepoints.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    53
    50
    49
    152
    Units: steps
    arithmetic mean (standard deviation)
        Baseline (n=52, 49, 48, 149)
    395.491 ( 200.7671 )
    368.672 ( 155.6648 )
    420.684 ( 188.9124 )
    394.787 ( 183.0994 )
        Change at Week 60 (n=41, 38, 40, 119)
    -27.650 ( 87.8797 )
    -34.693 ( 128.0609 )
    -54.755 ( 122.4142 )
    -39.010 ( 113.3481 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Maximum Continuous 10-minute, 20-minute, 30-minute, and 60-minute Total Step Count (TSC) at Week 60, as Assessed by SAM

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    End point title
    Change From Baseline in Maximum Continuous 10-minute, 20-minute, 30-minute, and 60-minute Total Step Count (TSC) at Week 60, as Assessed by SAM
    End point description
    Participants were instructed to continue to wear SAM for at least 9 consecutive days. SAM was used to record the number of strides/minute following each visit. A stride is the leg motion that begins when the foot with SAM leaves the floor and ends when the same foot touches the floor again (that is, a stride generally equals 2 steps). For each day, an active period was defined as the first time after 3:00 AM that >2 strides/minute were recorded to the last time prior to midnight that >2 strides/minute were recorded. Days were deleted on which such an active period was <50% of the mean active period across all days for that participant's visit. Ambulatory 007e population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, and had sufficient baseline and on-treatment data in Study 007e to assess measure of interest, excluding participants who had lost all independent ambulation. ‘n’=participants evaluable at specified categories.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    53
    50
    49
    152
    Units: steps
    arithmetic mean (standard deviation)
        Baseline: 10-minute TSC (n=52,49,48,149)
    34.603 ( 12.4886 )
    32.863 ( 8.8533 )
    35.256 ( 10.0379 )
    34.241 ( 10.5911 )
        Change at Week 60: 10-minute TSC (n=41,38,40,119)
    -1.140 ( 6.9584 )
    -0.607 ( 7.2946 )
    -2.372 ( 7.1735 )
    -1.384 ( 7.1170 )
        Baseline: 20-minute TSC (52,49,48,149)
    28.138 ( 11.0629 )
    26.096 ( 7.9168 )
    28.323 ( 9.3133 )
    27.526 ( 9.5426 )
        Change at Week 60: 20-minute TSC (n=41,38,40,119)
    -1.459 ( 6.7165 )
    -0.662 ( 6.2171 )
    -2.510 ( 6.4346 )
    -1.558 ( 6.4549 )
        Baseline: 30-minute TSC (n=52,49,48,149)
    24.222 ( 9.9576 )
    22.205 ( 7.1045 )
    24.498 ( 8.4938 )
    23.648 ( 8.6306 )
        Change at Week 60: 30-minute TSC (n=41,38,40,119)
    -1.400 ( 5.7605 )
    -0.450 ( 5.6811 )
    -2.457 ( 5.9579 )
    -1.452 ( 5.8110 )
        Baseline: 60-minute TSC (n=52,49,48,149)
    18.019 ( 7.8145 )
    16.453 ( 5.6625 )
    18.599 ( 6.9509 )
    17.691 ( 6.8991 )
        Change at Week 60: 60-minute TSC (n=41,38,40,119)
    -0.977 ( 3.7328 )
    -0.210 ( 4.7035 )
    -2.257 ( 5.1038 )
    -1.162 ( 4.5803 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Percentage of Time During Active Period Spent at No Activity (0 steps/minute[min]), Low Activity (Less Than or Equal to [≤]15 steps/min), Medium Activity (16-30 steps/min), and High Activity (Greater Than[>]30 Steps/min) at Week 60

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    End point title
    Change From Baseline in Percentage of Time During Active Period Spent at No Activity (0 steps/minute[min]), Low Activity (Less Than or Equal to [≤]15 steps/min), Medium Activity (16-30 steps/min), and High Activity (Greater Than[>]30 Steps/min) at Week 60
    End point description
    Participants were instructed to continue to wear SAM for at least 9 consecutive days. SAM was used to record number of strides/minute following each visit. Percentage of time during active periods spent at no activity(0 steps/min), low activity(≤15 steps/min), medium activity(16-30 steps/min), and high activity(>30 steps/min) were computed for each participant. For each day, an active period was defined as first time after 3:00 AM that >2 strides/min were recorded to the last time prior to midnight that >2 strides/min were recorded. Days were deleted on which such an active period was <50% of the mean active period across all days for that participant's visit. Ambulatory 007e population: all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, and had sufficient baseline and on-treatment data in Study 007e to assess measure of interest, excluding participants who had lost all independent ambulation. ‘n’=participants evaluable for specified categories.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    53
    50
    49
    152
    Units: percentage of time
    arithmetic mean (standard deviation)
        Baseline: No activity (n=52,49,48,149)
    52.818 ( 14.4129 )
    53.372 ( 12.2352 )
    50.006 ( 12.5263 )
    52.094 ( 13.1188 )
        Change at Week 60: No activity (n=41,48,40,119)
    -0.051 ( 8.1776 )
    0.830 ( 11.2481 )
    2.194 ( 7.8652 )
    0.985 ( 9.1467 )
        Baseline: Low activity (n=52,49,48,149)
    30.677 ( 7.8531 )
    31.170 ( 7.2431 )
    32.393 ( 7.2426 )
    31.392 ( 7.4462 )
        Change at Week 60: Low activity (n=41,48,40,119)
    1.270 ( 5.8178 )
    1.172 ( 8.3050 )
    0.252 ( 5.5885 )
    0.896 ( 6.6058 )
        Baseline: Medium activity (n=52,49,48,149)
    10.248 ( 4.7620 )
    10.119 ( 4.4344 )
    10.983 ( 4.6049 )
    10.442 ( 4.5901 )
        Change at Week 60:Medium activity(n=41,48,40,119)
    -0.542 ( 2.0960 )
    -1.356 ( 3.7830 )
    -0.965 ( 3.3763 )
    -0.944 ( 3.1392 )
        Baseline: High activity (n=51,49,48,148)
    6.404 ( 4.5938 )
    5.370 ( 3.4243 )
    6.673 ( 4.5847 )
    6.149 ( 4.2476 )
        Change at Week 60:High activity(n=39,38,40,117)
    -0.643 ( 2.2656 )
    -0.520 ( 2.7196 )
    -1.506 ( 2.9904 )
    -0.898 ( 2.6913 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Time to Stand From Supine Position at Week 60

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    End point title
    Change From Baseline in Time to Stand From Supine Position at Week 60
    End point description
    If the time taken to perform this test exceeded 30 seconds or if a participant could not perform this test due to disease progression, a value of 30 seconds was used. Change from baseline data has been reported. Ambulatory 007e population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, and had sufficient baseline and on-treatment data in Study 007e to assess measure of interest, excluding participants who had lost all independent ambulation. ‘n’=participants evaluable at specified timepoints.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    53
    50
    49
    152
    Units: seconds
    arithmetic mean (standard deviation)
        Baseline (n=53,50,49,152)
    13.736 ( 11.3353 )
    11.796 ( 10.3544 )
    12.398 ( 11.6010 )
    12.666 ( 11.0678 )
        Change at Week 60 (49,47,48,144)
    0.665 ( 3.0080 )
    -0.187 ( 4.6289 )
    0.002 ( 4.6322 )
    0.166 ( 4.1373 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Time to Walk/Run 10 Meters at Week 60

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    End point title
    Change From Baseline in Time to Walk/Run 10 Meters at Week 60
    End point description
    If the time taken to perform this test exceeded 30 seconds or if a participant could not perform this test due to disease progression, a value of 30 seconds was used. Change from baseline data has been reported. Ambulatory 007e population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, and had sufficient baseline and on-treatment data in Study 007e to assess measure of interest, excluding participants who had lost all independent ambulation. ‘n’=participants evaluable at specified timepoints.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    53
    50
    49
    152
    Units: seconds
    arithmetic mean (standard deviation)
        Baseline (n=53,50,49,152)
    8.143 ( 5.1475 )
    6.986 ( 2.9995 )
    6.967 ( 3.5789 )
    7.384 ( 4.0530 )
        Change at Week 60 (49,47,48,144)
    1.441 ( 4.4822 )
    0.547 ( 2.2058 )
    0.758 ( 2.6862 )
    0.922 ( 3.2905 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Time to Climb 4 Stairs at Week 60

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    End point title
    Change From Baseline in Time to Climb 4 Stairs at Week 60
    End point description
    If the time taken to perform this test exceeded 30 seconds or if a participant could not perform this test due to disease progression, a value of 30 seconds was used. Change from baseline data has been reported. Ambulatory 007e population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, and had sufficient baseline and on-treatment data in Study 007e to assess measure of interest, excluding participants who had lost all independent ambulation. ‘n’=participants evaluable at specified timepoints.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    53
    50
    49
    152
    Units: seconds
    arithmetic mean (standard deviation)
        Baseline (n=53,50,49,152)
    9.077 ( 9.2543 )
    6.738 ( 6.4069 )
    8.071 ( 9.2057 )
    7.984 ( 8.4076 )
        Change at Week 60 (n=49,47,48,144)
    0.831 ( 2.4664 )
    0.696 ( 4.0707 )
    0.194 ( 2.5268 )
    0.574 ( 3.0898 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Time to Descend 4 Stairs at Week 60

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    End point title
    Change From Baseline in Time to Descend 4 Stairs at Week 60
    End point description
    If the time taken to perform this test exceeded 30 seconds or if a participant could not perform this test due to disease progression, a value of 30 seconds was used. Change from baseline data has been reported. Ambulatory 007e population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, and had sufficient baseline and on-treatment data in Study 007e to assess measure of interest, excluding participants who had lost all independent ambulation. ‘n’=participants evaluable at specified timepoints.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    53
    50
    49
    152
    Units: seconds
    arithmetic mean (standard deviation)
        Baseline (n=53,50,49,152)
    7.685 ( 8.9934 )
    5.638 ( 5.5635 )
    6.641 ( 7.8591 )
    6.675 ( 7.6319 )
        Change at Week 60 (n=49,47,48,144)
    1.167 ( 4.7624 )
    0.626 ( 5.2567 )
    -0.648 ( 4.9202 )
    0.385 ( 5.0045 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Heart Rate Before, During, and After Each 6MWD Test at Week 60, as Assessed by Heart Rate Monitoring With the Polar® RS400

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    End point title
    Change From Baseline in Heart Rate Before, During, and After Each 6MWD Test at Week 60, as Assessed by Heart Rate Monitoring With the Polar® RS400
    End point description
    Heart rate (HR) was measured with a Polar RS400 heart rate monitor, which consists of a transmitter strap worn around the chest and a wristwatch receiver. Monitor produces a digital text file with 1 value per min that represents the mean HR for that min. Mean HR values were collected prior to, during, and after the 6MWT. Participant rested for 5 min in a sitting position prior to 6MWT, and mean HR for the last min of this rest period was collected and documented as the resting HR. During 6MWT, mean HR was collected and documented as active HR. After completing the 6MWT and resting for 3 min, the mean HR for 1 min was collected and documented as the recovery HR. Ambulatory 007e population: all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, and had sufficient baseline and on-treatment data in Study 007e to assess measure of interest, excluding participants who had lost all independent ambulation. ‘n’=participants evaluable for specified categories.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    53
    50
    49
    150
    Units: beats/minute
    arithmetic mean (standard deviation)
        Baseline: Resting HR (n=52,50,48,150)
    105.3 ( 13.29 )
    108.8 ( 10.71 )
    103.7 ( 12.98 )
    105.9 ( 12.48 )
        Change at Week 60: Resting HR (n=45,46,43,134)
    4.0 ( 13.91 )
    3.7 ( 10.11 )
    4.8 ( 10.82 )
    4.2 ( 11.65 )
        Baseline: Active HR (n=52,48,48,148)
    138.7 ( 21.45 )
    144.8 ( 14.55 )
    138.6 ( 20.87 )
    140.6 ( 19.36 )
        Change at Week 60: Active HR (n=45,44,42,131)
    1.6 ( 17.65 )
    6.1 ( 15.45 )
    2.4 ( 14.87 )
    3.4 ( 16.07 )
        Baseline: Recovery HR (n=52,48,48,148)
    110.0 ( 13.32 )
    112.0 ( 12.17 )
    109.4 ( 13.21 )
    110.4 ( 12.88 )
        Change at Week 60: Recovery HR (n=43,44,44,131)
    2.1 ( 12.82 )
    4.6 ( 12.57 )
    2.3 ( 11.29 )
    3.0 ( 12.20 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Number of Digits Recalled Forwards and Backwards on Digit Span Task at Week 60

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    End point title
    Change From Baseline in Number of Digits Recalled Forwards and Backwards on Digit Span Task at Week 60
    End point description
    Basic attention and working memory was measured using the digit span task. A series of digits (0-9) were presented to the child in an auditory format only. The task had 2 parts; in the forward condition, the child was requested to repeat back the digits in the order they were presented and in the backward condition, he was requested to reverse the order of presentation. A raw score of the total number of correct responses was converted to an age-scaled-score (z-score) by subtracting the corresponding mean and dividing by the corresponding standard deviation of a reference population for that age. Evaluable population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, who had sufficient baseline and on-treatment data in Study 007e to assess the measure of interest. ‘n’=participants evaluable for specified categories.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    58
    56
    56
    170
    Units: z-score
    arithmetic mean (standard deviation)
        Baseline: Forward condition (n=56,54,51,161)
    4.1 ( 2.97 )
    3.6 ( 2.54 )
    3.2 ( 2.21 )
    3.6 ( 2.61 )
        Change at Wk 60:Forward condition (n=52,51,51,154)
    0.0 ( 1.53 )
    0.0 ( 1.19 )
    0.0 ( 1.22 )
    0.0 ( 1.32 )
        Baseline: Backward condition (n=56,54,51,161)
    1.4 ( 0.98 )
    1.3 ( 0.82 )
    1.2 ( 0.66 )
    1.3 ( 0.84 )
        Change at Wk 60:Backward condition(n=49,51,49,149)
    0.1 ( 0.86 )
    -0.1 ( 0.66 )
    0.0 ( 0.58 )
    0.0 ( 0.71 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Participant- Reported Health-Related Quality of Life (HRQL) as measured by the Pediatric Quality of Life Inventory (PedsQL) Physical, Emotional, Social, and School Functioning Domain Scores at Week 60

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    End point title
    Change From Baseline in Participant- Reported Health-Related Quality of Life (HRQL) as measured by the Pediatric Quality of Life Inventory (PedsQL) Physical, Emotional, Social, and School Functioning Domain Scores at Week 60
    End point description
    PedsQL generic core module (including physical, emotional, social and school functioning scales) comprises 23 questions and fatigue-specific module (including general fatigue, sleep/rest fatigue, and cognitive fatigue scales) comprises an additional 18 questions. Examples of items in each of the generic core module scales include: “It is hard for me to run”; “I feel sad or blue”; “I cannot do things that other kids my age can do;” and “It is hard to pay attention in class.” Each of the generic core module items was scored on a 5-point Likert scale from 0 (never a problem) to 4 (almost always a problem). Scores were transformed on a scale from 0 to 100 (0=100, 1=75, 2=50, 3=25, 4=0), with higher scores indicating better HRQL. Evaluable population: all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, who had sufficient baseline and on-treatment data in Study 007e to assess the measure of interest. ‘n’=participants evaluable for specified categories.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    58
    56
    56
    170
    Units: units on a scale
    arithmetic mean (standard deviation)
        Baseline:Physical function(n=54,54,49,157)
    63.8145 ( 24.46918 )
    63.3019 ( 22.72039 )
    60.4865 ( 22.33484 )
    62.5995 ( 23.11654 )
        Change at Wk 60:Physical function(n=50,47,49,146)
    -0.5982 ( 14.91137 )
    -1.2538 ( 14.60384 )
    1.2755 ( 19.01169 )
    -0.1804 ( 16.23570 )
        Baseline:Emotional function(n=54,54,49,157)
    76.852 ( 21.1530 )
    73.241 ( 20.1681 )
    73.265 ( 22.2568 )
    74.490 ( 21.1086 )
        Change at Wk 60:Emotional function(n=50,47,49,146)
    -1.675 ( 13.6361 )
    2.128 ( 14.9181 )
    -0.995 ( 13.1621 )
    -0.223 ( 13.9106 )
        Baseline:Social function(n=54,54,50,158)
    72.5000 ( 21.60429 )
    68.6111 ( 21.37748 )
    71.3000 ( 21.32858 )
    70.7911 ( 21.36670 )
        Change at Wk 60:Social function(n=50,47,50,147)
    -2.2000 ( 13.48317 )
    0.8511 ( 17.36185 )
    0.3500 ( 15.15237 )
    -0.3571 ( 15.32468 )
        Baseline:School function(n=52,54,48,154)
    72.019 ( 20.7756 )
    71.111 ( 18.2918 )
    69.063 ( 20.3861 )
    70.779 ( 19.7213 )
        Change at Wk 60:School function(n=47,46,47,140)
    -1.064 ( 16.5153 )
    -1.630 ( 17.7029 )
    1.809 ( 16.9214 )
    -0.286 ( 16.9931 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Parent/Caregiver- Reported HRQL as measured by the PedsQL Physical, Emotional, Social, and School Functioning Domain Scores at Week 60

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    End point title
    Change From Baseline in Parent/Caregiver- Reported HRQL as measured by the PedsQL Physical, Emotional, Social, and School Functioning Domain Scores at Week 60
    End point description
    PedsQL generic core module (including physical, emotional, social and school functioning scales) comprises 23 questions and fatigue-specific module (including general fatigue, sleep/rest fatigue, and cognitive fatigue scales) comprises an additional 18 questions. Examples of items in each of the generic core module scales include: “It is hard for me to run”; “I feel sad or blue”; “I cannot do things that other kids my age can do;” and “It is hard to pay attention in class.” Each of the generic core module items was scored on a 5-point Likert scale from 0 (never a problem) to 4 (almost always a problem). Scores were transformed on a scale from 0 to 100 (0=100, 1=75, 2=50, 3=25, 4=0), with higher scores indicating better HRQL. Evaluable population: all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, who had sufficient baseline and on-treatment data in Study 007e to assess the measure of interest. ‘n’=participants evaluable for specified categories.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    58
    56
    56
    170
    Units: units on a scale
    arithmetic mean (standard deviation)
        Baseline:Physical function(n=57,55,56,168)
    56.8217 ( 23.80718 )
    52.5162 ( 20.02845 )
    52.6307 ( 24.35727 )
    54.0152 ( 22.78661 )
        Change at Wk 60:Physical function(n=52,49,54,155)
    -0.8499 ( 12.75478 )
    -1.1662 ( 13.27447 )
    -0.1736 ( 14.75049 )
    -0.7143 ( 13.55924 )
        Baseline:Emotional function(n=57,55,56,168)
    74.7368 ( 17.73870 )
    72.5455 ( 16.04025 )
    68.2813 ( 22.05309 )
    71.8676 ( 18.87211 )
        Change at Wk 60:Emotional function(n=52,49,54,155)
    -1.9231 ( 11.11289 )
    -0.3061 ( 13.32323 )
    -1.9213 ( 16.86642 )
    -1.4113 ( 13.95342 )
        Baseline:Social function(n=57,55,56,168)
    61.9518 ( 19.07606 )
    61.6136 ( 15.44605 )
    59.7545 ( 21.34593 )
    61.1086 ( 18.71300 )
        Change at Wk 60:Social function(n=52,49,54,155)
    1.5144 ( 13.03356 )
    -0.7908 ( 11.34994 )
    0.3472 ( 12.76238 )
    0.3790 ( 12.38287 )
        Baseline:School function(n=56,55,55,166)
    68.6607 ( 16.05363 )
    64.0000 ( 15.07389 )
    65.9091 ( 18.20894 )
    66.2048 ( 16.50694 )
        Change at Wk 60:School function(n=50,48,53,151)
    0.8000 ( 9.60230 )
    1.6667 ( 10.93177 )
    -1.0377 ( 12.60946 )
    0.4305 ( 11.13464 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Participant-Reported HRQL as measured by the Total Fatigue Scale Score at Week 60

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    End point title
    Change From Baseline in Participant-Reported HRQL as measured by the Total Fatigue Scale Score at Week 60
    End point description
    PedsQL fatigue-specific module (including general fatigue, sleep/rest fatigue, and cognitive fatigue scales) comprises an additional 18 questions. Fatigue-specific module obtains information relating to items such as: “I feel too tired to do things that I like to do”; “I spend a lot of time in bed”; and “I have trouble remembering more than one thing at a time;” Each of the fatigue-specific module items was scored on a 5-point Likert scale from 0 (never a problem) to 4 (almost always a problem). Scores were transformed on a scale from 0 to 100 (0=100, 1=75, 2=50, 3=25, 4=0), with higher scores indicating less fatigue. Total score was the sum of all items over the number of items answered on all scales. Evaluable population: all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, who had sufficient baseline and on-treatment data in Study 007e to assess the measure of interest. ‘n’=participants evaluable at specified timepoints.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    58
    56
    56
    170
    Units: units on a scale
    arithmetic mean (standard deviation)
        Baseline (n=55,53,51,159)
    76.7968 ( 18.31310 )
    72.7833 ( 20.95237 )
    72.5947 ( 17.32956 )
    74.1111 ( 18.92041 )
        Change at Week 60 (n=50,46,49,145)
    -2.0484 ( 9.77928 )
    0.3650 ( 15.94374 )
    -1.8049 ( 11.12724 )
    -1.2005 ( 12.42615 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Parent/Caregiver-Reported HRQL as measured by the Total Fatigue Scale Score at Week 60

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    End point title
    Change From Baseline in Parent/Caregiver-Reported HRQL as measured by the Total Fatigue Scale Score at Week 60
    End point description
    PedsQL fatigue-specific module (including general fatigue, sleep/rest fatigue, and cognitive fatigue scales) comprises an additional 18 questions. Fatigue-specific module obtains information relating to items such as: “I feel too tired to do things that I like to do”; “I spend a lot of time in bed”; and “I have trouble remembering more than one thing at a time;” Each of the fatigue-specific module items was scored on a 5-point Likert scale from 0 (never a problem) to 4 (almost always a problem). Scores were transformed on a scale from 0 to 100 (0=100, 1=75, 2=50, 3=25, 4=0), with higher scores indicating less fatigue. Total score was the sum of all items over the number of items answered on all scales. Evaluable population: all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, who had sufficient baseline and on-treatment data in Study 007e to assess the measure of interest. ‘n’=participants evaluable at specified timepoints.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    58
    56
    56
    170
    Units: units on a scale
    arithmetic mean (standard deviation)
        Baseline (n=56,53,56,165)
    75.7864 ( 13.88014 )
    71.6596 ( 12.78488 )
    71.1062 ( 13.62739 )
    72.8724 ( 13.53355 )
        Change at Week 60 (n=53,46,54,153)
    -0.3272 ( 6.64218 )
    1.2219 ( 10.11693 )
    0.2269 ( 8.55130 )
    0.3341 ( 8.44319 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Participant and Parent/Caregiver Reported Activities of Daily Living of Participants who Were Unable to Complete the 6MWT (Nonambulatory Participants), as Measured by the Egen Klassifikation (EK) Scale at Week 60

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    End point title
    Change From Baseline in Participant and Parent/Caregiver Reported Activities of Daily Living of Participants who Were Unable to Complete the 6MWT (Nonambulatory Participants), as Measured by the Egen Klassifikation (EK) Scale at Week 60
    End point description
    EK scale is an ordinal scale ranging from 0 (highest level of independent function) to 30 points (lowest). Scale consists of 10 categories (each scored 0 to 3), involving different functional domains including 1) ability to use wheelchair, 2) ability to transfer from wheelchair, 3) ability to stand, 4) ability to balance in wheelchair, 5) ability to move the arms, 6) ability to use hands and arms when eating, 7) ability to turn in bed, 8) ability to cough, 9) ability to speak, and 10) physical well-being. The administration of the EK scale consisted of an interview of the participant to capture how he performed the tasks of daily life (as described by Categories 1 to 9) and how he perceived his well-being (as described by Category 10). Non-Ambulatory 007e population: all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, and who had lost all independent ambulation prior to entering Study 007e. ‘n’=participants evaluable at specified timepoints.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    5
    4
    6
    15
    Units: units on a scale
    arithmetic mean (standard deviation)
        Baseline (n=4,4,5,13)
    3.0 ( 2.00 )
    4.3 ( 0.50 )
    3.2 ( 1.92 )
    3.5 ( 1.61 )
        Change at Week 60 (n=4,4,5,13)
    1.5 ( 0.58 )
    0.8 ( 1.26 )
    -0.8 ( 1.48 )
    0.4 ( 1.50 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Parent/Caregiver-Reported Treatment Satisfaction Questionnaire for Medication (TSQM) Score at Week 60

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    End point title
    Change From Baseline in Parent/Caregiver-Reported Treatment Satisfaction Questionnaire for Medication (TSQM) Score at Week 60
    End point description
    TSQM consisted of 14 questions (Q) in 4 domains: Effectiveness (Q1-3 scored as 1 [extreme dissatisfied] to 7[extreme satisfied]), Side Effects (Q4 as 0 [no] or 1 [yes]; Q5 as 1 [extreme bothersome] to 5 [not at all]; Q6 - 8 as 1 [a great deal] to 5 [not at all]), Convenience (Q9,10 as 1 [extreme difficult] to 7 [extreme easy]; Q11 as 1 [extreme inconvenient] to 5 [extreme convenient]) and Global Satisfaction (Q12 as 1 [not at all confident] to 7 [extreme confident]; Q13 as 1 [not at all certain] to 5 [extreme certain]; Q14 as 1 [extreme dissatisfied] to 5 [extreme satisfied]). Scores of each domains were added together and an algorithm was used to create a score of 0 to 100, where higher scores=better treatment satisfaction. Evaluable population: all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, who had sufficient baseline and on-treatment data in Study 007e to assess the measure of interest. ‘n=participants evaluable for specified categories.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    58
    56
    56
    170
    Units: units on a scale
    arithmetic mean (standard deviation)
        Baseline: Effectiveness (n=53,54,52,159)
    56.8134 ( 26.72451 )
    53.8580 ( 21.53292 )
    50.4274 ( 22.96804 )
    53.7212 ( 23.82541 )
        Change at Week 60: Effectiveness (n=50,46,50,146)
    2.7778 ( 15.52191 )
    5.6159 ( 19.53233 )
    1.7778 ( 14.99307 )
    3.3295 ( 16.68460 )
        Baseline: Side-effects (n=55,55,54,164)
    96.8182 ( 10.81681 )
    97.7273 ( 7.64176 )
    96.8364 ( 8.94695 )
    97.1291 ( 9.18246 )
        Change at Week 60: Side-effects (n=51,47,48,146)
    0.7353 ( 12.16084 )
    -1.0638 ( 7.74500 )
    -1.2587 ( 10.84441 )
    -0.4994 ( 10.43907 )
        Baseline: Convenience (n=57,55,54,166)
    57.4074 ( 16.10609 )
    57.9798 ( 19.05889 )
    60.5967 ( 16.65858 )
    58.6345 ( 17.26216 )
        Change at Week 60: Convenience (n=53,47,50,150)
    0.8386 ( 12.39372 )
    -1.6548 ( 11.75175 )
    1.3333 ( 9.80472 )
    0.2222 ( 11.38059 )
        Baseline: Global satisfaction (n=55,55,54,164)
    61.4286 ( 25.95857 )
    60.4870 ( 23.30835 )
    56.7791 ( 21.25768 )
    59.5819 ( 23.54109 )
        Change at Wk60:Global satisfaction(n=53,47,50,150)
    -0.2695 ( 13.57882 )
    1.2538 ( 15.30213 )
    -0.4643 ( 14.78188 )
    0.1429 ( 14.45922 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Serum Concentration of Creatine Kinase (CK) at Week 60

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    End point title
    Change From Baseline in Serum Concentration of Creatine Kinase (CK) at Week 60
    End point description
    Blood samples collected for chemistry assays were used to quantify serum CK concentrations. Serum CK was assessed as a potential biomarker for muscle fragility, with a reduction in serum CK considered to be a positive outcome. Evaluable population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e, who had sufficient baseline and on-treatment data in Study 007e to assess the measure of interest. ‘n’=participants evaluable at specified timepoints.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007), Week 60
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    58
    56
    56
    170
    Units: units/liter (U/L)
    arithmetic mean (standard deviation)
        Baseline (n=57,56,54,167)
    9163.1 ( 5542.80 )
    10009.1 ( 5828.26 )
    9150.7 ( 5657.67 )
    9442.8 ( 5656.99 )
        Change at Week 60 (n=49,51,53,153)
    -455.1 ( 4962.00 )
    -520.5 ( 6164.96 )
    -334.3 ( 4810.45 )
    -435.1 ( 5310.37 )
    No statistical analyses for this end point

    Secondary: Study Drug Compliance

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    End point title
    Study Drug Compliance
    End point description
    Study drug compliance was assessed by participant daily diary and quantification of used and unused study drug. Compliance was assessed in terms of the percentage of drug actually taken relative to the amount that should have been taken during the study. As-treated population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e.
    End point type
    Secondary
    End point timeframe
    Baseline (Week 48 of Study 007) to Week 96
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    59
    57
    57
    173
    Units: percentage of drug
        median (full range (min-max))
    0.00 (0.0 to 45.1)
    0.00 (0.0 to 10.5)
    0.00 (0.0 to 36.1)
    0.00 (0.0 to 45.1)
    No statistical analyses for this end point

    Secondary: Trough Ataluren Plasma Concentration

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    End point title
    Trough Ataluren Plasma Concentration
    End point description
    Plasma samples for the determination of ataluren concentrations were analyzed at the bioanalytical laboratory for ataluren parent drug using a validated high performance liquid chromatography with tandem mass spectrometry (HPLC/MS-MS) method with a lower limit of quantitation (LLOQ) of 0.5 micrograms/millilitre (mcg/mL). Values below the LLOQ were set to 0. As-treated population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e. ‘n’=participants evaluable at specified timepoints. '99999' signifies 'SD could not be calculated due to single participant'; and '9999' signifies 'no participant was evaluable at this timepoint'.
    End point type
    Secondary
    End point timeframe
    Pre-morning dose (0 hour) at Baseline (Week 48 of 007 study), Weeks 54, 60, 72, 84, and 96
    End point values
    High-Dose Ataluren/High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren
    Number of subjects analysed
    59
    57
    57
    173
    Units: mcg/mL
    arithmetic mean (standard deviation)
        Week 48 (n=58,57,57,172)
    12.656 ( 10.8951 )
    4.541 ( 3.4381 )
    0.000 ( 0.0000 )
    5.773 ( 8.4333 )
        Week 54 (n=58,57,56,171)
    10.801 ( 8.4858 )
    13.941 ( 14.5222 )
    11.564 ( 9.3312 )
    12.097 ( 11.1172 )
        Week 60 (55,54,56,165)
    11.547 ( 9.6034 )
    13.830 ( 11.9096 )
    13.302 ( 9.4765 )
    12.890 ( 10.3574 )
        Week 72 (n=25,21,19,65)
    12.279 ( 10.5894 )
    13.930 ( 10.6393 )
    10.948 ( 6.3465 )
    12.424 ( 9.4948 )
        Week 84 (n=6,7,5,18)
    15.232 ( 8.8909 )
    14.773 ( 10.4404 )
    11.082 ( 14.6331 )
    13.901 ( 10.7415 )
        Week 96 (1,2,0,3)
    8.430 ( 99999 )
    5.685 ( 2.7648 )
    9999 ( 9999 )
    6.600 ( 2.5167 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Baseline (Week 48 of Study 007) up to Week 102
    Adverse event reporting additional description
    As-treated population included all participants who completed Study 007 and received ≥1 dose of ataluren in Study 007e.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    11.0
    Reporting groups
    Reporting group title
    High-Dose Ataluren/High-Dose Ataluren
    Reporting group description
    Participants who were randomized to receive high-dose ataluren in study PTC124-GD-007-DMD, continued to receive ataluren suspension orally TID, 20 mg/kg at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of ataluren at the end of treatment visit in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.

    Reporting group title
    Placebo/High-Dose Ataluren
    Reporting group description
    Participants who were randomized to receive placebo in study PTC124-GD-007-DMD, received ataluren suspension orally TID, 20 mg/kg at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of placebo at the end of treatment visit in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.

    Reporting group title
    Overall Participants: High-Dose Ataluren
    Reporting group description
    All participants received ataluren suspension orally TID, 20 mg/kg at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of ataluren at the end of treatment visit in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.

    Reporting group title
    Low-Dose Ataluren/High-Dose Ataluren
    Reporting group description
    Participants who were randomized to receive low-dose ataluren in study PTC124-GD-007-DMD, received ataluren suspension orally TID, 20 mg/kg at morning, 20 mg/kg at midday, and 40 mg/kg at evening (total daily dose 80 mg/kg) for up to 96 weeks in this study. Any participant who was receiving a reduced dose of ataluren at the end of treatment visit in study PTC124-GD-007-DMD, was initiated ataluren therapy in this extension study at the 5-, 5-, and 10-mg/kg dose level; dose was increased to 10, 10, and 20 mg/kg at Week 6 and to 20, 20, and 40 mg/kg at Week 12, if the preceding dose level was well tolerated.

    Serious adverse events
    High-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 59 (0.00%)
    2 / 57 (3.51%)
    3 / 173 (1.73%)
    1 / 57 (1.75%)
         number of deaths (all causes)
    0
    0
    0
    0
         number of deaths resulting from adverse events
    Injury, poisoning and procedural complications
    Femur fracture
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    High-Dose Ataluren/High-Dose Ataluren Placebo/High-Dose Ataluren Overall Participants: High-Dose Ataluren Low-Dose Ataluren/High-Dose Ataluren
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    53 / 59 (89.83%)
    51 / 57 (89.47%)
    155 / 173 (89.60%)
    51 / 57 (89.47%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Skin papilloma
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    6 / 173 (3.47%)
    4 / 57 (7.02%)
         occurrences all number
    1
    1
    7
    5
    Melanocytic naevus
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Vascular disorders
    Hot flush
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    2
    2
    Hypertension
         subjects affected / exposed
    0 / 59 (0.00%)
    2 / 57 (3.51%)
    4 / 173 (2.31%)
    2 / 57 (3.51%)
         occurrences all number
    0
    2
    4
    2
    General disorders and administration site conditions
    Disease progression
         subjects affected / exposed
    9 / 59 (15.25%)
    3 / 57 (5.26%)
    19 / 173 (10.98%)
    7 / 57 (12.28%)
         occurrences all number
    9
    3
    19
    7
    Asthenia
         subjects affected / exposed
    2 / 59 (3.39%)
    2 / 57 (3.51%)
    9 / 173 (5.20%)
    5 / 57 (8.77%)
         occurrences all number
    3
    2
    10
    5
    Gait disturbance
         subjects affected / exposed
    4 / 59 (6.78%)
    2 / 57 (3.51%)
    9 / 173 (5.20%)
    3 / 57 (5.26%)
         occurrences all number
    4
    2
    9
    3
    Pyrexia
         subjects affected / exposed
    4 / 59 (6.78%)
    3 / 57 (5.26%)
    9 / 173 (5.20%)
    2 / 57 (3.51%)
         occurrences all number
    4
    4
    11
    3
    Fatigue
         subjects affected / exposed
    3 / 59 (5.08%)
    1 / 57 (1.75%)
    5 / 173 (2.89%)
    1 / 57 (1.75%)
         occurrences all number
    3
    1
    5
    1
    Malaise
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Oedema peripheral
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Immune system disorders
    Hypersensitivity
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences all number
    0
    1
    2
    1
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    6 / 59 (10.17%)
    6 / 57 (10.53%)
    13 / 173 (7.51%)
    1 / 57 (1.75%)
         occurrences all number
    6
    6
    13
    1
    Oropharyngeal pain
         subjects affected / exposed
    4 / 59 (6.78%)
    1 / 57 (1.75%)
    7 / 173 (4.05%)
    2 / 57 (3.51%)
         occurrences all number
    6
    1
    9
    2
    Nasal congestion
         subjects affected / exposed
    2 / 59 (3.39%)
    2 / 57 (3.51%)
    6 / 173 (3.47%)
    2 / 57 (3.51%)
         occurrences all number
    2
    2
    6
    2
    Epistaxis
         subjects affected / exposed
    3 / 59 (5.08%)
    0 / 57 (0.00%)
    4 / 173 (2.31%)
    1 / 57 (1.75%)
         occurrences all number
    3
    0
    5
    2
    Wheezing
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    1
    1
    2
    0
    Asthma
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Dyspnoea
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Pharyngeal erythema
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Postnasal drip
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Productive cough
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Respiratory tract congestion
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Rhinitis allergic
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Snoring
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Sinus congestion
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Psychiatric disorders
    Attention deficit/hyperactivity disorder
         subjects affected / exposed
    2 / 59 (3.39%)
    1 / 57 (1.75%)
    5 / 173 (2.89%)
    2 / 57 (3.51%)
         occurrences all number
    2
    1
    5
    2
    Abnormal behaviour
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    3 / 173 (1.73%)
    3 / 57 (5.26%)
         occurrences all number
    0
    0
    3
    3
    Aggression
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    1
    1
    2
    0
    Obsessive-compulsive disorder
         subjects affected / exposed
    0 / 59 (0.00%)
    2 / 57 (3.51%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    0
    2
    2
    0
    Tic
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    1
    2
    3
    0
    Depression
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Frustration
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Oppositional defiant disorder
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Investigations
    Blood sodium increased
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences all number
    0
    1
    2
    1
    Weight decreased
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    2 / 173 (1.16%)
    2 / 57 (3.51%)
         occurrences all number
    0
    0
    2
    2
    Blood bicarbonate decreased
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Blood triglycerides increased
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Breath sounds abnormal
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Weight increased
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    5 / 59 (8.47%)
    4 / 57 (7.02%)
    14 / 173 (8.09%)
    5 / 57 (8.77%)
         occurrences all number
    6
    4
    15
    5
    Contusion
         subjects affected / exposed
    2 / 59 (3.39%)
    0 / 57 (0.00%)
    3 / 173 (1.73%)
    1 / 57 (1.75%)
         occurrences all number
    3
    0
    4
    1
    Iliotibial band syndrome
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    3 / 173 (1.73%)
    2 / 57 (3.51%)
         occurrences all number
    1
    0
    3
    2
    Joint sprain
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    3 / 173 (1.73%)
    2 / 57 (3.51%)
         occurrences all number
    1
    0
    3
    2
    Arthropod bite
         subjects affected / exposed
    2 / 59 (3.39%)
    0 / 57 (0.00%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    2
    0
    2
    0
    Femur fracture
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    1
    1
    2
    0
    Limb injury
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences all number
    1
    0
    2
    1
    Lower limb fracture
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    1
    1
    2
    0
    Arthropod sting
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Excoriation
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Facial bones fracture
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Foot fracture
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Head injury
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Humerus fracture
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Incision site erythema
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Lumbar vertebral fracture
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Mouth injury
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Muscle strain
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Overdose
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Procedural pain
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Skin laceration
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Spinal compression fracture
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Wound
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Wound dehiscence
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Congenital, familial and genetic disorders
    Kidney malformation
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Cardiac disorders
    Dilatation ventricular
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences all number
    0
    1
    2
    1
    Arrhythmia
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Cardiomyopathy
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Left ventricular hypertrophy
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Tachycardia
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Nervous system disorders
    Headache
         subjects affected / exposed
    5 / 59 (8.47%)
    14 / 57 (24.56%)
    34 / 173 (19.65%)
    15 / 57 (26.32%)
         occurrences all number
    48
    17
    113
    48
    Migraine
         subjects affected / exposed
    2 / 59 (3.39%)
    1 / 57 (1.75%)
    4 / 173 (2.31%)
    1 / 57 (1.75%)
         occurrences all number
    2
    1
    4
    1
    Areflexia
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Dizziness
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Hypertonia
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Hypotonia
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Memory impairment
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Partial seizures
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Sedation
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Sinus headache
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Blood and lymphatic system disorders
    Lymphadenopathy
         subjects affected / exposed
    0 / 59 (0.00%)
    2 / 57 (3.51%)
    3 / 173 (1.73%)
    1 / 57 (1.75%)
         occurrences all number
    0
    2
    3
    1
    Anaemia
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Microcytic anaemia
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Neutropenia
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Ear and labyrinth disorders
    Deafness
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Ear pain
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Tympanic membrane hyperaemia
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Vertigo
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    5
    0
    5
    0
    Eye disorders
    Cataract
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    1
    1
    2
    0
    Myopia
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences all number
    1
    0
    2
    1
    Abnormal sensation in eye
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Conjunctivitis
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Hypermetropia
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Photophobia
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Strabismus
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Vision blurred
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Gastrointestinal disorders
    Vomiting
         subjects affected / exposed
    11 / 59 (18.64%)
    20 / 57 (35.09%)
    43 / 173 (24.86%)
    12 / 57 (21.05%)
         occurrences all number
    16
    33
    72
    23
    Diarrhoea
         subjects affected / exposed
    3 / 59 (5.08%)
    6 / 57 (10.53%)
    20 / 173 (11.56%)
    11 / 57 (19.30%)
         occurrences all number
    4
    8
    25
    13
    Abdominal pain
         subjects affected / exposed
    6 / 59 (10.17%)
    6 / 57 (10.53%)
    16 / 173 (9.25%)
    4 / 57 (7.02%)
         occurrences all number
    10
    7
    21
    4
    Abdominal pain upper
         subjects affected / exposed
    2 / 59 (3.39%)
    4 / 57 (7.02%)
    15 / 173 (8.67%)
    9 / 57 (15.79%)
         occurrences all number
    2
    5
    18
    11
    Flatulence
         subjects affected / exposed
    7 / 59 (11.86%)
    3 / 57 (5.26%)
    14 / 173 (8.09%)
    4 / 57 (7.02%)
         occurrences all number
    7
    3
    14
    4
    Nausea
         subjects affected / exposed
    5 / 59 (8.47%)
    3 / 57 (5.26%)
    11 / 173 (6.36%)
    3 / 57 (5.26%)
         occurrences all number
    5
    3
    12
    4
    Dyspepsia
         subjects affected / exposed
    1 / 59 (1.69%)
    2 / 57 (3.51%)
    5 / 173 (2.89%)
    2 / 57 (3.51%)
         occurrences all number
    1
    2
    5
    2
    Constipation
         subjects affected / exposed
    1 / 59 (1.69%)
    3 / 57 (5.26%)
    4 / 173 (2.31%)
    0 / 57 (0.00%)
         occurrences all number
    1
    3
    4
    0
    Stomach discomfort
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    4 / 173 (2.31%)
    2 / 57 (3.51%)
         occurrences all number
    1
    1
    5
    3
    Aerophagia
         subjects affected / exposed
    1 / 59 (1.69%)
    2 / 57 (3.51%)
    3 / 173 (1.73%)
    0 / 57 (0.00%)
         occurrences all number
    1
    2
    3
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    1
    1
    2
    0
    Abdominal discomfort
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    2
    2
    0
    Abdominal pain lower
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Abdominal tenderness
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Abnormal faeces
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Aphthous stomatitis
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Chapped lips
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Duodenogastric reflux
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Eructation
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Faecal incontinence
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Gastritis
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Gastrointestinal sounds abnormal
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Gingivitis
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Oral pain
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Tongue disorder
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    2 / 59 (3.39%)
    3 / 57 (5.26%)
    6 / 173 (3.47%)
    1 / 57 (1.75%)
         occurrences all number
    2
    3
    6
    1
    Dry skin
         subjects affected / exposed
    0 / 59 (0.00%)
    2 / 57 (3.51%)
    3 / 173 (1.73%)
    1 / 57 (1.75%)
         occurrences all number
    0
    2
    3
    1
    Ecchymosis
         subjects affected / exposed
    2 / 59 (3.39%)
    0 / 57 (0.00%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    2
    0
    2
    0
    Eczema
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences all number
    2
    0
    3
    1
    Pruritus
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    1
    1
    2
    0
    Acne
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Cold sweat
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Hyperkeratosis
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Keratosis pilaris
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Petechiae
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Pityriasis rosea
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Rash maculo-papular
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Rash papular
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Skin chapped
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Skin depigmentation
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Skin discolouration
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Skin exfoliation
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Skin odour abnormal
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Swelling face
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Renal and urinary disorders
    Enuresis
         subjects affected / exposed
    2 / 59 (3.39%)
    1 / 57 (1.75%)
    6 / 173 (3.47%)
    3 / 57 (5.26%)
         occurrences all number
    2
    1
    6
    3
    Urine abnormality
         subjects affected / exposed
    1 / 59 (1.69%)
    2 / 57 (3.51%)
    3 / 173 (1.73%)
    0 / 57 (0.00%)
         occurrences all number
    1
    2
    3
    0
    Pollakiuria
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences all number
    1
    0
    2
    1
    Urinary incontinence
         subjects affected / exposed
    2 / 59 (3.39%)
    0 / 57 (0.00%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    2
    0
    2
    0
    Dysuria
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Haematuria
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Kidney enlargement
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Micturition urgency
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Pyelocaliectasis
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Renal cyst
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Ureteric dilatation
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Endocrine disorders
    Cushingoid
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    4 / 59 (6.78%)
    4 / 57 (7.02%)
    11 / 173 (6.36%)
    3 / 57 (5.26%)
         occurrences all number
    11
    7
    21
    3
    Muscular weakness
         subjects affected / exposed
    5 / 59 (8.47%)
    2 / 57 (3.51%)
    11 / 173 (6.36%)
    4 / 57 (7.02%)
         occurrences all number
    6
    2
    12
    4
    Pain in extremity
         subjects affected / exposed
    5 / 59 (8.47%)
    1 / 57 (1.75%)
    10 / 173 (5.78%)
    4 / 57 (7.02%)
         occurrences all number
    8
    1
    14
    5
    Joint contracture
         subjects affected / exposed
    4 / 59 (6.78%)
    1 / 57 (1.75%)
    9 / 173 (5.20%)
    4 / 57 (7.02%)
         occurrences all number
    4
    1
    13
    8
    Arthralgia
         subjects affected / exposed
    3 / 59 (5.08%)
    0 / 57 (0.00%)
    7 / 173 (4.05%)
    4 / 57 (7.02%)
         occurrences all number
    3
    0
    7
    4
    Muscle tightness
         subjects affected / exposed
    2 / 59 (3.39%)
    1 / 57 (1.75%)
    6 / 173 (3.47%)
    3 / 57 (5.26%)
         occurrences all number
    2
    1
    6
    3
    Lordosis
         subjects affected / exposed
    2 / 59 (3.39%)
    2 / 57 (3.51%)
    5 / 173 (2.89%)
    1 / 57 (1.75%)
         occurrences all number
    2
    2
    5
    1
    Musculoskeletal chest pain
         subjects affected / exposed
    2 / 59 (3.39%)
    2 / 57 (3.51%)
    5 / 173 (2.89%)
    1 / 57 (1.75%)
         occurrences all number
    2
    2
    5
    1
    Myalgia
         subjects affected / exposed
    2 / 59 (3.39%)
    1 / 57 (1.75%)
    5 / 173 (2.89%)
    2 / 57 (3.51%)
         occurrences all number
    3
    1
    6
    2
    Muscle spasms
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    4 / 173 (2.31%)
    3 / 57 (5.26%)
         occurrences all number
    1
    0
    4
    3
    Osteoporosis
         subjects affected / exposed
    3 / 59 (5.08%)
    0 / 57 (0.00%)
    3 / 173 (1.73%)
    0 / 57 (0.00%)
         occurrences all number
    3
    0
    3
    0
    Tendinous contracture
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    3 / 173 (1.73%)
    2 / 57 (3.51%)
         occurrences all number
    1
    0
    3
    2
    Muscle atrophy
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences all number
    1
    0
    2
    1
    Scoliosis
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    2 / 173 (1.16%)
    2 / 57 (3.51%)
         occurrences all number
    0
    0
    2
    2
    Tendon disorder
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences all number
    0
    1
    2
    1
    Coccydynia
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Groin pain
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Growth retardation
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Joint instability
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Muscle contracture
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Musculoskeletal pain
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Neck pain
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Musculoskeletal stiffness
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Infections and infestations
    Influenza
         subjects affected / exposed
    7 / 59 (11.86%)
    6 / 57 (10.53%)
    18 / 173 (10.40%)
    5 / 57 (8.77%)
         occurrences all number
    7
    6
    18
    5
    Nasopharyngitis
         subjects affected / exposed
    3 / 59 (5.08%)
    5 / 57 (8.77%)
    16 / 173 (9.25%)
    8 / 57 (14.04%)
         occurrences all number
    4
    5
    19
    10
    Upper respiratory tract infection
         subjects affected / exposed
    6 / 59 (10.17%)
    5 / 57 (8.77%)
    14 / 173 (8.09%)
    3 / 57 (5.26%)
         occurrences all number
    8
    5
    17
    4
    Ear infection
         subjects affected / exposed
    2 / 59 (3.39%)
    4 / 57 (7.02%)
    8 / 173 (4.62%)
    2 / 57 (3.51%)
         occurrences all number
    3
    5
    10
    2
    Gastroenteritis viral
         subjects affected / exposed
    3 / 59 (5.08%)
    3 / 57 (5.26%)
    7 / 173 (4.05%)
    1 / 57 (1.75%)
         occurrences all number
    3
    3
    8
    2
    Gastroenteritis
         subjects affected / exposed
    2 / 59 (3.39%)
    3 / 57 (5.26%)
    5 / 173 (2.89%)
    0 / 57 (0.00%)
         occurrences all number
    2
    4
    6
    0
    Otitis media
         subjects affected / exposed
    2 / 59 (3.39%)
    1 / 57 (1.75%)
    5 / 173 (2.89%)
    2 / 57 (3.51%)
         occurrences all number
    2
    1
    6
    3
    Rhinitis
         subjects affected / exposed
    1 / 59 (1.69%)
    2 / 57 (3.51%)
    4 / 173 (2.31%)
    1 / 57 (1.75%)
         occurrences all number
    1
    2
    4
    1
    Bronchitis
         subjects affected / exposed
    0 / 59 (0.00%)
    2 / 57 (3.51%)
    3 / 173 (1.73%)
    1 / 57 (1.75%)
         occurrences all number
    0
    2
    3
    1
    Croup infectious
         subjects affected / exposed
    1 / 59 (1.69%)
    2 / 57 (3.51%)
    3 / 173 (1.73%)
    0 / 57 (0.00%)
         occurrences all number
    1
    2
    3
    0
    Lower respiratory tract infection
         subjects affected / exposed
    0 / 59 (0.00%)
    3 / 57 (5.26%)
    3 / 173 (1.73%)
    0 / 57 (0.00%)
         occurrences all number
    0
    4
    4
    0
    Paronychia
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    3 / 173 (1.73%)
    1 / 57 (1.75%)
         occurrences all number
    1
    1
    3
    1
    Sinusitis
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    3 / 173 (1.73%)
    2 / 57 (3.51%)
         occurrences all number
    0
    4
    6
    2
    Urinary tract infection
         subjects affected / exposed
    0 / 59 (0.00%)
    2 / 57 (3.51%)
    3 / 173 (1.73%)
    1 / 57 (1.75%)
         occurrences all number
    0
    2
    3
    1
    Viral infection
         subjects affected / exposed
    1 / 59 (1.69%)
    2 / 57 (3.51%)
    3 / 173 (1.73%)
    0 / 57 (0.00%)
         occurrences all number
    1
    2
    3
    0
    Enterobiasis
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences all number
    0
    1
    2
    1
    Gastrointestinal infection
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences all number
    0
    2
    3
    1
    Molluscum contagiosum
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    2 / 173 (1.16%)
    1 / 57 (1.75%)
         occurrences all number
    1
    0
    2
    1
    Pharyngitis
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    1
    1
    2
    0
    Pharyngitis streptococcal
         subjects affected / exposed
    2 / 59 (3.39%)
    0 / 57 (0.00%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    3
    0
    3
    0
    Tinea pedis
         subjects affected / exposed
    1 / 59 (1.69%)
    1 / 57 (1.75%)
    2 / 173 (1.16%)
    0 / 57 (0.00%)
         occurrences all number
    1
    3
    4
    0
    Conjunctivitis infective
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Helicobacter infection
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Localised infection
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Lung infection
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    2
    2
    Onychomycosis
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Oral herpes
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Otitis externa
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Pneumonia
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Scarlet fever
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    2 / 59 (3.39%)
    1 / 57 (1.75%)
    4 / 173 (2.31%)
    1 / 57 (1.75%)
         occurrences all number
    2
    1
    4
    1
    Dehydration
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Hypovitaminosis
         subjects affected / exposed
    0 / 59 (0.00%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    1 / 57 (1.75%)
         occurrences all number
    0
    0
    1
    1
    Insulin resistance
         subjects affected / exposed
    1 / 59 (1.69%)
    0 / 57 (0.00%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Iron deficiency
         subjects affected / exposed
    0 / 59 (0.00%)
    1 / 57 (1.75%)
    1 / 173 (0.58%)
    0 / 57 (0.00%)
         occurrences all number
    0
    1
    1
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    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.
    This study was prematurely terminated by Sponsor per Data Monitoring Committee (DMC) recommendation to discontinue ongoing studies of high-dose ataluren in nmDBMD due to lack of efficacy for the high-dose ataluren.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    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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