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    Clinical Trial Results:
    An Open-Label, Dose-escalation, Phase I/IIa Study to Determine the Maximum Tolerated Dose, Recommended Dose, Pharmacokinetics, and Pharmacodynamics of the dual VEGFR-FGFR Tyrosine Kinase Inhibitor, E-3810, Given Orally as Single Agent to Patients With Advanced Solid Tumours

    Summary
    EudraCT number
    2010-019121-34
    Trial protocol
    ES  
    Global end of trial date
    04 May 2017

    Results information
    Results version number
    v1(current)
    This version publication date
    26 Apr 2018
    First version publication date
    26 Apr 2018
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CL1-80881-007 (E-3810)
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01283945
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Institut de Recherches Internationales Servier
    Sponsor organisation address
    50 rue Carnot, Suresnes, France, 92284
    Public contact
    Clinical studies Department, Institut de Recherches Internationales Servier, +33 155723666, clinicaltrials@servier.com
    Scientific contact
    Clinical studies Department, Institut de Recherches Internationales Servier, +33 155723666, clinicaltrials@servier.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
    04 May 2017
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    04 May 2017
    Global end of trial reached?
    Yes
    Global end of trial date
    04 May 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Phase I: To determine the Maximum Tolerated Dose (MTD) of S80881 when administered orally, once daily for 28 consecutive days. Phase IIa: To evaluate the objective response rate and the rate of non-progressive disease at 24 weeks in patients with tumours bearing FGFR1 amplification.
    Protection of trial subjects
    This study was conducted in accordance with Good Clinical Practice standards, ethical principles stated in the Declaration of Helsinki and applicable regulatory requirements. After the subject has ended his/her participation in the trial, the investigator provided appropriate medication and/or arranged access to appropriate care for the patient.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    23 Jul 2010
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 37
    Country: Number of subjects enrolled
    France: 85
    Country: Number of subjects enrolled
    Italy: 12
    Worldwide total number of subjects
    134
    EEA total number of subjects
    134
    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)
    108
    From 65 to 84 years
    26
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Patients were to have histologically or cytologically confirmed locally advanced or metastatic solid tumour, relapsed or refractory to standard therapy.

    Period 1
    Period 1 title
    Treatment period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    S 80881 5mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    S 80881
    Investigational medicinal product code
    Other name
    E-3810, Lucitanib
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    One oral capsule of S 80881 5mg, once a day, on a continuous schedule or intermittent dosing schedules (e.g., 5 days on/2days off [5/2], or 21 days on/7 days off [21/7]), for up to 6 cycles of 4 weeks. In exceptional cases, in the best interest of patients who showed continued clinical benefit according to their doctor, treatment beyond cycle 6 could be allowed.

    Arm title
    S 80881 10mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    S 80881
    Investigational medicinal product code
    Other name
    E-3810, Lucitanib
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    One oral capsule of S 80881 10mg, once a day, on a continuous schedule or intermittent dosing schedules (e.g., 5 days on/2days off [5/2], or 21 days on/7 days off [21/7]), for up to 6 cycles of 4 weeks. In exceptional cases, in the best interest of patients who showed continued clinical benefit according to their doctor, treatment beyond cycle 6 could be allowed.

    Arm title
    S 80881 12.5mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    S 80881
    Investigational medicinal product code
    Other name
    E-3810, Lucitanib
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    One oral capsule of S 80881 12.5mg, once a day, on a continuous schedule or intermittent dosing schedules (e.g., 5 days on/2days off [5/2], or 21 days on/7 days off [21/7]), for up to 6 cycles of 4 weeks. In exceptional cases, in the best interest of patients who showed continued clinical benefit according to their doctor, treatment beyond cycle 6 could be allowed.

    Arm title
    S 80881 15mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    S 80881
    Investigational medicinal product code
    Other name
    E-3810, Lucitanib
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    One oral capsule of S 80881 15mg, once a day, on a continuous schedule or intermittent dosing schedules (e.g., 5 days on/2days off [5/2], or 21 days on/7 days off [21/7]), for up to 6 cycles of 4 weeks. In exceptional cases, in the best interest of patients who showed continued clinical benefit according to their doctor, treatment beyond cycle 6 could be allowed.

    Arm title
    S 80881 20mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    S 80881
    Investigational medicinal product code
    Other name
    E-3810, Lucitanib
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    One oral capsule of S 80881 20mg, once a day, on a continuous schedule or intermittent dosing schedules (e.g., 5 days on/2days off [5/2], or 21 days on/7 days off [21/7]), for up to 6 cycles of 4 weeks. In exceptional cases, in the best interest of patients who showed continued clinical benefit according to their doctor, treatment beyond cycle 6 could be allowed.

    Arm title
    S 80881 30mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    S 80881
    Investigational medicinal product code
    Other name
    E-3810, Lucitanib
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    One oral capsule of S 80881 30mg, once a day, on a continuous schedule or intermittent dosing schedules (e.g., 5 days on/2days off [5/2], or 21 days on/7 days off [21/7]), for up to 6 cycles of 4 weeks. In exceptional cases, in the best interest of patients who showed continued clinical benefit according to their doctor, treatment beyond cycle 6 could be allowed.

    Number of subjects in period 1
    S 80881 5mg S 80881 10mg S 80881 12.5mg S 80881 15mg S 80881 20mg S 80881 30mg
    Started
    3
    11
    25
    71
    17
    7
    Completed
    0
    0
    0
    0
    0
    0
    Not completed
    3
    11
    25
    71
    17
    7
         Non-drug related adverse events
    -
    -
    2
    4
    2
    -
         Death
    -
    -
    -
    1
    -
    -
         Other (compassionate use program)
    -
    -
    1
    2
    -
    -
         Patient's request due to subjective intolerance
    -
    1
    -
    1
    2
    -
         Progressive disease
    3
    10
    14
    54
    12
    3
         Drug-related adverse events
    -
    -
    8
    9
    1
    4

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    S 80881 5mg
    Reporting group description
    -

    Reporting group title
    S 80881 10mg
    Reporting group description
    -

    Reporting group title
    S 80881 12.5mg
    Reporting group description
    -

    Reporting group title
    S 80881 15mg
    Reporting group description
    -

    Reporting group title
    S 80881 20mg
    Reporting group description
    -

    Reporting group title
    S 80881 30mg
    Reporting group description
    -

    Reporting group values
    S 80881 5mg S 80881 10mg S 80881 12.5mg S 80881 15mg S 80881 20mg S 80881 30mg Total
    Number of subjects
    3 11 25 71 17 7 134
    Age categorical
    Units: Subjects
        In utero
    0 0 0 0 0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0 0 0 0 0
        Newborns (0-27 days)
    0 0 0 0 0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0 0 0 0 0
        Children (2-11 years)
    0 0 0 0 0 0 0
        Adolescents (12-17 years)
    0 0 0 0 0 0 0
        Adults (18-64 years)
    2 7 20 60 14 5 108
        From 65-84 years
    1 4 5 11 3 2 26
        85 years and over
    0 0 0 0 0 0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    60.3 ± 7.6 53.1 ± 14.8 56.1 ± 11.4 53.9 ± 9.9 58.8 ± 9.7 57.4 ± 7.9 -
    Gender categorical
    Units: Subjects
        Female
    1 7 15 41 7 3 74
        Male
    2 4 10 30 10 4 60

    End points

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    End points reporting groups
    Reporting group title
    S 80881 5mg
    Reporting group description
    -

    Reporting group title
    S 80881 10mg
    Reporting group description
    -

    Reporting group title
    S 80881 12.5mg
    Reporting group description
    -

    Reporting group title
    S 80881 15mg
    Reporting group description
    -

    Reporting group title
    S 80881 20mg
    Reporting group description
    -

    Reporting group title
    S 80881 30mg
    Reporting group description
    -

    Subject analysis set title
    DLT Evaluable Set
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    All patients included in the dose-escalation phase. A patient wasn't considered evaluable if: - He/she discontinued during first cycle without DLT, or - He/she did not receive at least 21 of 28 doses during first cycle unless patients presented a DLT.

    Subject analysis set title
    Response Evaluable Set in FGF+ patients
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    This set corresponds to all patients in the FAS with solid tumour bearing FGFR1 amplification who had at least one baseline and one post-baseline tumour evaluation.

    Primary: Objective Response Rate

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    End point title
    Objective Response Rate [1]
    End point description
    Objective Response Rate, evaluated in the Response Evaluable Set in patients with tumour bearing bearing FGFR1 amplification (FGF+), was defined as the proportion of patients with a Complete Response (CR) or a Partial Response (PR) as best overall response (with confirmation of response, i.e. at least 4 weeks after the first assessment) according to RECIST criteria.
    End point type
    Primary
    End point timeframe
    Objective Response Rate was evaluated across all time points from the start of the study treatment until PD or end of treatment period whichever was earlier.
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analyses was required for this endpoint.
    End point values
    S 80881 5mg S 80881 10mg S 80881 12.5mg S 80881 15mg S 80881 20mg S 80881 30mg Response Evaluable Set in FGF+ patients
    Number of subjects analysed
    0 [2]
    4
    1
    25
    3
    0 [3]
    33
    Units: Patients
    1
    0
    3
    2
    6
    Notes
    [2] - No patient in the 5mg group had solid tumour bearing FGFR1 amplification.
    [3] - No patient in the 30mg group had solid tumour bearing FGFR1 amplification.
    No statistical analyses for this end point

    Primary: Clinical Benefit Rate

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    End point title
    Clinical Benefit Rate [4]
    End point description
    The Clinical Benefit Rate, evaluated in the Response Evaluable Set in patients FGF+, was defined as the proportion of patients with a CR or a PR as best overall response (with confirmation of response, i.e. at least 4 weeks after the first assessment) or a prolonged stabilization (Stable Disease or Non CR /Non PD) > 24 weeks after start of treatment (or at cycle 6), according to RECIST criteria.
    End point type
    Primary
    End point timeframe
    Clinical Benefit Rate was evaluated across all time points from the start of the study treatment until PD or end of treatment period whichever was earlier.
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analyses was required for this endpoint.
    End point values
    S 80881 5mg S 80881 10mg S 80881 12.5mg S 80881 15mg S 80881 20mg S 80881 30mg Response Evaluable Set in FGF+ patients
    Number of subjects analysed
    0 [5]
    4
    1
    25
    3
    0 [6]
    33
    Units: Patients
    1
    1
    7
    3
    12
    Notes
    [5] - No patient in the 5mg group had solid tumour bearing FGFR1 amplification.
    [6] - No patient in the 30mg group had solid tumour bearing FGFR1 amplification.
    No statistical analyses for this end point

    Primary: Maximum Tolerated Dose (MTD)

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    End point title
    Maximum Tolerated Dose (MTD) [7]
    End point description
    During the dose escalation, 17 patients received at least one dose of S 80881 and 16 were evaluable (i.e. received at least 21 doses) for DLT. Four dose levels (i.e. 5, 10, 20, and 30 mg) were tested. No DLTs were observed at the first three levels; at 30 mg once daily, 3 DLTs were observed in the 6 patients assessable for DLT. The MTD assessed in the DLT evaluable Set (N=16) was therefore defined at 30 mg S 80881 once daily.
    End point type
    Primary
    End point timeframe
    MTD was determined at the end of Cycle 1.
    Notes
    [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analyses was required for this endpoint.
    End point values
    DLT Evaluable Set
    Number of subjects analysed
    16
    Units: mg once daily
    30
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Emergent adverse events on treatment were defined as adverse events occurring or worsening (in terms of severity) or becoming serious between the first study drug intake date (included) and the last study drug intake date + 28 days (included).
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18
    Reporting groups
    Reporting group title
    All patients
    Reporting group description
    -

    Reporting group title
    5 mg
    Reporting group description
    -

    Reporting group title
    10 mg
    Reporting group description
    -

    Reporting group title
    12,5 mg
    Reporting group description
    -

    Reporting group title
    15 mg
    Reporting group description
    -

    Reporting group title
    20 mg
    Reporting group description
    -

    Reporting group title
    30 mg
    Reporting group description
    -

    Serious adverse events
    All patients 5 mg 10 mg 12,5 mg 15 mg 20 mg 30 mg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    67 / 134 (50.00%)
    2 / 3 (66.67%)
    7 / 11 (63.64%)
    18 / 25 (72.00%)
    29 / 71 (40.85%)
    7 / 17 (41.18%)
    4 / 7 (57.14%)
         number of deaths (all causes)
    24
    0
    4
    4
    15
    1
    0
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Metastases to central nervous system
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
    0 / 1
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    2 / 134 (1.49%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypertension
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    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
    0 / 0
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    4 / 134 (2.99%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
    0 / 0
    0 / 3
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
    0 / 1
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Acquired tracheo-oesophageal fistula
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Acute respiratory distress syndrome
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Bronchospasm
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Cough
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Dyspnoea
         subjects affected / exposed
    10 / 134 (7.46%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    5 / 71 (7.04%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 12
    0 / 1
    0 / 1
    0 / 3
    0 / 6
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haemoptysis
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Pleural effusion
         subjects affected / exposed
    4 / 134 (2.99%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    2 / 71 (2.82%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
    0 / 0
    0 / 1
    0 / 2
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumothorax
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    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
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Respiratory failure
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Confusional state
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Blood creatine phosphokinase increased
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Electrocardiogram T wave inversion
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Gingival injury
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tracheal haemorrhage
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Cardiac disorders
    Angina pectoris
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
    2 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Angina unstable
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Atrial thrombosis
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac failure
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Cardiac tamponade
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Left ventricular dysfunction
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
    0 / 0
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myocarditis
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Pericarditis
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Tricuspid valve disease
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Nervous system disorders
    Cerebellar syndrome
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Depressed level of consciousness
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peripheral motor neuropathy
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Presyncope
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Seizure
         subjects affected / exposed
    2 / 134 (1.49%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    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
    0 / 0
    0 / 0
    Spinal cord compression
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Thrombotic microangiopathy
         subjects affected / exposed
    15 / 134 (11.19%)
    1 / 3 (33.33%)
    2 / 11 (18.18%)
    3 / 25 (12.00%)
    7 / 71 (9.86%)
    0 / 17 (0.00%)
    2 / 7 (28.57%)
         occurrences causally related to treatment / all
    16 / 16
    1 / 1
    2 / 2
    4 / 4
    7 / 7
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Dysphagia
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Ileus
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Large intestine perforation
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Pancreatitis
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    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
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    1 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholestasis
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Hepatic cirrhosis
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Hepatic pain
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Renal and urinary disorders
    Proteinuria
         subjects affected / exposed
    3 / 134 (2.24%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    3 / 3
    1 / 1
    0 / 0
    0 / 0
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    Hypothyroidism
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    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
    0 / 0
    0 / 0
    Bone pain
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal pain
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Neck pain
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Infections and infestations
    Anorectal infection
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Bronchopulmonary aspergillosis
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Device related infection
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Lung infection
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
    0 / 2
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypercalcaemia
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Hyponatraemia
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    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
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    All patients 5 mg 10 mg 12,5 mg 15 mg 20 mg 30 mg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    134 / 134 (100.00%)
    3 / 3 (100.00%)
    11 / 11 (100.00%)
    25 / 25 (100.00%)
    71 / 71 (100.00%)
    17 / 17 (100.00%)
    7 / 7 (100.00%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Haemangioma
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    0
    1
    1
    0
    Malignant neoplasm progression
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Metastases to liver
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    1
    Hot flush
         subjects affected / exposed
    9 / 134 (6.72%)
    0 / 3 (0.00%)
    2 / 11 (18.18%)
    3 / 25 (12.00%)
    4 / 71 (5.63%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    12
    0
    3
    3
    6
    0
    0
    Hypertension
         subjects affected / exposed
    118 / 134 (88.06%)
    2 / 3 (66.67%)
    10 / 11 (90.91%)
    22 / 25 (88.00%)
    63 / 71 (88.73%)
    16 / 17 (94.12%)
    5 / 7 (71.43%)
         occurrences all number
    411
    39
    13
    131
    147
    72
    9
    Hypotension
         subjects affected / exposed
    5 / 134 (3.73%)
    2 / 3 (66.67%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    5
    2
    0
    0
    2
    1
    0
    Thrombophlebitis superficial
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    103 / 134 (76.87%)
    3 / 3 (100.00%)
    6 / 11 (54.55%)
    22 / 25 (88.00%)
    54 / 71 (76.06%)
    13 / 17 (76.47%)
    5 / 7 (71.43%)
         occurrences all number
    217
    23
    15
    41
    96
    36
    6
    Chest discomfort
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    0
    2
    1
    0
    0
    Chest pain
         subjects affected / exposed
    12 / 134 (8.96%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    5 / 71 (7.04%)
    3 / 17 (17.65%)
    0 / 7 (0.00%)
         occurrences all number
    14
    2
    0
    4
    5
    3
    0
    Chills
         subjects affected / exposed
    11 / 134 (8.21%)
    2 / 3 (66.67%)
    0 / 11 (0.00%)
    5 / 25 (20.00%)
    3 / 71 (4.23%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    13
    2
    0
    6
    3
    2
    0
    Condition aggravated
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    2
    0
    0
    0
    1
    0
    1
    Face oedema
         subjects affected / exposed
    6 / 134 (4.48%)
    0 / 3 (0.00%)
    3 / 11 (27.27%)
    2 / 25 (8.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    8
    0
    4
    3
    1
    0
    0
    General physical health deterioration
         subjects affected / exposed
    4 / 134 (2.99%)
    0 / 3 (0.00%)
    2 / 11 (18.18%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    4
    0
    2
    0
    2
    0
    0
    Generalised oedema
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    1
    0
    1
    0
    0
    Impaired healing
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Inflammation
         subjects affected / exposed
    3 / 134 (2.24%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    4
    2
    1
    1
    0
    0
    0
    Influenza like illness
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Localised oedema
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Malaise
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    0
    1
    1
    0
    Mucosal inflammation
         subjects affected / exposed
    8 / 134 (5.97%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    7 / 71 (9.86%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    10
    0
    0
    1
    9
    0
    0
    Non-cardiac chest pain
         subjects affected / exposed
    10 / 134 (7.46%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    5 / 71 (7.04%)
    2 / 17 (11.76%)
    0 / 7 (0.00%)
         occurrences all number
    10
    1
    1
    1
    5
    2
    0
    Oedema peripheral
         subjects affected / exposed
    37 / 134 (27.61%)
    0 / 3 (0.00%)
    5 / 11 (45.45%)
    11 / 25 (44.00%)
    19 / 71 (26.76%)
    2 / 17 (11.76%)
    0 / 7 (0.00%)
         occurrences all number
    51
    0
    5
    14
    29
    3
    0
    Pyrexia
         subjects affected / exposed
    20 / 134 (14.93%)
    2 / 3 (66.67%)
    3 / 11 (27.27%)
    4 / 25 (16.00%)
    6 / 71 (8.45%)
    3 / 17 (17.65%)
    2 / 7 (28.57%)
         occurrences all number
    26
    4
    4
    5
    8
    3
    2
    Xerosis
         subjects affected / exposed
    14 / 134 (10.45%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    3 / 25 (12.00%)
    6 / 71 (8.45%)
    3 / 17 (17.65%)
    0 / 7 (0.00%)
         occurrences all number
    16
    1
    1
    4
    7
    3
    0
    Immune system disorders
    Drug hypersensitivity
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    1
    Reproductive system and breast disorders
    Amenorrhoea
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Pruritus genital
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Vaginal inflammation
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    1
    Respiratory, thoracic and mediastinal disorders
    Atelectasis
         subjects affected / exposed
    2 / 134 (1.49%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    1
    0
    1
    0
    0
    0
    Cough
         subjects affected / exposed
    31 / 134 (23.13%)
    2 / 3 (66.67%)
    1 / 11 (9.09%)
    10 / 25 (40.00%)
    14 / 71 (19.72%)
    4 / 17 (23.53%)
    0 / 7 (0.00%)
         occurrences all number
    58
    17
    1
    16
    18
    6
    0
    Dysphonia
         subjects affected / exposed
    32 / 134 (23.88%)
    0 / 3 (0.00%)
    3 / 11 (27.27%)
    7 / 25 (28.00%)
    12 / 71 (16.90%)
    6 / 17 (35.29%)
    4 / 7 (57.14%)
         occurrences all number
    40
    0
    4
    8
    13
    11
    4
    Dyspnoea
         subjects affected / exposed
    44 / 134 (32.84%)
    2 / 3 (66.67%)
    4 / 11 (36.36%)
    11 / 25 (44.00%)
    19 / 71 (26.76%)
    7 / 17 (41.18%)
    1 / 7 (14.29%)
         occurrences all number
    66
    16
    4
    12
    24
    8
    2
    Epistaxis
         subjects affected / exposed
    16 / 134 (11.94%)
    1 / 3 (33.33%)
    2 / 11 (18.18%)
    3 / 25 (12.00%)
    8 / 71 (11.27%)
    1 / 17 (5.88%)
    1 / 7 (14.29%)
         occurrences all number
    22
    4
    4
    4
    8
    1
    1
    Haemoptysis
         subjects affected / exposed
    3 / 134 (2.24%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    4
    2
    0
    1
    1
    0
    0
    Hiccups
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    2 / 11 (18.18%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    2
    0
    0
    1
    0
    Hypoxia
         subjects affected / exposed
    2 / 134 (1.49%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    1
    0
    0
    1
    0
    0
    Oropharyngeal pain
         subjects affected / exposed
    4 / 134 (2.99%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    4
    0
    0
    2
    2
    0
    0
    Pleural effusion
         subjects affected / exposed
    3 / 134 (2.24%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    3
    1
    0
    1
    1
    0
    0
    Pleuritic pain
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    5
    0
    0
    5
    0
    0
    0
    Pneumonitis
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    2
    0
    0
    0
    Productive cough
         subjects affected / exposed
    5 / 134 (3.73%)
    2 / 3 (66.67%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    5
    2
    0
    0
    2
    1
    0
    Rales
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    2
    1
    0
    0
    0
    Respiratory failure
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Rhinitis allergic
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    1
    0
    1
    0
    Rhinorrhoea
         subjects affected / exposed
    15 / 134 (11.19%)
    2 / 3 (66.67%)
    2 / 11 (18.18%)
    5 / 25 (20.00%)
    4 / 71 (5.63%)
    2 / 17 (11.76%)
    0 / 7 (0.00%)
         occurrences all number
    18
    3
    2
    6
    5
    2
    0
    Upper respiratory tract inflammation
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    2
    0
    0
    0
    Psychiatric disorders
    Affective disorder
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    1
    0
    1
    0
    Anxiety
         subjects affected / exposed
    23 / 134 (17.16%)
    2 / 3 (66.67%)
    1 / 11 (9.09%)
    3 / 25 (12.00%)
    13 / 71 (18.31%)
    3 / 17 (17.65%)
    1 / 7 (14.29%)
         occurrences all number
    25
    3
    1
    3
    13
    4
    1
    Attention deficit/hyperactivity disorder
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Bradyphrenia
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Confusional state
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    1 / 7 (14.29%)
         occurrences all number
    3
    0
    0
    0
    1
    1
    1
    Depressed mood
         subjects affected / exposed
    9 / 134 (6.72%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    5 / 25 (20.00%)
    3 / 71 (4.23%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    10
    1
    0
    6
    3
    0
    0
    Depression
         subjects affected / exposed
    6 / 134 (4.48%)
    1 / 3 (33.33%)
    2 / 11 (18.18%)
    1 / 25 (4.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    7
    2
    2
    1
    2
    0
    0
    Hallucination
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    0
    1
    1
    0
    Insomnia
         subjects affected / exposed
    24 / 134 (17.91%)
    2 / 3 (66.67%)
    0 / 11 (0.00%)
    8 / 25 (32.00%)
    10 / 71 (14.08%)
    3 / 17 (17.65%)
    1 / 7 (14.29%)
         occurrences all number
    27
    2
    0
    8
    12
    4
    1
    Psychomotor retardation
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    2
    0
    0
    0
    0
    0
    Restlessness
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Sleep disorder
         subjects affected / exposed
    6 / 134 (4.48%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    4 / 25 (16.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    6
    0
    1
    4
    0
    1
    0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    29 / 134 (21.64%)
    1 / 3 (33.33%)
    6 / 11 (54.55%)
    6 / 25 (24.00%)
    13 / 71 (18.31%)
    2 / 17 (11.76%)
    1 / 7 (14.29%)
         occurrences all number
    37
    1
    11
    7
    15
    2
    1
    Amylase increased
         subjects affected / exposed
    5 / 134 (3.73%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    3 / 71 (4.23%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    7
    0
    0
    1
    5
    0
    1
    Aspartate aminotransferase increased
         subjects affected / exposed
    34 / 134 (25.37%)
    0 / 3 (0.00%)
    5 / 11 (45.45%)
    8 / 25 (32.00%)
    14 / 71 (19.72%)
    5 / 17 (29.41%)
    2 / 7 (28.57%)
         occurrences all number
    45
    0
    9
    13
    16
    5
    2
    Blood albumin decreased
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Blood alkaline phosphatase increased
         subjects affected / exposed
    23 / 134 (17.16%)
    0 / 3 (0.00%)
    5 / 11 (45.45%)
    5 / 25 (20.00%)
    9 / 71 (12.68%)
    3 / 17 (17.65%)
    1 / 7 (14.29%)
         occurrences all number
    23
    0
    5
    5
    9
    3
    1
    Blood bicarbonate abnormal
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Blood bilirubin increased
         subjects affected / exposed
    14 / 134 (10.45%)
    0 / 3 (0.00%)
    4 / 11 (36.36%)
    1 / 25 (4.00%)
    6 / 71 (8.45%)
    2 / 17 (11.76%)
    1 / 7 (14.29%)
         occurrences all number
    19
    0
    4
    1
    10
    3
    1
    Blood creatine phosphokinase increased
         subjects affected / exposed
    5 / 134 (3.73%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    1 / 7 (14.29%)
         occurrences all number
    8
    0
    0
    3
    2
    2
    1
    Blood creatinine decreased
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Blood creatinine increased
         subjects affected / exposed
    9 / 134 (6.72%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    5 / 25 (20.00%)
    2 / 71 (2.82%)
    1 / 17 (5.88%)
    1 / 7 (14.29%)
         occurrences all number
    14
    0
    0
    7
    2
    1
    4
    Blood glucose increased
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Blood magnesium decreased
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Blood phosphorus decreased
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    1
    Blood potassium decreased
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Brain natriuretic peptide increased
         subjects affected / exposed
    5 / 134 (3.73%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    5
    0
    0
    3
    2
    0
    0
    Breath sounds abnormal
         subjects affected / exposed
    6 / 134 (4.48%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    10
    5
    0
    3
    2
    0
    0
    C-reactive protein increased
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Ejection fraction decreased
         subjects affected / exposed
    6 / 134 (4.48%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    4 / 25 (16.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    8
    0
    0
    5
    3
    0
    0
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    31 / 134 (23.13%)
    1 / 3 (33.33%)
    3 / 11 (27.27%)
    7 / 25 (28.00%)
    13 / 71 (18.31%)
    5 / 17 (29.41%)
    2 / 7 (28.57%)
         occurrences all number
    37
    5
    3
    8
    13
    6
    2
    Haemoglobin increased
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    2
    0
    0
    0
    Hypophonesis
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    1
    1
    0
    0
    0
    Lipase increased
         subjects affected / exposed
    11 / 134 (8.21%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    5 / 25 (20.00%)
    5 / 71 (7.04%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    14
    0
    0
    5
    7
    0
    2
    Platelet count decreased
         subjects affected / exposed
    23 / 134 (17.16%)
    0 / 3 (0.00%)
    2 / 11 (18.18%)
    6 / 25 (24.00%)
    13 / 71 (18.31%)
    1 / 17 (5.88%)
    1 / 7 (14.29%)
         occurrences all number
    33
    0
    3
    10
    18
    1
    1
    Tumour marker increased
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Urine bilirubin increased
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    2
    0
    1
    0
    0
    0
    1
    Waist circumference increased
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Weight decreased
         subjects affected / exposed
    52 / 134 (38.81%)
    2 / 3 (66.67%)
    2 / 11 (18.18%)
    9 / 25 (36.00%)
    29 / 71 (40.85%)
    8 / 17 (47.06%)
    2 / 7 (28.57%)
         occurrences all number
    66
    2
    5
    10
    35
    12
    2
    Weight increased
         subjects affected / exposed
    6 / 134 (4.48%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    6
    0
    0
    3
    2
    0
    1
    Injury, poisoning and procedural complications
    Fracture
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Ligament sprain
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    2
    0
    0
    0
    Nail injury
         subjects affected / exposed
    3 / 134 (2.24%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    4
    1
    0
    0
    3
    0
    0
    Cardiac disorders
    Bradycardia
         subjects affected / exposed
    6 / 134 (4.48%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    2 / 17 (11.76%)
    1 / 7 (14.29%)
         occurrences all number
    8
    0
    2
    0
    2
    3
    1
    Cardiac disorder
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Cardiac failure
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    1
    Pericardial effusion
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Sinus tachycardia
         subjects affected / exposed
    8 / 134 (5.97%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    6 / 71 (8.45%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    21
    0
    1
    1
    19
    0
    0
    Tachycardia
         subjects affected / exposed
    9 / 134 (6.72%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    5 / 71 (7.04%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    9
    1
    1
    1
    5
    1
    0
    Nervous system disorders
    Ataxia
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    3
    0
    0
    1
    1
    0
    1
    Balance disorder
         subjects affected / exposed
    4 / 134 (2.99%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    1 / 71 (1.41%)
    2 / 17 (11.76%)
    0 / 7 (0.00%)
         occurrences all number
    4
    0
    0
    1
    1
    2
    0
    Carpal tunnel syndrome
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    0
    0
    2
    0
    Cerebral venous thrombosis
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Disturbance in attention
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Dizziness
         subjects affected / exposed
    4 / 134 (2.99%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    4
    0
    1
    0
    2
    0
    1
    Dysaesthesia
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    4
    0
    3
    1
    0
    0
    0
    Dysgeusia
         subjects affected / exposed
    10 / 134 (7.46%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    4 / 25 (16.00%)
    4 / 71 (5.63%)
    1 / 17 (5.88%)
    1 / 7 (14.29%)
         occurrences all number
    10
    0
    0
    4
    4
    1
    1
    Headache
         subjects affected / exposed
    49 / 134 (36.57%)
    2 / 3 (66.67%)
    3 / 11 (27.27%)
    11 / 25 (44.00%)
    25 / 71 (35.21%)
    7 / 17 (41.18%)
    1 / 7 (14.29%)
         occurrences all number
    76
    12
    4
    12
    32
    12
    4
    Hypergeusia
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Loss of consciousness
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Paraesthesia
         subjects affected / exposed
    14 / 134 (10.45%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    3 / 25 (12.00%)
    6 / 71 (8.45%)
    3 / 17 (17.65%)
    0 / 7 (0.00%)
         occurrences all number
    18
    1
    1
    6
    7
    3
    0
    Peripheral sensory neuropathy
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Presyncope
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Radicular pain
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    1
    1
    0
    0
    0
    Sciatica
         subjects affected / exposed
    10 / 134 (7.46%)
    1 / 3 (33.33%)
    2 / 11 (18.18%)
    2 / 25 (8.00%)
    3 / 71 (4.23%)
    0 / 17 (0.00%)
    2 / 7 (28.57%)
         occurrences all number
    11
    1
    2
    2
    4
    0
    2
    Sensorimotor disorder
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Somnolence
         subjects affected / exposed
    9 / 134 (6.72%)
    2 / 3 (66.67%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    4 / 71 (5.63%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    11
    3
    2
    2
    4
    0
    0
    Speech disorder
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    1
    Syncope
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    2
    0
    0
    0
    0
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    17 / 134 (12.69%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    4 / 25 (16.00%)
    9 / 71 (12.68%)
    1 / 17 (5.88%)
    2 / 7 (28.57%)
         occurrences all number
    25
    0
    1
    10
    11
    1
    2
    Leukocytosis
         subjects affected / exposed
    2 / 134 (1.49%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    1
    0
    1
    0
    0
    0
    Neutropenia
         subjects affected / exposed
    4 / 134 (2.99%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    1 / 17 (5.88%)
    1 / 7 (14.29%)
         occurrences all number
    7
    0
    0
    0
    2
    3
    2
    Spontaneous haematoma
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    3
    0
    0
    1
    1
    0
    1
    Thrombocytopenia
         subjects affected / exposed
    18 / 134 (13.43%)
    0 / 3 (0.00%)
    2 / 11 (18.18%)
    3 / 25 (12.00%)
    5 / 71 (7.04%)
    4 / 17 (23.53%)
    4 / 7 (57.14%)
         occurrences all number
    30
    0
    6
    7
    6
    6
    5
    Thrombotic microangiopathy
         subjects affected / exposed
    6 / 134 (4.48%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    4 / 71 (5.63%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    6
    0
    0
    2
    4
    0
    0
    Ear and labyrinth disorders
    Tinnitus
         subjects affected / exposed
    6 / 134 (4.48%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    7
    1
    0
    3
    1
    2
    0
    Vertigo
         subjects affected / exposed
    12 / 134 (8.96%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    4 / 25 (16.00%)
    4 / 71 (5.63%)
    3 / 17 (17.65%)
    0 / 7 (0.00%)
         occurrences all number
    14
    2
    0
    4
    5
    3
    0
    Eye disorders
    Cataract
         subjects affected / exposed
    3 / 134 (2.24%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    4
    1
    0
    1
    2
    0
    0
    Dry eye
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Eczema eyelids
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Eye irritation
         subjects affected / exposed
    2 / 134 (1.49%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    1
    0
    1
    0
    0
    0
    Lacrimation increased
         subjects affected / exposed
    2 / 134 (1.49%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    3
    2
    0
    1
    0
    0
    0
    Vision blurred
         subjects affected / exposed
    5 / 134 (3.73%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    3 / 17 (17.65%)
    0 / 7 (0.00%)
         occurrences all number
    5
    1
    0
    1
    0
    3
    0
    Visual acuity reduced
         subjects affected / exposed
    4 / 134 (2.99%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    4
    0
    0
    3
    1
    0
    0
    Visual impairment
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    1
    1
    1
    0
    0
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    15 / 134 (11.19%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    6 / 25 (24.00%)
    7 / 71 (9.86%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    18
    0
    2
    7
    8
    1
    0
    Abdominal pain
         subjects affected / exposed
    50 / 134 (37.31%)
    2 / 3 (66.67%)
    4 / 11 (36.36%)
    8 / 25 (32.00%)
    27 / 71 (38.03%)
    6 / 17 (35.29%)
    3 / 7 (42.86%)
         occurrences all number
    78
    3
    9
    13
    41
    9
    3
    Abdominal pain lower
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    0
    1
    1
    0
    Abdominal pain upper
         subjects affected / exposed
    26 / 134 (19.40%)
    1 / 3 (33.33%)
    2 / 11 (18.18%)
    6 / 25 (24.00%)
    14 / 71 (19.72%)
    2 / 17 (11.76%)
    1 / 7 (14.29%)
         occurrences all number
    35
    1
    2
    10
    19
    2
    1
    Abdominal wall haematoma
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Anal fissure
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    1
    Anal inflammation
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Anorectal discomfort
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    0
    1
    1
    0
    Aphthous stomatitis
         subjects affected / exposed
    12 / 134 (8.96%)
    2 / 3 (66.67%)
    1 / 11 (9.09%)
    3 / 25 (12.00%)
    3 / 71 (4.23%)
    2 / 17 (11.76%)
    1 / 7 (14.29%)
         occurrences all number
    14
    3
    1
    3
    4
    2
    1
    Ascites
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    1
    0
    2
    0
    0
    Constipation
         subjects affected / exposed
    42 / 134 (31.34%)
    2 / 3 (66.67%)
    4 / 11 (36.36%)
    11 / 25 (44.00%)
    16 / 71 (22.54%)
    7 / 17 (41.18%)
    2 / 7 (28.57%)
         occurrences all number
    52
    3
    5
    12
    21
    9
    2
    Diarrhoea
         subjects affected / exposed
    78 / 134 (58.21%)
    2 / 3 (66.67%)
    3 / 11 (27.27%)
    10 / 25 (40.00%)
    44 / 71 (61.97%)
    13 / 17 (76.47%)
    6 / 7 (85.71%)
         occurrences all number
    285
    35
    6
    18
    177
    40
    9
    Dry mouth
         subjects affected / exposed
    23 / 134 (17.16%)
    0 / 3 (0.00%)
    2 / 11 (18.18%)
    6 / 25 (24.00%)
    10 / 71 (14.08%)
    5 / 17 (29.41%)
    0 / 7 (0.00%)
         occurrences all number
    31
    0
    2
    10
    13
    6
    0
    Dyspepsia
         subjects affected / exposed
    15 / 134 (11.19%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    11 / 71 (15.49%)
    2 / 17 (11.76%)
    0 / 7 (0.00%)
         occurrences all number
    19
    0
    0
    2
    14
    3
    0
    Dysphagia
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    0
    1
    1
    0
    Faecaloma
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    1
    1
    0
    0
    0
    Gastrointestinal motility disorder
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    2
    0
    0
    0
    1
    0
    1
    Gastrointestinal pain
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    6 / 134 (4.48%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    3 / 71 (4.23%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    8
    0
    1
    2
    4
    1
    0
    Gingival bleeding
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    7
    0
    0
    5
    2
    0
    0
    Gingival erythema
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Haemorrhoidal haemorrhage
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    0
    1
    1
    0
    Haemorrhoids
         subjects affected / exposed
    6 / 134 (4.48%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    8
    1
    0
    3
    2
    0
    2
    Nausea
         subjects affected / exposed
    73 / 134 (54.48%)
    2 / 3 (66.67%)
    7 / 11 (63.64%)
    17 / 25 (68.00%)
    33 / 71 (46.48%)
    9 / 17 (52.94%)
    5 / 7 (71.43%)
         occurrences all number
    132
    15
    9
    22
    58
    20
    8
    Odynophagia
         subjects affected / exposed
    4 / 134 (2.99%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    4
    0
    0
    2
    2
    0
    0
    Oesophageal pain
         subjects affected / exposed
    3 / 134 (2.24%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    3
    1
    0
    1
    0
    1
    0
    Oral pain
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    1
    Perianal erythema
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    2 / 17 (11.76%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    0
    0
    2
    0
    Rectal haemorrhage
         subjects affected / exposed
    2 / 134 (1.49%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    2
    1
    0
    0
    0
    0
    1
    Stomatitis
         subjects affected / exposed
    8 / 134 (5.97%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    2 / 71 (2.82%)
    2 / 17 (11.76%)
    2 / 7 (28.57%)
         occurrences all number
    8
    0
    0
    2
    2
    2
    2
    Tongue oedema
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    2
    0
    0
    0
    0
    Toothache
         subjects affected / exposed
    4 / 134 (2.99%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    4
    0
    0
    1
    2
    0
    1
    Vomiting
         subjects affected / exposed
    50 / 134 (37.31%)
    1 / 3 (33.33%)
    4 / 11 (36.36%)
    10 / 25 (40.00%)
    21 / 71 (29.58%)
    9 / 17 (52.94%)
    5 / 7 (71.43%)
         occurrences all number
    109
    3
    7
    15
    45
    23
    16
    Hepatobiliary disorders
    Hepatic pain
         subjects affected / exposed
    9 / 134 (6.72%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    3 / 71 (4.23%)
    2 / 17 (11.76%)
    0 / 7 (0.00%)
         occurrences all number
    11
    3
    1
    2
    3
    2
    0
    Hepatocellular injury
         subjects affected / exposed
    6 / 134 (4.48%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    2 / 71 (2.82%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    9
    3
    0
    3
    2
    1
    0
    Hepatomegaly
         subjects affected / exposed
    12 / 134 (8.96%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    4 / 25 (16.00%)
    6 / 71 (8.45%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    14
    0
    3
    4
    6
    1
    0
    Hyperbilirubinaemia
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    0
    0
    2
    1
    0
    Jaundice
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    1
    0
    2
    0
    0
    Liver disorder
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Skin and subcutaneous tissue disorders
    Acne
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    2
    1
    0
    0
    0
    Alopecia
         subjects affected / exposed
    4 / 134 (2.99%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    5
    0
    1
    3
    0
    1
    0
    Dermatitis acneiform
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Dry skin
         subjects affected / exposed
    28 / 134 (20.90%)
    2 / 3 (66.67%)
    3 / 11 (27.27%)
    4 / 25 (16.00%)
    15 / 71 (21.13%)
    3 / 17 (17.65%)
    1 / 7 (14.29%)
         occurrences all number
    41
    9
    4
    5
    17
    5
    1
    Ecchymosis
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    2
    0
    0
    0
    0
    0
    Eczema
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    0
    3
    0
    0
    0
    Erythema
         subjects affected / exposed
    9 / 134 (6.72%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    6 / 71 (8.45%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    13
    1
    0
    1
    10
    1
    0
    Hair growth abnormal
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Hyperhidrosis
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Hyperkeratosis
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    0
    2
    0
    1
    0
    Nail dystrophy
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Night sweats
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    4
    0
    1
    1
    2
    0
    0
    Onychoclasis
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Onychomadesis
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Palmar-plantar erythrodysaesthesia syndrome
         subjects affected / exposed
    9 / 134 (6.72%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    4 / 71 (5.63%)
    1 / 17 (5.88%)
    1 / 7 (14.29%)
         occurrences all number
    10
    0
    0
    3
    4
    2
    1
    Petechiae
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    1
    0
    1
    0
    0
    Pruritus
         subjects affected / exposed
    5 / 134 (3.73%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    2 / 71 (2.82%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    7
    0
    0
    2
    4
    1
    0
    Rash
         subjects affected / exposed
    17 / 134 (12.69%)
    2 / 3 (66.67%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    10 / 71 (14.08%)
    2 / 17 (11.76%)
    1 / 7 (14.29%)
         occurrences all number
    21
    2
    0
    3
    12
    3
    1
    Rash macular
         subjects affected / exposed
    3 / 134 (2.24%)
    2 / 3 (66.67%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    3
    2
    0
    0
    0
    0
    1
    Skin exfoliation
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    0
    1
    1
    0
    Umbilical erythema
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    2
    0
    0
    0
    Albuminuria
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    1
    Dysuria
         subjects affected / exposed
    8 / 134 (5.97%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    2 / 71 (2.82%)
    1 / 17 (5.88%)
    2 / 7 (28.57%)
         occurrences all number
    8
    1
    1
    1
    2
    1
    2
    Haematuria
         subjects affected / exposed
    24 / 134 (17.91%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    8 / 25 (32.00%)
    7 / 71 (9.86%)
    2 / 17 (11.76%)
    5 / 7 (71.43%)
         occurrences all number
    37
    6
    1
    9
    9
    6
    6
    Haemoglobinuria
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    1
    Oliguria
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    1
    0
    1
    0
    0
    Proteinuria
         subjects affected / exposed
    93 / 134 (69.40%)
    2 / 3 (66.67%)
    8 / 11 (72.73%)
    13 / 25 (52.00%)
    53 / 71 (74.65%)
    10 / 17 (58.82%)
    7 / 7 (100.00%)
         occurrences all number
    215
    12
    24
    30
    117
    21
    11
    Renal failure
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Urogenital fistula
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Endocrine disorders
    Hyperthyroidism
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    2 / 17 (11.76%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    0
    0
    2
    0
    Hypothyroidism
         subjects affected / exposed
    69 / 134 (51.49%)
    2 / 3 (66.67%)
    7 / 11 (63.64%)
    10 / 25 (40.00%)
    35 / 71 (49.30%)
    10 / 17 (58.82%)
    5 / 7 (71.43%)
         occurrences all number
    78
    2
    7
    14
    37
    11
    7
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    36 / 134 (26.87%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    8 / 25 (32.00%)
    19 / 71 (26.76%)
    6 / 17 (35.29%)
    1 / 7 (14.29%)
         occurrences all number
    60
    1
    2
    14
    34
    8
    1
    Back pain
         subjects affected / exposed
    34 / 134 (25.37%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    6 / 25 (24.00%)
    20 / 71 (28.17%)
    5 / 17 (29.41%)
    1 / 7 (14.29%)
         occurrences all number
    46
    1
    1
    6
    29
    7
    2
    Bone pain
         subjects affected / exposed
    6 / 134 (4.48%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    5 / 71 (7.04%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    6
    0
    0
    1
    5
    0
    0
    Fistula
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Flank pain
         subjects affected / exposed
    4 / 134 (2.99%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    5
    1
    0
    2
    2
    0
    0
    Intervertebral disc degeneration
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Intervertebral disc protrusion
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    2
    0
    0
    0
    0
    Muscle spasms
         subjects affected / exposed
    35 / 134 (26.12%)
    2 / 3 (66.67%)
    4 / 11 (36.36%)
    9 / 25 (36.00%)
    16 / 71 (22.54%)
    4 / 17 (23.53%)
    0 / 7 (0.00%)
         occurrences all number
    59
    8
    5
    16
    24
    6
    0
    Muscular weakness
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    1
    0
    0
    0
    0
    Musculoskeletal chest pain
         subjects affected / exposed
    6 / 134 (4.48%)
    0 / 3 (0.00%)
    2 / 11 (18.18%)
    1 / 25 (4.00%)
    2 / 71 (2.82%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    8
    0
    3
    2
    2
    1
    0
    Musculoskeletal pain
         subjects affected / exposed
    23 / 134 (17.16%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    6 / 25 (24.00%)
    14 / 71 (19.72%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    33
    1
    3
    10
    18
    0
    1
    Musculoskeletal stiffness
         subjects affected / exposed
    6 / 134 (4.48%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    4 / 71 (5.63%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    6
    0
    0
    1
    4
    1
    0
    Myalgia
         subjects affected / exposed
    29 / 134 (21.64%)
    0 / 3 (0.00%)
    3 / 11 (27.27%)
    5 / 25 (20.00%)
    17 / 71 (23.94%)
    4 / 17 (23.53%)
    0 / 7 (0.00%)
         occurrences all number
    44
    0
    5
    8
    26
    5
    0
    Neck pain
         subjects affected / exposed
    11 / 134 (8.21%)
    0 / 3 (0.00%)
    2 / 11 (18.18%)
    4 / 25 (16.00%)
    2 / 71 (2.82%)
    2 / 17 (11.76%)
    1 / 7 (14.29%)
         occurrences all number
    16
    0
    2
    7
    2
    3
    2
    Osteonecrosis
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Pain in extremity
         subjects affected / exposed
    25 / 134 (18.66%)
    2 / 3 (66.67%)
    1 / 11 (9.09%)
    6 / 25 (24.00%)
    13 / 71 (18.31%)
    2 / 17 (11.76%)
    1 / 7 (14.29%)
         occurrences all number
    30
    2
    2
    9
    14
    2
    1
    Rotator cuff syndrome
         subjects affected / exposed
    4 / 134 (2.99%)
    1 / 3 (33.33%)
    2 / 11 (18.18%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    5
    2
    2
    0
    1
    0
    0
    Tendonitis
         subjects affected / exposed
    5 / 134 (3.73%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    4 / 71 (5.63%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    7
    0
    1
    0
    6
    0
    0
    Vertebral lesion
         subjects affected / exposed
    1 / 134 (0.75%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    0
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    6 / 134 (4.48%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    2 / 71 (2.82%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    7
    2
    0
    2
    2
    1
    0
    Ear lobe infection
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Folliculitis
         subjects affected / exposed
    5 / 134 (3.73%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    7
    1
    1
    1
    4
    0
    0
    Fungal skin infection
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    1
    Gastroenteritis
         subjects affected / exposed
    4 / 134 (2.99%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    4
    1
    0
    1
    2
    0
    0
    Gastroenteritis viral
         subjects affected / exposed
    2 / 134 (1.49%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    1
    1
    0
    0
    0
    0
    Influenza
         subjects affected / exposed
    2 / 134 (1.49%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    1
    0
    0
    1
    0
    0
    Nasopharyngitis
         subjects affected / exposed
    8 / 134 (5.97%)
    2 / 3 (66.67%)
    2 / 11 (18.18%)
    1 / 25 (4.00%)
    3 / 71 (4.23%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    8
    2
    2
    1
    3
    0
    0
    Oral herpes
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    2 / 17 (11.76%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    0
    0
    1
    2
    0
    Perineal infection
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Respiratory tract infection
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    0
    0
    2
    1
    0
    Rhinitis
         subjects affected / exposed
    8 / 134 (5.97%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    6 / 71 (8.45%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    8
    0
    1
    0
    6
    0
    1
    Sepsis
         subjects affected / exposed
    2 / 134 (1.49%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    1
    1
    0
    0
    0
    0
    Staphylococcal infection
         subjects affected / exposed
    2 / 134 (1.49%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    1
    0
    0
    1
    0
    0
    Tooth abscess
         subjects affected / exposed
    5 / 134 (3.73%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    2 / 25 (8.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    5
    0
    0
    2
    2
    0
    1
    Tooth infection
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    0
    1
    1
    1
    0
    Urinary tract infection
         subjects affected / exposed
    10 / 134 (7.46%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    2 / 25 (8.00%)
    4 / 71 (5.63%)
    2 / 17 (11.76%)
    1 / 7 (14.29%)
         occurrences all number
    11
    0
    1
    2
    4
    3
    1
    Vaginal infection
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    1
    0
    1
    0
    0
    Wound infection
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    2
    0
    0
    0
    0
    2
    0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    74 / 134 (55.22%)
    2 / 3 (66.67%)
    6 / 11 (54.55%)
    14 / 25 (56.00%)
    38 / 71 (53.52%)
    11 / 17 (64.71%)
    3 / 7 (42.86%)
         occurrences all number
    140
    9
    7
    38
    63
    20
    3
    Dehydration
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    1
    1
    1
    0
    0
    Hypercholesterolaemia
         subjects affected / exposed
    6 / 134 (4.48%)
    1 / 3 (33.33%)
    0 / 11 (0.00%)
    1 / 25 (4.00%)
    3 / 71 (4.23%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    6
    1
    0
    1
    3
    1
    0
    Hyperkalaemia
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    2 / 17 (11.76%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    1
    0
    0
    2
    0
    Hyperphosphataemia
         subjects affected / exposed
    12 / 134 (8.96%)
    2 / 3 (66.67%)
    3 / 11 (27.27%)
    1 / 25 (4.00%)
    5 / 71 (7.04%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    16
    2
    4
    1
    8
    1
    0
    Hypertriglyceridaemia
         subjects affected / exposed
    6 / 134 (4.48%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    1 / 71 (1.41%)
    2 / 17 (11.76%)
    0 / 7 (0.00%)
         occurrences all number
    6
    0
    0
    3
    1
    2
    0
    Hyperuricaemia
         subjects affected / exposed
    2 / 134 (1.49%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    1 / 71 (1.41%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    2
    0
    0
    0
    1
    0
    1
    Hypoalbuminaemia
         subjects affected / exposed
    11 / 134 (8.21%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    8 / 71 (11.27%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    14
    0
    1
    1
    11
    1
    0
    Hypocalcaemia
         subjects affected / exposed
    3 / 134 (2.24%)
    0 / 3 (0.00%)
    1 / 11 (9.09%)
    0 / 25 (0.00%)
    2 / 71 (2.82%)
    0 / 17 (0.00%)
    0 / 7 (0.00%)
         occurrences all number
    3
    0
    1
    0
    2
    0
    0
    Hypoglycaemia
         subjects affected / exposed
    1 / 134 (0.75%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    0 / 25 (0.00%)
    0 / 71 (0.00%)
    1 / 17 (5.88%)
    0 / 7 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    Hypokalaemia
         subjects affected / exposed
    9 / 134 (6.72%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    5 / 71 (7.04%)
    0 / 17 (0.00%)
    1 / 7 (14.29%)
         occurrences all number
    11
    0
    0
    3
    7
    0
    1
    Hypomagnesaemia
         subjects affected / exposed
    16 / 134 (11.94%)
    1 / 3 (33.33%)
    1 / 11 (9.09%)
    1 / 25 (4.00%)
    9 / 71 (12.68%)
    4 / 17 (23.53%)
    0 / 7 (0.00%)
         occurrences all number
    21
    2
    1
    1
    10
    7
    0
    Hyponatraemia
         subjects affected / exposed
    13 / 134 (9.70%)
    0 / 3 (0.00%)
    3 / 11 (27.27%)
    2 / 25 (8.00%)
    3 / 71 (4.23%)
    4 / 17 (23.53%)
    1 / 7 (14.29%)
         occurrences all number
    14
    0
    3
    2
    4
    4
    1
    Hypophosphataemia
         subjects affected / exposed
    7 / 134 (5.22%)
    0 / 3 (0.00%)
    0 / 11 (0.00%)
    3 / 25 (12.00%)
    1 / 71 (1.41%)
    1 / 17 (5.88%)
    2 / 7 (28.57%)
         occurrences all number
    7
    0
    0
    3
    1
    1
    2

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    04 May 2010
    The amendment was designed: - to include an interval between the administration of S 80881 to the first and the following subjects for safety reasons, in compliance with EMEA Guideline EMEA/CHMP/SWP/28367/07. The starting dose of S 80881 (5 mg) was to be first administered to a single subject; if no DLT occurred during one week, the same dose of S 80881 was to be administered to 2 additional patients. This enrolment procedure was to be applied until the first DLT was observed. - To add blood chemistry and coagulation profile evaluations in cycle 1, at the same time points as those for haematology.
    20 Aug 2010
    The amendment aimed to add blood withdrawals for circulating tumours cells (CTC) counts at day 14 of cycle 1 and at the end of cycle 2 (day 56), only for patients enrolled at the Gustave Roussy centre, in order to allow their inclusion in the national project that aimed to analyse the relationship between the changes in CTC and the tumour response evaluated by RECIST criteria in patients enrolled in phase I clinical trials .
    13 Jan 2011
    The amendment aimed to allow treatment beyond cycle 6 for exceptional cases of continued benefit.
    05 Apr 2011
    The amendment aimed to: - Better define the characteristics of patients to be enrolled in the dose-expansion phase. - Introduce additional safety measures (urine tests for patients with proteinuria and replacement treatment for hypothyroidism). - Notify the addition of a new clinical site. - Provide clarification concerning DCE-US evaluation. - Introduce 2 blood withdrawals for CTC counts: initially submitted in France only. - Extent treatment with S 80881 beyond cycle 6 in patients experiencing continued clinical benefit: initially submitted in France only.
    19 Jul 2011
    The amendment concerned the addition of the new strength of 10 mg capsules to be used in the expansion phase in order to limit the number of capsules to be swallowed by patients at a dosage of 20 mg/day or lower (applicable in Spain, France and Italy).
    22 Dec 2011
    The amendment was designed to: - Update the sections of the Clinical Study Protocol relevant to non-clinical and clinical studies based on the results of the completed dose-escalation phase and the non-clinical data gathered since the start of the study. - Further define the eligible patient population and the required assessments. - Introduce a formal efficacy objective supported by statistical methods in the dose expansion stage to which, therefore, a phase IIa was added. - Allow an increase in the maximum number of patients, as a consequence of newly added phase IIa portion. - Clarify ADME/PD investigations to be conducted on collected plasma samples.
    26 Apr 2012
    The amendment aimed to introduce some additional assessments allowing to gain insights about the PD and PK features of the compound under investigation and its anti tumour activity: - FGF23 analysis had been added to PD tests. - The concentration of S 80881 was assessed in patients with suitable lesions (i.e. easily accessible and where a biopsy could be performed with limited risk) and willing to undergo the tumour collection procedure. - Genetic testing (e.g. CGH or FISH) was performed on archived tumour samples or on recent biopsy of an active tumour lesion, in order to explore any potentially genetic alteration in tumours of enrolled patients.
    17 Dec 2012
    The amendment aimed to: - Add intermittent schedules of 5 days on/2 days off (5/2) and 21 days on/7 days off (21/7) for S 80881 administration, taking into account the time course of toxicities observed during the study and the predicted kinetics of S 80881 when administered intermittently in humans. - Determine PK profile of patients receiving S 80881 on intermittent schedules: assuming that 12-15 patients per schedule were sufficient to determine the PK profile, the overall sample size was therefore increased to a maximum of 110 patients.
    22 Jul 2013
    The amendment was designed to submit changes relevant to production, specification, packaging and storage conditions of S 80881 drug product.
    04 Nov 2013
    The amendment was designed to add a new dose of S 80881: 12.5 mg daily on a continuous administration schedule. According to the exploratory PK/PD modeling and simulation based on data collected in the present study, a dose of 12.5mg on continuous schedule showed a good performance compared to the 15mg continuous schedule considered as reference and a better safety profile.
    12 Aug 2014
    The amendment concerned the reinforcement and management of hypertension, based on safety data from the Phase II FINESSE study. At the same occasion liver, cardiac and renal toxicity management were updated. The main changes were as follows: - Modification and strengthening of the management of hypertension. - Addition of clinical management rules in case of LVEF decrease. - Reinforcement of measures regarding the management of liver toxicities (AST/ALT increases). - Additional concomitant treatment to avoid in case of liver failure. - Specific management for proteinuria was included in the protocol consistently with the Investigator’s brochure.
    16 Feb 2015
    The amendment was designed to add a new list of concomitant medication with potential interactions with the cytochrome enzymes CYP3A4 and CYP2C8 that could impact the oxidative metabolism of S 80881.
    01 Feb 2016
    The amendment concerned the update of the background information section with information about the case of Posterior Reversible Encephalopathy Syndrome (PRES) with S 80881 observed within the context of FINESSE trial (international development). A paragraph for the management of symptoms suggestive of a PRES and confirmed PRES was also added.
    28 Nov 2016
    ­The amendment aimed to define the end of trial and propose to ongoing patients to continue lucitanib within a compassionate use following discussion with their treating physician at Vall d'Hebron Institute of Oncology. As lucitanib was not likely to be superior than standard of care therapy in the patients with advanced breast and FGF aberrant squamous non-small cell lung cancer, sponsors decided to discontinue enrolment in the ongoing trials and any future development of lucitanib under the current clinical development plan. As of 28 November 2016, all patients but 4 had discontinued the study. For these 4 patients, the benefit:risk ratio supported the continuation of lucitanib on an individual basis.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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