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    Clinical Trial Results:
    A Phase 3, Multicenter, Randomized, Open-Label, Study of Azacitidine (Vidaza®) Versus Conventional Care Regimens for the Treatment of Older Subjects with Newly Diagnosed Acute Myeloid Leukemia

    Summary
    EudraCT number
    2009-012346-23
    Trial protocol
    CZ   DE   BE   FR   GB   ES   NL   AT   IT  
    Global end of trial date
    25 Jul 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    10 Aug 2017
    First version publication date
    10 Aug 2017
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    AZA-AML-001
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01074047
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Celgene Corporation
    Sponsor organisation address
    86 Morris Avenue, Summit, United States, 07901
    Public contact
    Clinical Trial Disclosure, Celgene Corporation, 01 888-260-1599, ClinicalTrialDisclosure@Celgene.com
    Scientific contact
    C.L. Beach Executive Medical Director, Celgene Corporation, 01 913-266-0302, CLBeach@celgene.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?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    28 Feb 2017
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    25 Jul 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of the study is to demonstrate superiority in overall survival (OS) of azacitidine compared with the combined conventional care regimens in subjects ≥ 65 years old who have newly diagnosed acute myeloid leukemia (AML) with > 30% bone marrow blasts.
    Protection of trial subjects
    Patient Confidentiality, Personal Data Protection and Biomarker Consent
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    04 Oct 2010
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety, Regulatory reason
    Long term follow-up duration
    24 Months
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 35
    Country: Number of subjects enrolled
    Taiwan: 15
    Country: Number of subjects enrolled
    United Kingdom: 26
    Country: Number of subjects enrolled
    United States: 7
    Country: Number of subjects enrolled
    Australia: 23
    Country: Number of subjects enrolled
    Austria: 6
    Country: Number of subjects enrolled
    Belgium: 23
    Country: Number of subjects enrolled
    Canada: 62
    Country: Number of subjects enrolled
    China: 6
    Country: Number of subjects enrolled
    Czech Republic: 12
    Country: Number of subjects enrolled
    France: 45
    Country: Number of subjects enrolled
    Germany: 32
    Country: Number of subjects enrolled
    Israel: 13
    Country: Number of subjects enrolled
    Italy: 56
    Country: Number of subjects enrolled
    Korea, Democratic People's Republic of: 47
    Country: Number of subjects enrolled
    Netherlands: 2
    Country: Number of subjects enrolled
    Poland: 62
    Country: Number of subjects enrolled
    Russian Federation: 16
    Worldwide total number of subjects
    488
    EEA total number of subjects
    299
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    1
    From 65 to 84 years
    460
    85 years and over
    27

    Subject disposition

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    Recruitment
    Recruitment details
    This was a multicenter, international Phase 3 study conducted at 107 investigational sites in 18 countries including South Korea, China, Taiwan, Australia, Canada, United States, Poland, Russia, Czech Republic, Israel, France, Italy, Spain, Germany, United Kingdom, Belgium, Austria and the Netherlands.

    Pre-assignment
    Screening details
    Participants were randomized to either azacitidine or a conventional care regimen (CCR) assigned by the physician prior to randomization. Participants randomized to azacitidine and continuing to receive azacitidine at the time of study closure who did not meet any of the withdrawal criteria had the option of entering an extension phase.

    Period 1
    Period 1 title
    Treatment Phase
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Azacitidine (AZA)
    Arm description
    Azacitidine 75 mg/m2/day by subcutaneous injection [SC] for 7 days every 28 days, with a 21-day rest period (optimally for at least 6 cycles) plus best supportive care as needed, including antibiotics and blood product transfusions, growth factors, per physician's discretion.
    Arm type
    Experimental

    Investigational medicinal product name
    Azacitidine
    Investigational medicinal product code
    L01BC07
    Other name
    Vidaza
    Pharmaceutical forms
    Powder for solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Azacitidine 75 mg/m2 every day (QD) by subcutaneous injection [SC] for 7 days every 28 days, with a 21-day rest period.

    Arm title
    Conventional Care Regimens (CCR)
    Arm description
    #1 Intensive Chemotherapy: Cytarabine 100-200 mg/m² as a continuous intravenous infusion (CIVI) for 7 days and daunorubicin 45 to 60 mg/m² daily (QD) IV on Days 1, 2 and 3 or Idarubicin 9-12 mg/m² IV QD for 3 days. Consolidation Therapy (Cycle 2 and 3) = Cytarabine 100-200 mg/m² as a CIVI for 3 to 7 days and daunorubicin 45 to 60 mg/m² QD or Idarubicin 9-12 mg/m² IV QD on Days 1 and 2. Consolidation therapy started between Day 28 and Day 70 from start of induction therapy, upon recovery of absolute neutrophil count (ANC) above 1.0 x 10^9/L and platelets above 75 x 10^9/L. The second cycle started between Day 28 and Day 70 from start of first consolidation therapy. Best supportive care (BSC) of antibiotics and transfusions, were given as needed. # 2 Low-dose cytarabine 20 mg SC twice a day (BID) for 10 days every 28 days, plus BSC # 3 BSC only includes transfusion of blood products, antibiotics, antifungals and nutritional help.
    Arm type
    Active comparator

    Investigational medicinal product name
    Cytarabine
    Investigational medicinal product code
    Other name
    Cytosine arabinoside Tarabine PFS Ara-C Cytosar-U Depocyt
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Cytarabine 100-200 mg/m2 as a continuous intravenous infusion (CIVI) for 7 days during induction therapy followed by Cytarabine 100-200 mg/m2 as a CIVI for 3 to 7 days during consolidation therapy.

    Investigational medicinal product name
    Daunorubicin
    Investigational medicinal product code
    Other name
    Cerubidine, Daunorubicin Hydrochloride for Injection, Daunoxome
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Daunorubicin 45 to 60 mg/m² QD by intravenous (IV) infusion on Days 1, 2 and 3 during induction therapy and QD on days 1 and 2 during consolidation therapy.

    Investigational medicinal product name
    Idarubicin
    Investigational medicinal product code
    Other name
    Idamycin
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Idarubicin 9-12 mg/m² IV QD for 3 days

    Investigational medicinal product name
    Low-dose Cytarabine
    Investigational medicinal product code
    Other name
    Cytarabine ARA-C Cytosar-U
    Pharmaceutical forms
    Powder and solvent for cutaneous solution
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Low-dose cytarabine 20 mg SC twice a day (BID) for 10 days every 28 days, plus BSC

    Investigational medicinal product name
    Transfusion of blood products, antibiotics, antifungals and nutritional help
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard, Concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use, Oral use
    Dosage and administration details
    Transfusion of blood products, antibiotics, antifungals and nutritional help as needed.

    Number of subjects in period 1
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Started
    241
    247
    Treated Population
    236
    240
    Safety Population
    236
    235
    Evaluable Population
    179
    191
    Completed
    24
    13
    Not completed
    217
    234
         Adverse event, serious fatal
    53
    58
         Consent withdrawn by subject
    27
    48
         Adverse event, non-fatal
    89
    66
         Miscellaneous
    32
    39
         Lost to follow-up
    -
    1
         Disease Progression
    16
    21
         Protocol deviation
    -
    1
    Period 2
    Period 2 title
    Extension Phase
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Azacitidine (AZA)
    Arm description
    Azacitidine 75 mg/m2/day by SC injection for 7 days every 28 days, with a 21 day rest period (optimally for at least 6 cycles) plus best supportive care as needed, including antibiotics and blood product transfusions, growth factors, per physician's discretion. Participants receiving AZA at the time the parent study was closed, were given the option to enter the extension phase at the same dose and schedule as long as they were not progressing or experienced toxicities.
    Arm type
    Experimental

    Investigational medicinal product name
    Azacitidine
    Investigational medicinal product code
    L01BC07
    Other name
    Vidaza
    Pharmaceutical forms
    Powder for solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Azacitidine 75 mg/m2 every day (QD) by subcutaneous injection [SC] for 7 days every 28 days, with a 21-day rest period.

    Number of subjects in period 2 [1]
    Azacitidine (AZA)
    Started
    24
    Safety Population
    22
    Completed
    0
    Not completed
    24
         Adverse event, serious fatal
    5
         Consent withdrawn by subject
    2
         Physician decision
    1
         Adverse event, non-fatal
    5
         Two subjects did not join extension phase
    2
         Disease Progression
    9
    Notes
    [1] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period.
    Justification: Two patients elected not to participate in the extension phase and reason the number is less starting in the extension phase.

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Azacitidine (AZA)
    Reporting group description
    Azacitidine 75 mg/m2/day by subcutaneous injection [SC] for 7 days every 28 days, with a 21-day rest period (optimally for at least 6 cycles) plus best supportive care as needed, including antibiotics and blood product transfusions, growth factors, per physician's discretion.

    Reporting group title
    Conventional Care Regimens (CCR)
    Reporting group description
    #1 Intensive Chemotherapy: Cytarabine 100-200 mg/m² as a continuous intravenous infusion (CIVI) for 7 days and daunorubicin 45 to 60 mg/m² daily (QD) IV on Days 1, 2 and 3 or Idarubicin 9-12 mg/m² IV QD for 3 days. Consolidation Therapy (Cycle 2 and 3) = Cytarabine 100-200 mg/m² as a CIVI for 3 to 7 days and daunorubicin 45 to 60 mg/m² QD or Idarubicin 9-12 mg/m² IV QD on Days 1 and 2. Consolidation therapy started between Day 28 and Day 70 from start of induction therapy, upon recovery of absolute neutrophil count (ANC) above 1.0 x 10^9/L and platelets above 75 x 10^9/L. The second cycle started between Day 28 and Day 70 from start of first consolidation therapy. Best supportive care (BSC) of antibiotics and transfusions, were given as needed. # 2 Low-dose cytarabine 20 mg SC twice a day (BID) for 10 days every 28 days, plus BSC # 3 BSC only includes transfusion of blood products, antibiotics, antifungals and nutritional help.

    Reporting group values
    Azacitidine (AZA) Conventional Care Regimens (CCR) Total
    Number of subjects
    241 247 488
    Age Categorical
    Units: Subjects
        <75 years
    103 120 223
        ≥75 years
    138 127 265
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    75.4 ( 5.6 ) 75.1 ( 5.57 ) -
    Gender, Male/Female
    Units: Subjects
        Female
    102 98 200
        Male
    139 149 288
    Eastern Cooperative Oncology Group (ECOG) Performance Status
    ECOG performance status is used by doctors and researchers to assess how a participant's disease is progressing, assess how the disease affects the daily living activities of the participant and determine appropriate treatment and prognosis. 0 = Fully Active (Most Favorable Activity), 1 = Restricted activity but ambulatory, 2 = Ambulatory but unable to carry out work activities, 3 = Limited Self Care; 4 = Completely Disabled, No self care (Least Favorable Activity)
    Units: Subjects
        0 = Fully Active
    54 57 111
        1 = Restrictive but Ambulatory
    132 132 264
        2 = Ambulatory but unable to work
    55 58 113
        3 = Limited Self-Care
    0 0 0
        4 = Completely disabled
    0 0 0
    World Health Organization Acute Myeloid Leukemia (AML) Classification
    WHO categories include: 1. Those with AML with recurrent genetic abnormalities. Includes subtypes with multiple chromosome translocations and mutations. 2. Those with AML with myelodysplasia-related changes. Includes those with prior myelodysplastic syndrome (MDS) or myeloproliferative disease and has transformed to AML. 3. Those with therapy related myeloid neoplasms and have had prior chemotherapy and/or radiation and subsequently develop AML or MDS 4. Those with AML not otherwise specified and include subtypes that do not fall into the above categories.
    Units: Subjects
        AML with myelodysplasia-related changes
    75 83 158
        Therapy-related myeloid neoplasms
    8 12 20
        AML with recurrent genetic abnormalities
    5 9 14
        AML not otherwise specified
    153 143 296
    Study Specific Characteristic | Bone Marrow Blasts
    Baseline clinical characteristics, including percentage of bone marrow blasts were assessed centrally and locally. Central values are included here. Baseline blasts were the last non-missing value on or prior to the date of randomization. The bone marrow blasts cells are not typically found in the circulating blood of healthy individuals. Abnormal immature white blood cells (blasts) fill the bone marrow and spill into the bloodstream.
    Units: Percentage of Bone Marrow Blasts
        arithmetic mean (standard deviation)
    66.6 ( 24.71 ) 70.2 ( 22.8 ) -

    End points

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    End points reporting groups
    Reporting group title
    Azacitidine (AZA)
    Reporting group description
    Azacitidine 75 mg/m2/day by subcutaneous injection [SC] for 7 days every 28 days, with a 21-day rest period (optimally for at least 6 cycles) plus best supportive care as needed, including antibiotics and blood product transfusions, growth factors, per physician's discretion.

    Reporting group title
    Conventional Care Regimens (CCR)
    Reporting group description
    #1 Intensive Chemotherapy: Cytarabine 100-200 mg/m² as a continuous intravenous infusion (CIVI) for 7 days and daunorubicin 45 to 60 mg/m² daily (QD) IV on Days 1, 2 and 3 or Idarubicin 9-12 mg/m² IV QD for 3 days. Consolidation Therapy (Cycle 2 and 3) = Cytarabine 100-200 mg/m² as a CIVI for 3 to 7 days and daunorubicin 45 to 60 mg/m² QD or Idarubicin 9-12 mg/m² IV QD on Days 1 and 2. Consolidation therapy started between Day 28 and Day 70 from start of induction therapy, upon recovery of absolute neutrophil count (ANC) above 1.0 x 10^9/L and platelets above 75 x 10^9/L. The second cycle started between Day 28 and Day 70 from start of first consolidation therapy. Best supportive care (BSC) of antibiotics and transfusions, were given as needed. # 2 Low-dose cytarabine 20 mg SC twice a day (BID) for 10 days every 28 days, plus BSC # 3 BSC only includes transfusion of blood products, antibiotics, antifungals and nutritional help.
    Reporting group title
    Azacitidine (AZA)
    Reporting group description
    Azacitidine 75 mg/m2/day by SC injection for 7 days every 28 days, with a 21 day rest period (optimally for at least 6 cycles) plus best supportive care as needed, including antibiotics and blood product transfusions, growth factors, per physician's discretion. Participants receiving AZA at the time the parent study was closed, were given the option to enter the extension phase at the same dose and schedule as long as they were not progressing or experienced toxicities.

    Primary: Kaplan-Meier Estimates for Overall Survival

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    End point title
    Kaplan-Meier Estimates for Overall Survival
    End point description
    Overall Survival was defined as the time from randomization to death from any cause. Overall survival was calculated by the formula: date of death - date of randomization + 1. Participants surviving at the end of the follow-up period or who withdrew consent to follow-up were censored at the date of last contact. Participants who were lost to follow-up were censored at the date last known alive. ITT population defined as all subjects who were randomized, independent of whether they received study treatment or not. Includes participants who died and subjects who were censored.
    End point type
    Primary
    End point timeframe
    Day 1 (randomization) to 40 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    241
    247
    Units: months
        median (confidence interval 95%)
    10.4 (8 to 12.7)
    6.5 (5 to 8.6)
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    The hazard ratio is from a Cox proportional hazards model stratified by ECOG performance status and cytogenetic risk status.
    Comparison groups
    Azacitidine (AZA) v Conventional Care Regimens (CCR)
    Number of subjects included in analysis
    488
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.1009 [1]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.85
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.69
         upper limit
    1.03
    Notes
    [1] - The p-value is two-sided from a log-rank test stratified by ECOG performance status, and cytogenetic risk status.
    Statistical analysis title
    Statistical Analysis 2
    Statistical analysis description
    The hazard ratio is from an unstratified Cox proportional hazards model.
    Comparison groups
    Azacitidine (AZA) v Conventional Care Regimens (CCR)
    Number of subjects included in analysis
    488
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0829 [2]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.84
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.69
         upper limit
    1.02
    Notes
    [2] - The p-value is two-sided from a log-rank test stratified by ECOG performance status, and cytogenetic risk status.

    Secondary: One-Year Overall Survival Rate

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    End point title
    One-Year Overall Survival Rate
    End point description
    Kaplan Meier methods were used to estimate the 1-year survival probabilities for time to death from any cause. ITT population defined as all subjects who were randomized, independent of whether they received study treatment or not. Includes those who died and subjects who were censored.
    End point type
    Secondary
    End point timeframe
    From Day 1 (randomization) to 40 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    241
    247
    Units: percentage of participants
        number (confidence interval 95%)
    46.5 (40.1 to 52.7)
    34.3 (28.3 to 40.3)
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Estimates of the 1-year (365 day) survival probabilities and corresponding 95% confidence intervals (CI) were presented by treatment group. The CI for the difference in the 1-year survival probabilities was derived using Greenwoods variance estimate.
    Comparison groups
    Azacitidine (AZA) v Conventional Care Regimens (CCR)
    Number of subjects included in analysis
    488
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Difference
    Point estimate
    12.26
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    3.5
         upper limit
    21

    Secondary: Event-Free Survival (EFS)

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    End point title
    Event-Free Survival (EFS)
    End point description
    EFS was defined as the interval from the date of randomization to the date of treatment failure, progressive disease, relapse after complete remission (CR) or complete remission with incomplete blood count recovery (CRi), death from any cause, or lost to follow-up, whichever occurs first. Participants who were still alive without any of these events were censored at the date of their last response assessment. ITT population defined as all subjects who were randomized, independent of whether they received study treatment or not. Includes those who died and subjects who were censored.
    End point type
    Secondary
    End point timeframe
    Day 1 (randomization) to date of treatment failure, progressive disease, relapse after Complete Remission (CR) or Complete remission with incomplete blood count recovery (CRi), death from any cause. Day 1 (randomization) to 40 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    241
    247
    Units: months
        median (confidence interval 95%)
    6.7 (5 to 8.8)
    4.8 (3.8 to 6)
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    The hazard ratio is from an unstratified Cox proportional hazards model.
    Comparison groups
    Azacitidine (AZA) v Conventional Care Regimens (CCR)
    Number of subjects included in analysis
    488
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.1495 [3]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.87
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.72
         upper limit
    1.05
    Notes
    [3] - 2 sided unstratified

    Secondary: Relapse-Free Survival (RFS) for Subjects who Achieved a Complete Remission (CR) or Complete remission with Incomplete Blood Count Recovery (CRi)

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    End point title
    Relapse-Free Survival (RFS) for Subjects who Achieved a Complete Remission (CR) or Complete remission with Incomplete Blood Count Recovery (CRi)
    End point description
    Relapse-free survival was defined as the interval from the date of first documented CR or CRi to the date of relapse, death from any cause, or lost to follow-up, whichever occurred first. Includes subjects who were still alive and in continuous CR or CRi were censored at the date of their last response assessment.
    End point type
    Secondary
    End point timeframe
    Day 1 of first documented CR or CRi to the date of relapse, death from any cause, or lost to follow-up. Day 1 (randomization) to 40 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    67
    62
    Units: months
        median (confidence interval 95%)
    9.3 (6.7 to 12.4)
    10.5 (7.3 to 12.3)
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    The hazard ratio is from an unstratified Cox proportional hazards model.
    Comparison groups
    Azacitidine (AZA) v Conventional Care Regimens (CCR)
    Number of subjects included in analysis
    129
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.5832 [4]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.11
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.75
         upper limit
    1.66
    Notes
    [4] - 2 sided unstratified

    Secondary: Percentage of Subjects who Achieved a Morphologic CR + CRi as Determined by the Independent Review Committee (IRC) Based on International Working Group (IWG) Response Criteria for Acute Myeloid Leukemia (AML)

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    End point title
    Percentage of Subjects who Achieved a Morphologic CR + CRi as Determined by the Independent Review Committee (IRC) Based on International Working Group (IWG) Response Criteria for Acute Myeloid Leukemia (AML)
    End point description
    A complete remission (CR) is defined as a leukemia-free state defined as less than 5% blasts in a BM aspirate with marrow spicules and with at least 200 nucleated cells (there should be no blasts with Auer rods), an absolute neutrophil count (ANC) of ≥ 1 x 10^9/L, a platelet count ≥ 100 x 10^9/L, and transfusion independence (no transfusions for 1 week prior to each assessment). No duration of these findings is required for confirmation of this response. A CR with incomplete blood count recovery (CRi) is defined as <5% BM blasts with the ANC count < 1 x 10^9/L and/or the platelet count may be < 100 x 10^9/L. Where the date of the hematology assessment used is the earliest on or following the date of the BM sample up to 8 days after the BM date. ITT population.
    End point type
    Secondary
    End point timeframe
    Day 1 (randomization) to 40 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    241
    247
    Units: percentage of subjects
        number (not applicable)
    27.8
    25.1
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    Azacitidine (AZA) v Conventional Care Regimens (CCR)
    Number of subjects included in analysis
    488
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.5384
    Method
    Fisher exact
    Confidence interval

    Secondary: Duration of Remission Assessed by the IRC Based on Kaplan-Meier Estimates

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    End point title
    Duration of Remission Assessed by the IRC Based on Kaplan-Meier Estimates
    End point description
    The time from the date CR or CRi was first documented until the date of documented relapse from CR/CRi. Duration of remission was defined only for those subjects who achieved a CR or CRi, as determined by the IRC. Subjects who were lost to follow-up without documented relapse, or were alive at last follow-up without documented relapse were censored at the date of their last response assessment. Includes those with a CR or CRi.
    End point type
    Secondary
    End point timeframe
    Day 1 (randomization) to 40 months; date of the first documented CR or CRi until date of first documented relapse.
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    67
    62
    Units: months
        median (confidence interval 95%)
    10.4 (7.2 to 15.2)
    12.3 (9 to 17)
    No statistical analyses for this end point

    Secondary: Number of Subjects who Achieved a Cytogenetic Complete Remission (CRc-10) as Determined by the IRC

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    End point title
    Number of Subjects who Achieved a Cytogenetic Complete Remission (CRc-10) as Determined by the IRC
    End point description
    The CRc is a normal karyotype defined as no clonal abnormalities after review of at least 10 metaphases using conventional cytogenetic techniques. Cytogenetic complete remission rate (CRc) is based on the following criteria: 1) CR criteria met and 2) an abnormal karyotype is present at baseline and 3) there is reversion to normal karyotype at the time of CR (based on ≥ 10 metaphases), where date of cytogenetic sample = date of BM sample used for the CR assessment. ITT population defined as all subjects who were randomized, independent of whether they received study treatment or not. Includes subjects who died and participants who were censored.
    End point type
    Secondary
    End point timeframe
    Day 1 (randomization) to 40 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    241
    247
    Units: participants
    5
    15
    Statistical analysis title
    Statistical Analysis
    Comparison groups
    Azacitidine (AZA) v Conventional Care Regimens (CCR)
    Number of subjects included in analysis
    488
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0376
    Method
    Fisher exact
    Confidence interval

    Secondary: Number of Subjects with Adverse Events (AEs).

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    End point title
    Number of Subjects with Adverse Events (AEs).
    End point description
    AEs = any noxious, unintended, or untoward medical occurrence that may appear or worsen during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the participant’s health, regardless of cause. Serious AE (SAE) = any AE which results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; constitutes an important medical event. The severity of AEs were graded based upon the participants symptoms according to the Common Terminology Criteria for Adverse Events (CTCAE, Version 4.0); AEs were evaluated for severity according to the following scale: Grade 1 = Mild – transient or mild discomfort; no medical intervention required; Grade 2 = Moderate – mild to moderate limitation in activity; Grade 3 = Severe; Grade 4 = Life threatening; Grade 5 = Death.
    End point type
    Secondary
    End point timeframe
    Day 1 (randomization) up to last visit completed 22 Jan 2014; Up to 40 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    236
    235
    Units: subjects
        At least one Treatment Emergent AE
    234
    231
        At least one TEAE related to study drug
    188
    163
        Grade 3-4 adverse event
    207
    204
        Grade 3-4 adverse event related to any study drug
    125
    119
        At least one Grade 5 (leading to death) TEAE
    56
    70
        Grade 5 adverse event related to any study drug
    12
    14
        Serious TEAE
    188
    175
        Serious TEAE related to any study drug
    87
    70
        TEAE leading to discontinuation of study drug
    110
    79
        Study drug-related TEAE leading to discontinuation
    22
    25
        TEAE leading to study drug dose reduction
    8
    4
        TEAE leading to study drug dose interruption
    116
    65
        TEAE causing study drug dose reduction/disruption
    13
    7
    No statistical analyses for this end point

    Secondary: Health Related Quality of Life (HRQoL): Change from Baseline in the European Organization for Research and Treatment of Cancer Cancer Quality of Life Questionnaire for Patients with Cancer (EORTC QLQ-C30) Fatigue Domain

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    End point title
    Health Related Quality of Life (HRQoL): Change from Baseline in the European Organization for Research and Treatment of Cancer Cancer Quality of Life Questionnaire for Patients with Cancer (EORTC QLQ-C30) Fatigue Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Fatigue Scale is scored between 0 and 100, with a high score indicating a higher level of symptoms. Negative change from Baseline values indicate reduction in fatigue (i.e. improvement in symptom) and positive values indicate increases in fatigue (i.e. worsening of symptom). The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 3; at approximately 3 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    135
    101
    Units: units on a scale
        arithmetic mean (standard deviation)
    -1.5 ( 24.69 )
    -1.9 ( 27.54 )
    No statistical analyses for this end point

    Secondary: Health Related Quality of Life (HRQoL): Change from Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Patients with Cancer (EORTC QLQ-C30) Fatigue Domain

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    End point title
    Health Related Quality of Life (HRQoL): Change from Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Patients with Cancer (EORTC QLQ-C30) Fatigue Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Fatigue Scale is scored between 0 and 100, with a high score indicating a higher level of symptoms. Negative change from Baseline values indicate reduction in fatigue (i.e. improvement in symptom) and positive values indicate increases in fatigue (i.e. worsening of symptom). The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 5, at approximately 5 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    112
    66
    Units: units on a scale
        arithmetic mean (standard deviation)
    -2.8 ( 27.36 )
    -7.1 ( 27.61 )
    No statistical analyses for this end point

    Secondary: Health Related Quality of Life (HRQoL): Change from Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Patients with Cancer (EORTC QLQ-C30) Fatigue Domain

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    End point title
    Health Related Quality of Life (HRQoL): Change from Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Patients with Cancer (EORTC QLQ-C30) Fatigue Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Fatigue Scale is scored between 0 and 100, with a high score indicating a higher level of symptoms. Negative change from Baseline values indicate reduction in fatigue (i.e. improvement in symptom) and positive values indicate increases in fatigue (i.e. worsening of symptom). The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 7, at approximately 7 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    94
    53
    Units: units on a scale
        arithmetic mean (standard deviation)
    -6.1 ( 26.9 )
    -12.2 ( 30.45 )
    No statistical analyses for this end point

    Secondary: Health Related Quality of Life (HRQoL): Change from Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Patients with Cancer (EORTC QLQ-C30) Fatigue Domain

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    End point title
    Health Related Quality of Life (HRQoL): Change from Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Patients with Cancer (EORTC QLQ-C30) Fatigue Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Fatigue Scale is scored between 0 and 100, with a high score indicating a higher level of symptoms. Negative change from Baseline values indicate reduction in fatigue (i.e. improvement in symptom) and positive values indicate increases in fatigue (i.e. worsening of symptom). The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 9, at approximately 9 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    80
    36
    Units: units on a scale
        arithmetic mean (standard deviation)
    -9 ( 27.9 )
    -10.2 ( 33.85 )
    No statistical analyses for this end point

    Secondary: Health Related Quality of Life (HRQoL): Change from Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Patients with Cancer (EORTC QLQ-C30) Fatigue Domain

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    End point title
    Health Related Quality of Life (HRQoL): Change from Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Patients with Cancer (EORTC QLQ-C30) Fatigue Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Fatigue Scale is scored between 0 and 100, with a high score indicating a higher level of symptoms. Negative change from Baseline values indicate reduction in fatigue (i.e. improvement in symptom) and positive values indicate increases in fatigue (i.e. worsening of symptom). The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to End of Study; at approximately 11-12 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    87
    80
    Units: units on a scale
        arithmetic mean (standard deviation)
    8.9 ( 33.54 )
    6.1 ( 34.19 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Dyspnea

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Dyspnea
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Dyspnea scale is scored between 0 and 100, with a high score indicating a higher level of symptoms. Negative change from Baseline values indicate decreased dyspnea (i.e. improvement in symptom) and positive values indicate increased dyspnea (i.e. worsening of symptom). The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 3, at approximately 3 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    136
    101
    Units: units on a scale
        arithmetic mean (standard deviation)
    5.1 ( 26.88 )
    -1.7 ( 30.69 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Dyspnea

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Dyspnea
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Dyspnea scale is scored between 0 and 100, with a high score indicating a higher level of symptoms. Negative change from Baseline values indicate decreased dyspnea (i.e. improvement in symptom) and positive values indicate increased dyspnea (i.e. worsening of symptom). The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 5, at approximately 5 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    112
    66
    Units: units on a scale
        arithmetic mean (standard deviation)
    3.9 ( 27.49 )
    -6.6 ( 28.18 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Dyspnea

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Dyspnea
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOLin cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Dyspnea scale is scored between 0 and 100, with a high score indicating a higher level of symptoms. Negative change from Baseline values indicate decreased dyspnea (i.e. improvement in symptom) and positive values indicate increased dyspnea (i.e. worsening of symptom). The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 7, at approximately 7 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    94
    53
    Units: units on a scale
        arithmetic mean (standard deviation)
    0.4 ( 29.93 )
    -8.8 ( 28.61 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Dyspnea

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Dyspnea
    End point description
    The EORTC Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The dyspnea scale is scored between 0 and 100, with a high score indicating a higher level of symptoms. Negative change from baseline values indicate decreased dyspnea and positive values indicate increased dyspnea. The HRQoL Evaluable population included only yhose with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population. The analysis included 157 from the azacitidine group and 134 in the CCR group, a smaller number than the ITT population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 9, at approximately 9 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    81
    36
    Units: units on a scale
        arithmetic mean (standard deviation)
    -4.9 ( 26.93 )
    -2.8 ( 26.87 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Dyspnea

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Dyspnea
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Physical Functioning scale is scored between 0 and 100, with a high score indicating a higher level of symptoms. Negative change from Baseline values indicate decreased dyspnea (i.e. improvement in symptom) and positive values indicate increased dyspnea (i.e. worsening of symptom). The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to end of study, at approximately 11-12 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    87
    80
    Units: units on a scale
        arithmetic mean (standard deviation)
    12.6 ( 31.43 )
    6.3 ( 35.22 )
    Statistical analysis title
    Statistical Analysis 2
    Comparison groups
    Azacitidine (AZA) v Conventional Care Regimens (CCR)
    Number of subjects included in analysis
    167
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.1164 [5]
    Method
    t-test, 2-sided
    Confidence interval
    Notes
    [5] - p-value for CCR is calculated using the paired t-test on the observed domain score, comparing with baseline.

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Physical Functioning Domain

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Physical Functioning Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Physical Functioning Scale is scored between 0 and 100, with a high score indicating better functioning. Negative change from Baseline values indicate deterioration in functioning and positive values indicate improvement. The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 3, at approximately 3 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    136
    102
    Units: units on a scale
        arithmetic mean (standard deviation)
    -4.2 ( 17.98 )
    -0.3 ( 18.85 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Physical Functioning Domain

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Physical Functioning Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Physical Functioning Scale is scored between 0 and 100, with a high score indicating better functioning. Negative change from Baseline values indicate deterioration in functioning and positive values indicate improvement. The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 5, at approximately 5 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    112
    67
    Units: units on a scale
        arithmetic mean (standard deviation)
    -4.4 ( 19.25 )
    -1.3 ( 20.41 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Physical Functioning Domain

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Physical Functioning Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Physical Functioning Scale is scored between 0 and 100, with a high score indicating better functioning. Negative change from Baseline values indicate deterioration in functioning and positive values indicate improvement. The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 7, at approximately 7 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    94
    54
    Units: units on a scale
        arithmetic mean (standard deviation)
    1.6 ( 18.75 )
    1.5 ( 23.08 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Physical Functioning Domain

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Physical Functioning Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Physical Functioning Scale is scored between 0 and 100, with a high score indicating better functioning. Negative change from Baseline values indicate deterioration in functioning and positive values indicate improvement. The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 9, at approximately 9 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    81
    36
    Units: units on a scale
        arithmetic mean (standard deviation)
    3.5 ( 18.26 )
    -0.4 ( 22.81 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Physical Functioning Domain

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Physical Functioning Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Physical Functioning Scale is scored between 0 and 100, with a high score indicating better functioning. Negative change from Baseline values indicate deterioration in functioning and positive values indicate improvement. The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to end of study, at approximately 11-12 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    87
    81
    Units: units on a scale
        arithmetic mean (standard deviation)
    -13 ( 26.74 )
    -9.4 ( 26.43 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Global Health Status-/Quality of Life Domain

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Global Health Status-/Quality of Life Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Global Health Status/QOL scale is scored between 0 and 100, with a high score indicating better Global Health Status/QOL. Negative change from Baseline values indicate deterioration in Global Health Status/QOL and positive values indicate improvement. The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 3, at approximately 3 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    134
    101
    Units: units on a scale
        arithmetic mean (standard deviation)
    0.9 ( 20.97 )
    3.8 ( 26.42 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Global Health Status-/Quality of Life Domain

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Global Health Status-/Quality of Life Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Global Health Status/QOL scale is scored between 0 and 100, with a high score indicating better Global Health Status/QOL. Negative change from Baseline values indicate deterioration in Global Health Status/QOL and positive values indicate improvement. The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 5, at approximately 5 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    112
    66
    Units: units on a scale
        arithmetic mean (standard deviation)
    1.6 ( 22.5 )
    9 ( 24.82 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Global Health Status-/Quality of Life Domain

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Global Health Status-/Quality of Life Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Global Health Status/QOL scale is scored between 0 and 100, with a high score indicating better Global Health Status/QOL. Negative change from Baseline values indicate deterioration in Global Health Status/QOL and positive values indicate improvement. The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 7, at approximately 7 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    94
    52
    Units: units on a scale
        arithmetic mean (standard deviation)
    5.1 ( 25.84 )
    8.7 ( 27.91 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Global Health Status-/Quality of Life Domain

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Global Health Status-/Quality of Life Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Global Health Status/QOL scale is scored between 0 and 100, with a high score indicating better Global Health Status/QOL. Negative change from Baseline values indicate deterioration in Global Health Status/QOL and positive values indicate improvement. The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to Cycle 9, at approximately 9 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    80
    36
    Units: units on a scale
        arithmetic mean (standard deviation)
    7.8 ( 27.28 )
    10.4 ( 23.09 )
    No statistical analyses for this end point

    Secondary: HRQoL: Change from Baseline in the EORTC QLQ-C30 Global Health Status-/Quality of Life Domain

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    End point title
    HRQoL: Change from Baseline in the EORTC QLQ-C30 Global Health Status-/Quality of Life Domain
    End point description
    The European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life (QOL) questionnaire (EORTC QLQ-C30) is a 30-question tool used to assess the overall QOL in cancer patients. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, Role, Cognitive, Emotional, Social), and 9 symptom scales/items (Fatigue, Nausea and Vomiting, Pain, Dyspnea, Sleep Disturbance, Appetite Loss, Constipation, Diarrhea, Financial Impact). The EORTC QLQ-C30 Global Health Status/QOL scale is scored between 0 and 100, with a high score indicating better Global Health Status/QOL. Negative change from Baseline values indicate deterioration in Global Health Status/QOL and positive values indicate improvement. The HRQoL Evaluable population included only participants with a baseline QoL assessment and at least 1 follow-up assessment. Time windows were applied post-hoc to increase the size of the analyzable population.
    End point type
    Secondary
    End point timeframe
    Baseline to end of study, at approximately 11-12 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    87
    80
    Units: units on a scale
        arithmetic mean (standard deviation)
    -4.4 ( 29.2 )
    -6.1 ( 27.9 )
    No statistical analyses for this end point

    Secondary: Healthcare Resource Utilization (HRU): Number of subjects with a hospitalization

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    End point title
    Healthcare Resource Utilization (HRU): Number of subjects with a hospitalization
    End point description
    HRU was defined as any consumption of healthcare resources directly or indirectly related to the treatment of the patient. HRU Analysis may help in evaluating potential costs and budget impact of new treatments from a payer perspective. HRU was analyzed for the HRQoL Evaluable Population, a smaller sample than either the ITT population or safety population. Duration of therapy differed between treatment groups.
    End point type
    Secondary
    End point timeframe
    Day 1 (randomization) to 40 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    157
    134
    Units: participants
    139
    111
    No statistical analyses for this end point

    Secondary: Healthcare Resource Utilization (HRU): Rate of Inpatient Hospitalizations Per Year

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    End point title
    Healthcare Resource Utilization (HRU): Rate of Inpatient Hospitalizations Per Year
    End point description
    HRU was defined as any consumption of healthcare resources directly or indirectly related to the treatment of the patient. HRU Analysis may help in evaluating potential costs and budget impact of new treatments from a payer perspective. The rate of inpatient hospitalizations per patient year was calculated as the total number of hospitalizations divided by the total number of patient-years followed in the study period. Patient-years (PY) were calculated as the duration from baseline to last available HRQL assessment for each patient.HRU was analyzed for the HRQoL Evaluable Population, a smaller sample than either the ITT population or safety population. Duration of therapy differed between treatment groups. Rate-per-patient year values adjust for these differences.
    End point type
    Secondary
    End point timeframe
    Day 1 (randomization) to 40 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    157
    134
    Units: hospitalizations per patient year
        number (not applicable)
    7.95
    4.82
    No statistical analyses for this end point

    Secondary: HRU: Number of Subjects Receiving Transfusions

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    End point title
    HRU: Number of Subjects Receiving Transfusions
    End point description
    Count of study participants who had transfusions during the treatment phase. HRU is defined as any consumption of healthcare resources directly or indirectly related to the treatment of the patient. HRU Analysis may help in evaluating potential costs and budget impact of new treatments from a payer perspective. HRU was analyzed for the HRQoL Evaluable Population, a smaller sample than either the ITT population or safety population.
    End point type
    Secondary
    End point timeframe
    Day 1 (randomization) to 40 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    157
    134
    Units: subjects
    154
    134
    No statistical analyses for this end point

    Secondary: HRU: Rate of Transfusions per Patient Year

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    End point title
    HRU: Rate of Transfusions per Patient Year
    End point description
    HRU is defined as any consumption of healthcare resources directly or indirectly related to the treatment of the patient. HRU Analysis may help in evaluating potential costs and budget impact of new treatments from a payer perspective. The rate of transfusions per patient year was calculated as the total number of transfusions divided by the total number of patient-years followed in the study period. Patient-years (PY) were calculated as the duration from baseline to last available HRQL assessment for each patient. HRU was analyzed for the HRQoL Evaluable Population, a smaller sample than either the ITT population or safety population. Duration of therapy differed between treatment groups. Rate-per-patient year values adjust for these differences.
    End point type
    Secondary
    End point timeframe
    Day 1 (randomization) to 40 months
    End point values
    Azacitidine (AZA) Conventional Care Regimens (CCR)
    Number of subjects analysed
    157
    134
    Units: Transfusions per Patient Year
        number (not applicable)
    34.23
    36.04
    No statistical analyses for this end point

    Secondary: Number of Participants in the Extension Phase With Treatment Emergent Adverse Events (TEAEs)

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    End point title
    Number of Participants in the Extension Phase With Treatment Emergent Adverse Events (TEAEs)
    End point description
    AEs = any noxious, unintended, or untoward medical occurrence that may appear or worsen during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the participant’s health, regardless of cause. Serious AE (SAE) = any AE which results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; constitutes an important medical event. The severity of AEs were graded based upon the participants symptoms according to the Common Terminology Criteria for Adverse Events (CTCAE, Version 4.0); AEs were evaluated for severity according to the following scale: Grade 1 = Mild – transient or mild discomfort; no medical intervention required; Grade 2 = Moderate – mild to moderate limitation in activity; Grade 3 = Severe; Grade 4 = Life threatening; Grade 5 = Death
    End point type
    Secondary
    End point timeframe
    From the date of informed consent for the Extension Phase of the study through to the date of last dose of study drug + 28 days up to last visit completed 25 July 2016; maximum duration of exposure to Azacitidine in the extension phase was 871 days
    End point values
    Azacitidine (AZA)
    Number of subjects analysed
    22
    Units: participants
        At least one Treatment Emergent AE
    20
        At least one TEAE related to study drug
    13
        At least one Grade 3-4 adverse event
    13
        At least 1 Grade 3-4 TEAE related to study drug
    7
        At least 1 Grade 5 TEAE
    4
        At least 1 Grade 5 TEAE related to study drug
    0
        At least 1 serious TEAE
    10
        At least 1 serious TEAE related to study drug
    1
        At least one serious Grade 3-4 TEAE
    8
        TEAE leading to discontinuation of study drug
    3
        Study drug-related TEAE leading to discontinuation
    1
        TEAE leading to study drug dose reduction
    1
        TEAE leading to study drug dose interruption only
    17
        TEAE causing study dose reduction/interruption
    2
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From first dose to 1) last dose + 28 days for azacitidine and low-dose cytarabine; 2) last dose + 70 days for intensive chemotherapy; 3) discontinuation for BSC only;median duration was 191.5, 65.0, 125.0, 124.5 and 360.0 days for each group respectively
    Adverse event reporting additional description
    Adverse Events reported for the Azacitidone treatment group are those that occurred in the treatment phase, adverse events reported in the Azacitidine extension group occurred during the extension phase
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    16.1
    Reporting groups
    Reporting group title
    Azacitidine
    Reporting group description
    Azacitidine 75 mg/m2/day by subcutaneous injection [SC] for 7 days every 28 days, with a 21 day rest period (optimally for at least 6 cycles) plus best supportive care as needed, including antibiotics and blood product transfusions, growth factors, per physician's discretion.

    Reporting group title
    BSC Only
    Reporting group description
    BSC only = transfusion of blood products, antibiotics, antifungals and nutritional supplements

    Reporting group title
    Low-dose Cytarabine
    Reporting group description
    Low-dose cytarabine 20 mg subcutaneously twice a day (BID) for 10 days every 28 days, plus BSC

    Reporting group title
    Intensive Chemotherapy
    Reporting group description
    Intensive Chemotherapy: Cytarabine 100-200 mg/m2 as a continuous intravenous infusion (CIVI) for 7 days and daunorubicin 45 to 60 mg/m2 daily (QD) IV on Days 1, 2 and 3 or Idarubicin 9-12 mg/m2 IV QD for 3 days. Consolidation Therapy (Cycle 2 and 3) = Cytarabine 100-200 mg/m2 as a CIVI for 3 to 7 days and daunorubicin 45 to 60 mg/m2 QD or Idarubicin 9-12 mg/m2 IV QD on Days 1 and 2. The first consolidation therapy started between Day 28 and Day 70 from start of induction therapy, upon recovery of absolute neutrophil count (ANC) above 1.0 x 10^9/L and platelets above 75 x 10^9/L. The second cycle started between Day 28 and Day 70 from start of first consolidation therapy. Best supportive care (BSC) of antibiotics and transfusions, were given as needed

    Reporting group title
    Azacitidine-extension
    Reporting group description
    Azacitidine 75 mg/m2/day by subcutaneous injection [SC] for 7 days every 28 days, with a 21 day rest period (optimally for at least 6 cycles) plus best supportive care as needed, including antibiotics and blood product transfusions, growth factors, per physician's discretion.

    Serious adverse events
    Azacitidine BSC Only Low-dose Cytarabine Intensive Chemotherapy Azacitidine-extension
    Total subjects affected by serious adverse events
         subjects affected / exposed
    188 / 236 (79.66%)
    30 / 40 (75.00%)
    118 / 153 (77.12%)
    27 / 42 (64.29%)
    10 / 22 (45.45%)
         number of deaths (all causes)
    56
    23
    38
    9
    4
         number of deaths resulting from adverse events
    12
    0
    10
    4
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    ACUTE MYELOID LEUKAEMIA
         subjects affected / exposed
    26 / 236 (11.02%)
    12 / 40 (30.00%)
    17 / 153 (11.11%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    1 / 34
    0 / 17
    2 / 22
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 12
    0 / 10
    1 / 10
    0 / 0
    0 / 1
    CHLOROMA
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LEUKAEMIC INFILTRATION BRAIN
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    OVARIAN CANCER METASTATIC
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    TUMOUR FLARE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    DEEP VEIN THROMBOSIS
         subjects affected / exposed
    2 / 236 (0.85%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HAEMATOMA
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HYPERTENSION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HYPOTENSION
         subjects affected / exposed
    4 / 236 (1.69%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    2 / 4
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PERIPHERAL ISCHAEMIA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PHLEBITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    THROMBOPHLEBITIS SUPERFICIAL
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    ASTHENIA
         subjects affected / exposed
    4 / 236 (1.69%)
    1 / 40 (2.50%)
    3 / 153 (1.96%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    3 / 4
    0 / 1
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CHEST PAIN
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    3 / 3
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CHILLS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    DEATH
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    1 / 3
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    FATIGUE
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    2 / 3
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    GENERAL PHYSICAL HEALTH DETERIORATION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HYPERTHERMIA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    INJECTION SITE EXTRAVASATION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    INJECTION SITE REACTION
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    MALAISE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    MULTI-ORGAN FAILURE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    OEDEMA PERIPHERAL
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PAIN
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PYREXIA
         subjects affected / exposed
    25 / 236 (10.59%)
    3 / 40 (7.50%)
    16 / 153 (10.46%)
    2 / 42 (4.76%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    13 / 35
    0 / 3
    7 / 21
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    SUDDEN CARDIAC DEATH
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    SUDDEN DEATH
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    ANAPHYLACTIC SHOCK
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    ACUTE PULMONARY OEDEMA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ACUTE RESPIRATORY DISTRESS SYNDROME
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ACUTE RESPIRATORY FAILURE
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ASTHMA
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CHRONIC OBSTRUCTIVE PULMONARY DISEASE
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    DYSPNOEA
         subjects affected / exposed
    5 / 236 (2.12%)
    1 / 40 (2.50%)
    3 / 153 (1.96%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 5
    0 / 1
    0 / 3
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    EPISTAXIS
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LUNG DISORDER
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    1 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ORGANISING PNEUMONIA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    OROPHARYNGEAL PAIN
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PLEURAL EFFUSION
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 3
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    PNEUMONIA ASPIRATION
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    PNEUMONITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PRODUCTIVE COUGH
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PULMONARY ALVEOLAR HAEMORRHAGE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PULMONARY EMBOLISM
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PULMONARY HAEMORRHAGE
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    PULMONARY OEDEMA
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    1 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    RESPIRATORY FAILURE
         subjects affected / exposed
    3 / 236 (1.27%)
    1 / 40 (2.50%)
    6 / 153 (3.92%)
    2 / 42 (4.76%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    3 / 4
    0 / 1
    3 / 7
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    1 / 2
    0 / 1
    1 / 1
    0 / 2
    0 / 0
    Psychiatric disorders
    CONFUSIONAL STATE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Investigations
    TROPONIN INCREASED
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    URINE OUTPUT DECREASED
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    WEIGHT DECREASED
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    ALLERGIC TRANSFUSION REACTION
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ANKLE FRACTURE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CONCUSSION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CRANIOCEREBRAL INJURY
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    FALL
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    FEMUR FRACTURE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HIP FRACTURE
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LIGAMENT SPRAIN
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    RIB FRACTURE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ROAD TRAFFIC ACCIDENT
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SUBDURAL HAEMATOMA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    TENDON RUPTURE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    TRANSFUSION REACTION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    ACUTE CORONARY SYNDROME
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    ACUTE LEFT VENTRICULAR FAILURE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ACUTE MYOCARDIAL INFARCTION
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ANGINA PECTORIS
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ATRIAL FIBRILLATION
         subjects affected / exposed
    7 / 236 (2.97%)
    1 / 40 (2.50%)
    3 / 153 (1.96%)
    2 / 42 (4.76%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 7
    0 / 1
    0 / 4
    2 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CARDIAC ARREST
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    CARDIAC FAILURE
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 2
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CARDIAC FAILURE ACUTE
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    CARDIAC FAILURE CONGESTIVE
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CARDIO-RESPIRATORY ARREST
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CARDIOVASCULAR INSUFFICIENCY
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    2 / 2
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    1 / 1
    0 / 0
    ISCHAEMIC CARDIOMYOPATHY
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LEFT VENTRICULAR FAILURE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    MYOCARDIAL INFARCTION
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    2 / 2
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    PERICARDIAL EFFUSION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PERICARDITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SUPRAVENTRICULAR TACHYCARDIA
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    VENTRICULAR TACHYCARDIA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    CEREBRAL HAEMORRHAGE
         subjects affected / exposed
    1 / 236 (0.42%)
    2 / 40 (5.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 4
    0 / 0
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    1 / 1
    0 / 0
    CEREBRAL INFARCTION
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    CEREBROVASCULAR ACCIDENT
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    COGNITIVE DISORDER
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CONVULSION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    DIZZINESS
         subjects affected / exposed
    5 / 236 (2.12%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    FEBRILE CONVULSION
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HAEMORRHAGE INTRACRANIAL
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    HEADACHE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LOSS OF CONSCIOUSNESS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ORTHOSTATIC INTOLERANCE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PRESYNCOPE
         subjects affected / exposed
    2 / 236 (0.85%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SUBARACHNOID HAEMORRHAGE
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SYNCOPE
         subjects affected / exposed
    4 / 236 (1.69%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    1 / 42 (2.38%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    1 / 5
    0 / 0
    1 / 2
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    TRANSIENT ISCHAEMIC ATTACK
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    AGRANULOCYTOSIS
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ANAEMIA
         subjects affected / exposed
    10 / 236 (4.24%)
    1 / 40 (2.50%)
    11 / 153 (7.19%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    9 / 12
    0 / 1
    10 / 15
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    DISSEMINATED INTRAVASCULAR COAGULATION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    FEBRILE BONE MARROW APLASIA
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    3 / 153 (1.96%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    3 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    FEBRILE NEUTROPENIA
         subjects affected / exposed
    59 / 236 (25.00%)
    12 / 40 (30.00%)
    38 / 153 (24.84%)
    7 / 42 (16.67%)
    4 / 22 (18.18%)
         occurrences causally related to treatment / all
    34 / 90
    0 / 14
    30 / 55
    5 / 7
    0 / 5
         deaths causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    LEUKOCYTOSIS
         subjects affected / exposed
    4 / 236 (1.69%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LEUKOPENIA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LYMPHADENOPATHY
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    NEUTROPENIA
         subjects affected / exposed
    5 / 236 (2.12%)
    1 / 40 (2.50%)
    3 / 153 (1.96%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    4 / 5
    0 / 1
    2 / 3
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PANCYTOPENIA
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    THROMBOCYTOPENIA
         subjects affected / exposed
    6 / 236 (2.54%)
    0 / 40 (0.00%)
    14 / 153 (9.15%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    4 / 7
    0 / 0
    12 / 17
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    THROMBOTIC THROMBOCYTOPENIC PURPURA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    CATARACT
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CONJUNCTIVAL HAEMORRHAGE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    ABDOMINAL PAIN
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ABDOMINAL PAIN LOWER
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ANAL HAEMORRHAGE
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ASCITES
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    COLITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CONSTIPATION
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    DIARRHOEA
         subjects affected / exposed
    4 / 236 (1.69%)
    0 / 40 (0.00%)
    4 / 153 (2.61%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    2 / 4
    0 / 0
    4 / 5
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    DIVERTICULUM INTESTINAL
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    DUODENAL ULCER HAEMORRHAGE
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    DYSPHAGIA
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ENTERITIS
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ENTEROCOLITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    GASTRITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    GASTROINTESTINAL HAEMORRHAGE
         subjects affected / exposed
    1 / 236 (0.42%)
    1 / 40 (2.50%)
    4 / 153 (2.61%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    1 / 4
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    HAEMATEMESIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ILEUS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    INTESTINAL ISCHAEMIA
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    INTESTINAL OBSTRUCTION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    MELAENA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    MOUTH HAEMORRHAGE
         subjects affected / exposed
    1 / 236 (0.42%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    NAUSEA
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    RECTAL HAEMORRHAGE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    RECTAL ULCER
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    STOMATITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    UPPER GASTROINTESTINAL HAEMORRHAGE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    VOMITING
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    CHOLANGITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CHOLECYSTITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CHOLECYSTITIS ACUTE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    CHOLELITHIASIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HEPATIC FAILURE
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HYPERBILIRUBINAEMIA
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    SKIN ULCER
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    BLADDER MASS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HAEMATURIA
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    RENAL COLIC
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    RENAL FAILURE
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    2 / 4
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    RENAL FAILURE ACUTE
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
    0 / 2
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    RENAL FAILURE CHRONIC
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    RENAL IMPAIRMENT
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    RENAL TUBULAR NECROSIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    URINARY RETENTION
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    ARTHRALGIA
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ARTHRITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    BACK PAIN
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    BONE PAIN
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HAEMARTHROSIS
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    MUSCULAR WEAKNESS
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    MYALGIA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    OSTEOARTHRITIS
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PAIN IN EXTREMITY
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SPINAL OSTEOARTHRITIS
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    ABSCESS NECK
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ABSCESS SOFT TISSUE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ACUTE SINUSITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    AEROMONA INFECTION
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ANAL ABSCESS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    APPENDICITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ARTHRITIS INFECTIVE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ASPERGILLUS INFECTION
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    BACTERAEMIA
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    BRONCHITIS
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    2 / 4
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    BRONCHOPNEUMONIA
         subjects affected / exposed
    4 / 236 (1.69%)
    1 / 40 (2.50%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    2 / 4
    0 / 1
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    BRONCHOPULMONARY ASPERGILLOSIS
         subjects affected / exposed
    3 / 236 (1.27%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    1 / 4
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CANDIDA INFECTION
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CELLULITIS
         subjects affected / exposed
    5 / 236 (2.12%)
    4 / 40 (10.00%)
    3 / 153 (1.96%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 6
    0 / 7
    1 / 3
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    CELLULITIS ORBITAL
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CLOSTRIDIUM DIFFICILE COLITIS
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CLOSTRIDIUM DIFFICILE INFECTION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CORYNEBACTERIUM SEPSIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CYSTITIS
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    DEVICE RELATED INFECTION
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    DEVICE RELATED SEPSIS
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    DIVERTICULITIS
         subjects affected / exposed
    4 / 236 (1.69%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    2 / 6
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ENTEROBACTER PNEUMONIA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ENTEROCOCCAL BACTERAEMIA
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ENTEROCOCCAL SEPSIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    EPIGLOTTITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ERYSIPELAS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ESCHERICHIA BACTERAEMIA
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ESCHERICHIA INFECTION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ESCHERICHIA SEPSIS
         subjects affected / exposed
    4 / 236 (1.69%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    FURUNCLE
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    GASTROENTERITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    GASTROENTERITIS CLOSTRIDIAL
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    GASTROINTESTINAL FUNGAL INFECTION
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    GROIN ABSCESS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HERPES ZOSTER
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    INFECTED CYST
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    INFECTION
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    INFECTIVE EXACERBATION OF CHRONIC OBSTRUCTIVE AIRWAYS DISEASE
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    KLEBSIELLA BACTERAEMIA
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    KLEBSIELLA SEPSIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LIVER ABSCESS
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LOBAR PNEUMONIA
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LOWER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    1 / 236 (0.42%)
    1 / 40 (2.50%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    LUNG ABSCESS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LUNG INFECTION
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    MUMPS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    NASOPHARYNGITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    NEUTROPENIC SEPSIS
         subjects affected / exposed
    7 / 236 (2.97%)
    2 / 40 (5.00%)
    4 / 153 (2.61%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 12
    0 / 3
    0 / 7
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    ORAL CANDIDIASIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    OROPHARYNGITIS FUNGAL
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PARAINFLUENZAE VIRUS INFECTION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PERIORBITAL CELLULITIS
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    PERIRECTAL ABSCESS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PERITONITIS
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PHARYNGITIS
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    1 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PHARYNGOTONSILLITIS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PNEUMONIA
         subjects affected / exposed
    48 / 236 (20.34%)
    3 / 40 (7.50%)
    29 / 153 (18.95%)
    3 / 42 (7.14%)
    2 / 22 (9.09%)
         occurrences causally related to treatment / all
    31 / 81
    0 / 6
    15 / 42
    2 / 3
    1 / 3
         deaths causally related to treatment / all
    8 / 15
    0 / 3
    1 / 6
    0 / 0
    0 / 0
    PNEUMONIA FUNGAL
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    2 / 3
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PNEUMONIA KLEBSIELLA
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PNEUMONIA MYCOPLASMAL
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PNEUMONIA PARAINFLUENZAE VIRAL
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PNEUMONIA PSEUDOMONAS AERUGINOSA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PNEUMONIA STAPHYLOCOCCAL
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PNEUMONIA STREPTOCOCCAL
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PSEUDOMEMBRANOUS COLITIS
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 4
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PSEUDOMONAL BACTERAEMIA
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PSEUDOMONAL SEPSIS
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 0
    1 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    0 / 236 (0.00%)
    2 / 40 (5.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    SEPSIS
         subjects affected / exposed
    12 / 236 (5.08%)
    1 / 40 (2.50%)
    9 / 153 (5.88%)
    2 / 42 (4.76%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    4 / 14
    0 / 1
    5 / 12
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 2
    0 / 0
    1 / 4
    0 / 0
    0 / 0
    SEPTIC SHOCK
         subjects affected / exposed
    4 / 236 (1.69%)
    1 / 40 (2.50%)
    4 / 153 (2.61%)
    4 / 42 (9.52%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 5
    0 / 2
    2 / 5
    3 / 4
    0 / 0
         deaths causally related to treatment / all
    0 / 3
    0 / 1
    1 / 3
    1 / 1
    0 / 0
    SINUSITIS
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SINUSITIS FUNGAL
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SOFT TISSUE INFECTION
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    STAPHYLOCOCCAL BACTERAEMIA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    STAPHYLOCOCCAL SEPSIS
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SYSTEMIC CANDIDA
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    TONSILLITIS
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    TOOTH INFECTION
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    UPPER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    URINARY TRACT INFECTION
         subjects affected / exposed
    7 / 236 (2.97%)
    1 / 40 (2.50%)
    3 / 153 (1.96%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 7
    0 / 1
    1 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    UROSEPSIS
         subjects affected / exposed
    2 / 236 (0.85%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    VAGINITIS GARDNERELLA
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    VULVAL ABSCESS
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ZYGOMYCOSIS
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    1 / 42 (2.38%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    CACHEXIA
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    2 / 153 (1.31%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    3 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    DECREASED APPETITE
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    1 / 22 (4.55%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    DEHYDRATION
         subjects affected / exposed
    3 / 236 (1.27%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 4
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    FAILURE TO THRIVE
         subjects affected / exposed
    0 / 236 (0.00%)
    0 / 40 (0.00%)
    1 / 153 (0.65%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    FLUID OVERLOAD
         subjects affected / exposed
    1 / 236 (0.42%)
    0 / 40 (0.00%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HYPERGLYCAEMIA
         subjects affected / exposed
    0 / 236 (0.00%)
    1 / 40 (2.50%)
    0 / 153 (0.00%)
    0 / 42 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0