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    Clinical Trial Results:
    A Multicenter, Phase III, Open-Label, Randomized Study in Previously Untreated Patients With Advanced Indolent Non-Hodgkin's Lymphoma Evaluating the Benefit of GA101 (RO5072759) Plus Chemotherapy Compared with Rituximab Plus Chemotherapy Followed by GA101 or Rituximab Maintenance Therapy in Responders

    Summary
    EudraCT number
    2010-024132-41
    Trial protocol
    BE   GB   CZ   SE   DE   HU   FR   ES   IT   FI  
    Global end of trial date
    30 Jul 2021

    Results information
    Results version number
    v3(current)
    This version publication date
    25 Aug 2022
    First version publication date
    16 Mar 2017
    Other versions
    v1 , v2
    Version creation reason

    Trial information

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    Trial identification
    Sponsor protocol code
    BO21223
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01332968
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Study name: GALLIUM
    Sponsors
    Sponsor organisation name
    F. Hoffmann-La Roche AG
    Sponsor organisation address
    Grenzacherstrasse 124, Basel, Switzerland, CH-4070
    Public contact
    F. Hoffmann-La Roche AG, F. Hoffmann-La Roche AG, +41 616878333, global.trial_information@roche.com
    Scientific contact
    F. Hoffmann-La Roche AG, F. Hoffmann-La Roche AG, +41 616878333, global.trial_information@roche.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
    30 Jul 2021
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    31 Jan 2016
    Global end of trial reached?
    Yes
    Global end of trial date
    30 Jul 2021
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the efficacy of obinutuzumab (RO5072759) in combination with chemotherapy compared to rituximab (MabThera/Rituxan) with chemotherapy followed by obinutuzumab or rituximab maintenance in subjects with previously untreated advanced follicular non-Hodgkin's lymphoma.
    Protection of trial subjects
    All study subjects were required to read and sign an Informed Consent Form.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    06 Jul 2011
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Efficacy
    Long term follow-up duration
    5 Years
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    China: 58
    Country: Number of subjects enrolled
    Japan: 129
    Country: Number of subjects enrolled
    Taiwan: 4
    Country: Number of subjects enrolled
    Czechia: 100
    Country: Number of subjects enrolled
    Hungary: 71
    Country: Number of subjects enrolled
    Russian Federation: 12
    Country: Number of subjects enrolled
    Canada: 138
    Country: Number of subjects enrolled
    United States: 31
    Country: Number of subjects enrolled
    Australia: 135
    Country: Number of subjects enrolled
    Israel: 6
    Country: Number of subjects enrolled
    Belgium: 35
    Country: Number of subjects enrolled
    Germany: 237
    Country: Number of subjects enrolled
    Spain: 48
    Country: Number of subjects enrolled
    Finland: 4
    Country: Number of subjects enrolled
    France: 30
    Country: Number of subjects enrolled
    United Kingdom: 294
    Country: Number of subjects enrolled
    Italy: 59
    Country: Number of subjects enrolled
    Sweden: 10
    Worldwide total number of subjects
    1401
    EEA total number of subjects
    594
    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)
    937
    From 65 to 84 years
    454
    85 years and over
    10

    Subject disposition

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    Recruitment
    Recruitment details
    The study was conducted at 177 centers in 18 countries.

    Pre-assignment
    Screening details
    Eleven patients withdrew from the study after randomization but prior to receiving study treatment.

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

    Arms
    Are arms mutually exclusive
    No

    Arm title
    Rituximab+Chemotherapy – Induction
    Arm description
    Subjects received either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during induction period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual subject was chosen by the site prior to initiation of the study.
    Arm type
    Active comparator

    Investigational medicinal product name
    Cyclophosphamide
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Cyclophosphamide 750 milligrams per square metre (mg/m^2) will be administered intravenously (IV) on Day 1 of each cycle during induction period.

    Investigational medicinal product name
    Doxorubicin
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Doxorubicin 50 mg/m^2 IV will be administered on Day 1 of each cycle during induction period.

    Investigational medicinal product name
    Vincristine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Vincristine 1.4 mg/m^2 (maximum 2 mg) IV will be administered on Day 1 of each cycle during induction period.

    Investigational medicinal product name
    Prednisone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Prednisone 100 mg (or equivalent prednisolone or methylprednisolone) will be administered orally on Days 1-5 of each cycle during induction period

    Investigational medicinal product name
    Bendamustine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Bendamustine 90 mg/m^2 IV infusion will be administered on Days 1 and 2 of each cycle during induction period.

    Investigational medicinal product name
    Rituximab
    Investigational medicinal product code
    Other name
    MabThera/Rituxan
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Rituximab 375 mg/m^2 IV infusion will be administered on Day 1 of each cycle during induction period and rituximab 375 mg/m^2 every 2 months during maintenance period.

    Arm title
    Obinutuzumab+Chemotherapy – Induction
    Arm description
    Subjects received either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual subject was chosen by the site prior to initiation of the study.
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    GA101; RO5072759
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab 1000 mg IV infusion will be administered on Day 1, 8, and 15 of Cycle 1 and then on Day 1 of each subsequent cycle during induction period and obinutuzumab 1000 mg IV infusion every 2 months during maintenance period.

    Investigational medicinal product name
    Cyclophosphamide
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Cyclophosphamide 750 mg/m^2 IV will be administered on Day 1 of each cycle during induction period.

    Investigational medicinal product name
    Doxorubicin
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Doxorubicin 50 mg/m^2 IV will be administered on Day 1 of each cycle during induction period.

    Investigational medicinal product name
    Vincristine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Vincristine 1.4 mg/m^2 (maximum 2 mg) IV will be administered on Day 1 of each cycle during induction period.

    Investigational medicinal product name
    Prednisone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Prednisone 100 mg (or equivalent prednisolone or methylprednisolone) will be administered orally on Days 1-5 of each cycle during induction period

    Investigational medicinal product name
    Bendamustine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Bendamustine 90 mg/m^2 IV infusion will be administered on Days 1 and 2 of each cycle during induction period.

    Arm title
    Rituximab+Chemotherapy – Maintenance
    Arm description
    The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received rituximab monotherapy every 2 months for 2 years during the maintenance period.
    Arm type
    Active comparator

    Investigational medicinal product name
    Rituximab
    Investigational medicinal product code
    Other name
    MabThera/Rituxan
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Rituximab 375 mg/m^2 IV infusion will be administered on Day 1 of each cycle during induction period and rituximab 375 mg/m^2 every 2 months during maintenance period.

    Arm title
    Obinutuzumab+Chemotherapy – Maintenance
    Arm description
    The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received obinutuzumab monotherapy every 2 months for 2 years during the maintenance period.
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    GA101; RO5072759
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab 1000 mg IV infusion will be administered on Day 1, 8, and 15 of Cycle 1 and then on Day 1 of each subsequent cycle during induction period and obinutuzumab 1000 mg IV infusion every 2 months during maintenance period.

    Arm title
    Rituximab+Chemotherapy – Observation
    Arm description
    The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Non-responders received no protocol specified treatment during the 2-year observation period.
    Arm type
    Active comparator

    Investigational medicinal product name
    Rituximab
    Investigational medicinal product code
    Other name
    MabThera/Rituxan
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Rituximab 375 mg/m^2 IV infusion will be administered on Day 1 of each cycle during induction period and rituximab 375 mg/m^2 every 2 months during maintenance period.

    Arm title
    Obinutuzumab+Chemotherapy – Observation
    Arm description
    The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Non-responders received no protocol specified treatment during the 2-year observation period.
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    GA101; RO5072759
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab 1000 mg IV infusion will be administered on Day 1, 8, and 15 of Cycle 1 and then on Day 1 of each subsequent cycle during induction period and obinutuzumab 1000 mg IV infusion every 2 months during maintenance period.

    Arm title
    Rituximab+Chemotherapy – Follow-up
    Arm description
    Finally, subjects were followed during a 5-year follow-up period.
    Arm type
    Active comparator

    Investigational medicinal product name
    Rituximab
    Investigational medicinal product code
    Other name
    MabThera/Rituxan
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Rituximab 375 mg/m^2 IV infusion will be administered on Day 1 of each cycle during induction period and rituximab 375 mg/m^2 every 2 months during maintenance period.

    Arm title
    Obinutuzumab+Chemotherapy – Follow-up
    Arm description
    Finally, subjects were followed during a 5-year follow-up period.
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    GA101; RO5072759
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab 1000 mg IV infusion will be administered on Day 1, 8, and 15 of Cycle 1 and then on Day 1 of each subsequent cycle during induction period and obinutuzumab 1000 mg IV infusion every 2 months during maintenance period.

    Number of subjects in period 1
    Rituximab+Chemotherapy – Induction Obinutuzumab+Chemotherapy – Induction Rituximab+Chemotherapy – Maintenance Obinutuzumab+Chemotherapy – Maintenance Rituximab+Chemotherapy – Observation Obinutuzumab+Chemotherapy – Observation Rituximab+Chemotherapy – Follow-up Obinutuzumab+Chemotherapy – Follow-up
    Started
    699
    702
    612
    624
    12
    11
    554
    602
    Completed
    641
    646
    451
    475
    12
    10
    324
    367
    Not completed
    58
    56
    161
    149
    0
    1
    230
    235
         Physician decision
    6
    1
    14
    19
    -
    1
    12
    15
         Adverse Event
    23
    26
    53
    66
    -
    -
    -
    4
         Death
    1
    4
    5
    6
    -
    -
    27
    30
         Progressive Disease
    15
    7
    72
    40
    -
    -
    126
    106
         Not Specified
    2
    2
    4
    7
    -
    -
    18
    21
         Non-compliance
    1
    -
    4
    3
    -
    -
    4
    9
         Randomised but not treated
    4
    7
    -
    -
    -
    -
    -
    -
         Withdrawal by Subject
    3
    5
    7
    5
    -
    -
    29
    32
         Lost to follow-up
    -
    -
    1
    2
    -
    -
    11
    15
         Protocol deviation
    3
    4
    1
    1
    -
    -
    1
    -
         No reason provided
    -
    -
    -
    -
    -
    -
    2
    3

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall Period
    Reporting group description
    -

    Reporting group values
    Overall Period Total
    Number of subjects
    1401 1401
    Age Categorical
    Units: Subjects
        Adults (18-64 years)
    937 937
        From 65-84 years
    454 454
        85 years and over
    10 10
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    58.5 ± 11.9 -
    Gender Categorical
    Units: Subjects
        Female
    739 739
        Male
    662 662
    Age Continuous in Follicular Lymphoma Sub-Population
    Age continuous for subjects with follicular lymphoma, who encompassed the population for the primary endpoint (n=601 for each arm in the follicular lymphoma intent-to-treat population).
    Units: years
        arithmetic mean (standard deviation)
    57.9 ± 11.9 -
    Subject analysis sets

    Subject analysis set title
    Rituximab+Chemotherapy
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    Subjects received either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, subjects were followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual subject was chosen by the site prior to initiation of the study.

    Subject analysis set title
    Obinutuzumab+Chemotherapy
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    Subjects received either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, subjects were followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual subject was chosen by the site prior to initiation of the study.

    Subject analysis sets values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects
    699
    702
    Age Categorical
    Units: Subjects
        Adults (18-64 years)
    473
    464
        From 65-84 years
    221
    233
        85 years and over
    5
    5
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    58.1 ± 12.3
    58.9 ± 11.6
    Gender Categorical
    Units: Subjects
        Female
    374
    365
        Male
    325
    337
    Age Continuous in Follicular Lymphoma Sub-Population
    Age continuous for subjects with follicular lymphoma, who encompassed the population for the primary endpoint (n=601 for each arm in the follicular lymphoma intent-to-treat population).
    Units: years
        arithmetic mean (standard deviation)
    57.7 ± 12.2
    58.2 ± 11.5

    End points

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    End points reporting groups
    Reporting group title
    Rituximab+Chemotherapy – Induction
    Reporting group description
    Subjects received either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during induction period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual subject was chosen by the site prior to initiation of the study.

    Reporting group title
    Obinutuzumab+Chemotherapy – Induction
    Reporting group description
    Subjects received either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual subject was chosen by the site prior to initiation of the study.

    Reporting group title
    Rituximab+Chemotherapy – Maintenance
    Reporting group description
    The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received rituximab monotherapy every 2 months for 2 years during the maintenance period.

    Reporting group title
    Obinutuzumab+Chemotherapy – Maintenance
    Reporting group description
    The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received obinutuzumab monotherapy every 2 months for 2 years during the maintenance period.

    Reporting group title
    Rituximab+Chemotherapy – Observation
    Reporting group description
    The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Non-responders received no protocol specified treatment during the 2-year observation period.

    Reporting group title
    Obinutuzumab+Chemotherapy – Observation
    Reporting group description
    The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Non-responders received no protocol specified treatment during the 2-year observation period.

    Reporting group title
    Rituximab+Chemotherapy – Follow-up
    Reporting group description
    Finally, subjects were followed during a 5-year follow-up period.

    Reporting group title
    Obinutuzumab+Chemotherapy – Follow-up
    Reporting group description
    Finally, subjects were followed during a 5-year follow-up period.

    Subject analysis set title
    Rituximab+Chemotherapy
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    Subjects received either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, subjects were followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual subject was chosen by the site prior to initiation of the study.

    Subject analysis set title
    Obinutuzumab+Chemotherapy
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    Subjects received either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, subjects were followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual subject was chosen by the site prior to initiation of the study.

    Primary: Progression-Free Survival (PFS) in the Follicular Lymphoma Population, Investigator-Assessed

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    End point title
    Progression-Free Survival (PFS) in the Follicular Lymphoma Population, Investigator-Assessed
    End point description
    PFS in subjects with follicular lymphoma was defined as the time from randomisation until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of investigator assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimetre (cm) or >/= 50% increase in other target measurable lesions and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumour measurements were obtained by computed tomography (CT) or magnetic resonance imaging (MRI). FL ITT population was defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
    End point type
    Primary
    End point timeframe
    Baseline up to data cut-off (up to approximately 4 years and 7 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: percentage of subjects with event
        number (not applicable)
    24.0
    16.8
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0012 [1]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.66
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.51
         upper limit
    0.85
    Notes
    [1] - Stratified by chemotherapy regimen and Follicular Lymphoma International Prognostic Index (FLIPI) risk group.

    Secondary: Progression-Free Survival in the Follicular Lymphoma Population, Investigator-Assessed

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    End point title
    Progression-Free Survival in the Follicular Lymphoma Population, Investigator-Assessed
    End point description
    PFS in subjects with follicular lymphoma was defined as the time from randomisation until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of investigator assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimetre (cm) or >/= 50% increase in other target measurable lesions and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumour measurements were obtained by computed tomography (CT) or magnetic resonance imaging (MRI). FL ITT population was defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline up to final analysis (up to 10 years)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: percentage of subjects with event
        number (not applicable)
    40.6
    34.3
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0055
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.77
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.64
         upper limit
    0.93

    Secondary: Progression-Free Survival in the Overall Study Population, Investigator-Assessed

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    End point title
    Progression-Free Survival in the Overall Study Population, Investigator-Assessed
    End point description
    PFS in the overall study population was defined as the time from randomisation until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of investigator assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumour measurements were obtained by CT/MRI. The ITT population was defined as all randomised subjects grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline up to data cut-off (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    699
    702
    Units: percentage of subjects with event
        number (not applicable)
    41.5
    34.8
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0028
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.77
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.65
         upper limit
    0.91

    Secondary: Progression-Free Survival (PFS) (Follicular Lymphoma Population), IRC-Assessed

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    End point title
    Progression-Free Survival (PFS) (Follicular Lymphoma Population), IRC-Assessed
    End point description
    PFS in the subjects with follicular lymphoma was defined as the time from randomisation until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of IRC assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumour measurements were obtained by CT/MRI. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline up to data cut-off (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: percentage of subjects with event
        number (not applicable)
    23.5
    18.0
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0118
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.72
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.56
         upper limit
    0.93

    Secondary: Progression-Free Survival (PFS) (Overall Study Population), Assessed by Independent Review Committee (IRC)

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    End point title
    Progression-Free Survival (PFS) (Overall Study Population), Assessed by Independent Review Committee (IRC)
    End point description
    PFS in the overall study population was defined as the time from randomisation until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of IRC assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumour measurements were obtained by CT/MRI. The ITT population was defined as all randomised subjects grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline up to data cut-off (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    699
    702
    Units: percentage of subjects with event
        number (not applicable)
    24.6
    18.4
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0038
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.71
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.57
         upper limit
    0.9

    Secondary: Overall Response (Follicular Lymphoma Population), Investigator-Assessed

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    End point title
    Overall Response (Follicular Lymphoma Population), Investigator-Assessed
    End point description
    Percentage of subjects with overall response in the follicular lymphoma population was defined as percentage of subjects with PR or complete response CR determined on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumour assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions; PR was defined as >=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%. Overall Response (OR) = CR + PR. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline up to end of induction period (up to approximately 7 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: percentage of subjects with event
    number (not applicable)
        Without PET (n=519, 530)
    86.4
    88.2
        With PET (n=242, 254)
    81.2
    85.5
    Statistical analysis title
    Without PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.3
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    1.8
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.02
         upper limit
    5.68
    Statistical analysis title
    With PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.17
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    4.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.8
         upper limit
    10.5

    Secondary: Overall Response (Overall Study Population), Investigator-Assessed

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    End point title
    Overall Response (Overall Study Population), Investigator-Assessed
    End point description
    Percentage of subjects with overall response in the overall study population was defined as percentage of subjects with partial response (PR) or complete response (CR) determined on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumour assessments were performed with CT/MRI with or without positron emission tomography (PET). CR was defined as disappearance of all target lesions; PR was defined as >=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%; Overall Response (OR) = CR + PR. The ITT population was defined as all randomised subjects grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline up to end of induction period (up to approximately 7 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    699
    702
    Units: percentage of subjects with event
    number (not applicable)
        Without PET (n=599, 613)
    85.7
    87.3
        With PET (n=270, 274)
    81.8
    85.4
    Statistical analysis title
    With PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.17
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    3.5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.3
         upper limit
    9.4
    Statistical analysis title
    Without PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.33
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    1.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2
         upper limit
    5.3

    Secondary: Complete Response (Follicular Lymphoma Population), Investigator-Assessed

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    End point title
    Complete Response (Follicular Lymphoma Population), Investigator-Assessed
    End point description
    Complete response in the follicular lymphoma population was determined on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumour assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline up to end of induction period (up to approximately 7 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: percentage of subjects with event
    number (not applicable)
        Without PET (n=145, 112)
    24.1
    18.6
        With PET (n=169, 184)
    56.7
    62.0
    Statistical analysis title
    Without PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.02
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    -5.5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -10.2
         upper limit
    -0.78
    Statistical analysis title
    With PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.32
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    5.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.8
         upper limit
    13.3

    Secondary: Complete Response (Overall Study Population), Investigator-Assessed

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    End point title
    Complete Response (Overall Study Population), Investigator-Assessed
    End point description
    Complete response in the overall study population was determined on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions. The ITT population was defined as all randomised subjects grouped according to their randomised treatment arm regardless of what treatments were actually received. Reported is the percentage of subjects with event.
    End point type
    Secondary
    End point timeframe
    Baseline up to end of induction period (up to approximately 7 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    699
    702
    Units: percentage of subjects with event
    number (not applicable)
        Without PET (n=163, 129)
    23.3
    18.4
        With PET (n=188, 196)
    57.0
    61.1
    Statistical analysis title
    With PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.33
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    4.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.6
         upper limit
    11.8
    Statistical analysis title
    Without PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.02
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    -4.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -9.3
         upper limit
    0.6

    Secondary: Overall Response (Follicular Lymphoma Population), IRC-Assessed

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    End point title
    Overall Response (Follicular Lymphoma Population), IRC-Assessed
    End point description
    Percentage of subjects with overall response in the follicular lymphoma population was defined as percentage of subjects with PR or complete response CR determined on the basis of IRC assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumour assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions; PR was defined as >=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%. Overall Response (OR) = CR + PR. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline up to end of induction period (up to approximately 7 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: percentage of subjects with event
    number (not applicable)
        Without PET (n=529, 549)
    88.0
    91.3
        With PET (n=254, 263)
    85.2
    88.6
    Statistical analysis title
    Without PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.052
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    3.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.19
         upper limit
    6.85
    Statistical analysis title
    With PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.3
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    3.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.3
         upper limit
    8.9

    Secondary: Overall Response (Overall Study Population), IRC-Assessed

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    End point title
    Overall Response (Overall Study Population), IRC-Assessed
    End point description
    Percentage of subjects with overall response in the overall study population was defined as percentage of subjects with PR or CR determined on the basis of IRC assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumour assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions; PR was defined as >=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%; Overall Response (OR) = CR + PR. The ITT population was defined as all randomised subjects grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline up to end of induction period (up to approximately 7 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    699
    702
    Units: percentage of subjects with event
    number (not applicable)
        Without PET (n=606, 631)
    86.7
    89.9
        With PET (n=330, 321)
    83.3
    87.2
    Statistical analysis title
    Without PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.049
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    3.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.3
         upper limit
    6.6
    Statistical analysis title
    With PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.22
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    3.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.7
         upper limit
    9.5

    Secondary: Complete Response (Follicular Lymphoma Population), IRC-Assessed

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    End point title
    Complete Response (Follicular Lymphoma Population), IRC-Assessed
    End point description
    Complete response in the follicular lymphoma population was determined on the basis of IRC assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumour assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline up to end of induction period (up to approximately 7 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: percentage of subjects with event
    number (not applicable)
        Without PET (n=161, 171)
    26.8
    28.5
        With PET (n=178, 212)
    59.7
    71.4
    Statistical analysis title
    Wirh PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.006
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    11.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    3.9
         upper limit
    19.4
    Statistical analysis title
    Without PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.58
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    1.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.5
         upper limit
    6.8

    Secondary: Complete Response (Overall Study Population), IRC-Assessed

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    End point title
    Complete Response (Overall Study Population), IRC-Assessed
    End point description
    Complete response in the overall study population was determined on the basis of IRC assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumour assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions. The ITT population was defined as all randomised subjects grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline up to end of induction period (up to approximately 7 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    699
    702
    Units: percentage of subjects with event
    number (not applicable)
        Without PET (n=184, 190)
    26.3
    27.1
        With PET (n=196, 223)
    59.4
    69.5
    Statistical analysis title
    Without PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.8
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    0.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -4
         upper limit
    5.5
    Statistical analysis title
    With PET
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.009
    Method
    Logrank
    Parameter type
    Absolute difference in %
    Point estimate
    10.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.6
         upper limit
    17.6

    Secondary: Overall Survival (Follicular Lymphoma Population)

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    End point title
    Overall Survival (Follicular Lymphoma Population)
    End point description
    Overall survival in the follicular lymphoma population was defined as the time from the date of randomisation to the date of death from any cause. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received. Reported is the percentage of subjects with event.
    End point type
    Secondary
    End point timeframe
    Baseline up to 10 years
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: percentage of subjects with event
        number (not applicable)
    14.3
    12.6
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.3577
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.86
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.63
         upper limit
    1.18

    Secondary: Overall Survival (Overall Study Population)

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    End point title
    Overall Survival (Overall Study Population)
    End point description
    Overall survival in the overall study population was defined as the time from the date of randomisation to the date of death from any cause. The ITT population was defined as all randomised subjects grouped according to their randomised treatment arm regardless of what treatments were actually received. Reported is the percentage of subjects with event.
    End point type
    Secondary
    End point timeframe
    Baseline up to data cut-off (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    699
    702
    Units: percentage of subjects with event
        number (not applicable)
    10.2
    8.4
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.25
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.82
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.58
         upper limit
    1.16

    Secondary: Event-Free Survival (Follicular Lymphoma Population)

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    End point title
    Event-Free Survival (Follicular Lymphoma Population)
    End point description
    Event-free survival: time from the date of randomisation to the date to disease progression/relapse, death from any cause, or initiation of a new anti-lymphoma treatment (NALT) on the basis of investigator assessment assessments with the use of Revised Response Criteria for Malignant Lymphoma. Disease progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumour measurements were obtained by CT/MRI. FL ITT population: all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received. Reported: percentage of subjects with event
    End point type
    Secondary
    End point timeframe
    Baseline up to 10 years
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: percentage of subjects with event
        number (not applicable)
    42.9
    35.8
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0015
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.74
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.62
         upper limit
    0.89

    Secondary: Event-Free Survival (Overall Study Population)

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    End point title
    Event-Free Survival (Overall Study Population)
    End point description
    Event-free survival was defined as the time from the date of randomisation to the date to disease progression/relapse, death from any cause, or initiation of a new anti-lymphoma treatment (NALT) on the basis of investigator assessment assessments with the use of Revised Response Criteria for Malignant Lymphoma. Disease progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumour measurements were obtained by CT/MRI. The ITT population was defined as all randomised subjects grouped according to their randomised treatment arm regardless of what treatments were actually received. Reported: percentage of subjects with event.
    End point type
    Secondary
    End point timeframe
    Baseline up to data cut-off (up to approximately 4 years and 7 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    699
    702
    Units: percentage of subjects with event
        number (not applicable)
    30.6
    22.6
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0004
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.69
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.56
         upper limit
    0.85

    Secondary: Disease-Free Survival (DFS), (Follicular Lymphoma Population)

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    End point title
    Disease-Free Survival (DFS), (Follicular Lymphoma Population)
    End point description
    DFS: time from the date of the first occurrence of a documented CR to the date of disease progression/ relapse, or death from any cause on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumour assessments were performed with CT/MRI. CR was defined as disappearance of all target lesions. Progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Subjects with CR within the FL ITT population were included in the analysis. Reported: percentage of subjects with event.
    End point type
    Secondary
    End point timeframe
    From first occurrence of documented CR to data cut-off (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    330
    355
    Units: percentage of subjects with event
        number (not applicable)
    27.9
    26.3
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    685
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.95
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.71
         upper limit
    1.27

    Secondary: Disease-Free Survival (DFS) (Overall Study Population)

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    End point title
    Disease-Free Survival (DFS) (Overall Study Population)
    End point description
    DFS: time from the date of the first occurrence of a documented CR to the date of disease progression/ relapse, or death from any cause on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumour assessments were performed with CT/MRI. CR was defined as disappearance of all target lesions. Progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Subjects with CR within the ITT population were included in the analysis. Reported: percentage of subjects with event.
    End point type
    Secondary
    End point timeframe
    From first occurrence of documented CR to data cut-off (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    320
    343
    Units: percentage of subjects with event
        number (not applicable)
    14.9
    11.2
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    663
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.78
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.5
         upper limit
    1.19

    Secondary: Duration of Response (DOR) (Follicular Lymphoma Population), Investigator-Assessed

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    End point title
    Duration of Response (DOR) (Follicular Lymphoma Population), Investigator-Assessed
    End point description
    DOR was defined as the time from first occurrence of a documented CR or PR to disease progression/relapse, or death from any cause. Tumour assessments by CT/MRI. CR: disappearance of all target lesions. PR: >/=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions, no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%. Progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm.Subjects with CR or PR within the FL ITT population were included in the analysis. Reported is the percentage of subjects with event.
    End point type
    Secondary
    End point timeframe
    From first occurrence of documented CR or PR to data cut-off (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    568
    571
    Units: percentage of subjects with event
        number (not applicable)
    39.3
    33.3
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1139
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.76
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.63
         upper limit
    0.93

    Secondary: Duration of Response (DOR) (Overall Study Population), Investigator-Assessed

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    End point title
    Duration of Response (DOR) (Overall Study Population), Investigator-Assessed
    End point description
    DOR was defined as the time from first occurrence of a documented CR or PR to disease progression/relapse, or death from any cause. Tumour assessments by CT/MRI. CR: disappearance of all target lesions. PR: >/=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%. Progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Subjects with CR or PR within the ITT population were included in the analysis. Reported is the percentage of subjects with event.
    End point type
    Secondary
    End point timeframe
    From first occurrence of documented CR or PR to data cut-off (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    656
    659
    Units: percentage of subjects with event
        number (not applicable)
    25.5
    18.7
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1315
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.69
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.55
         upper limit
    0.88

    Secondary: Time to Next Anti-Lymphoma Treatment (Follicular Lymphoma Population)

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    End point title
    Time to Next Anti-Lymphoma Treatment (Follicular Lymphoma Population)
    End point description
    Time to next anti-lymphoma treatment was defined as the time from the date of randomisation to the start date of the next anti-lymphoma treatment or death from any cause. Reported is the percentage of subjects who started next anti-lymphoma treatment. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received. Reported is the percentage of subjects with event.
    End point type
    Secondary
    End point timeframe
    Baseline up to 10 years
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: percentage of subjects with event
        number (not applicable)
    34.8
    26.6
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1202
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.71
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.58
         upper limit
    0.87

    Secondary: Time to Next Anti-Lymphoma Treatment (Overall Study Population)

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    End point title
    Time to Next Anti-Lymphoma Treatment (Overall Study Population)
    End point description
    Time to next anti-lymphoma treatment was defined as the time from the date of randomisation to the start date of the next anti-lymphoma treatment or death from any cause. Reported is the percentage of subjects who started next anti-lymphoma treatment. The ITT population was defined as all randomised subjects grouped according to their randomised treatment arm regardless of what treatments were actually received. Reported is the percentage of subjects with event.
    End point type
    Secondary
    End point timeframe
    Baseline up to data cut-off (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    699
    702
    Units: percentage of subjects with event
        number (not applicable)
    21.6
    15.7
    Statistical analysis title
    Rituximab versus Obinutuzumab
    Comparison groups
    Rituximab+Chemotherapy v Obinutuzumab+Chemotherapy
    Number of subjects included in analysis
    1401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.54
         upper limit
    0.89

    Secondary: Percentage of Subjects With Adverse Events

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    End point title
    Percentage of Subjects With Adverse Events
    End point description
    An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. The safety analysis population included all subjects who received any amount of any study drug and subjects were analysed according to the treatment received.
    End point type
    Secondary
    End point timeframe
    Baseline up to 10 years
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    692
    698
    Units: percentage of subjects
        number (not applicable)
    99.6
    99.9
    No statistical analyses for this end point

    Secondary: Change from Baseline in All Domains of FACT-G (Follicular Lymphoma Population)

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    End point title
    Change from Baseline in All Domains of FACT-G (Follicular Lymphoma Population)
    End point description
    FACT-G consists of the following 4 FACT-Lym sub-questionnaires: Physical Well-being (range: 0-28), Social/Family Well-being (range: 0-28), Emotional Well-being (range: 0-24) and Functional Well-being (range: 0-28). Higher scores indicate better outcomes. A positive change from baseline indicates improvement. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline (Induction Cycle 1, Day 1), end of study (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: Units on a scale
    arithmetic mean (standard deviation)
        Physical Well-being (PW), Baseline (n=557, n=566)
    23.36 ± 4.77
    23.14 ± 4.85
        PW Change, Cycle 3, Day 1 (n=511,496)
    -0.91 ± 4.54
    -0.21 ± 4.59
        PW Change, End Induction (n=482, 480)
    -0.06 ± 4.83
    0.56 ± 5.14
        PW Change, Maint Month 2 (n=362, 398)
    0.83 ± 4.76
    1.42 ± 5.09
        PW Change, Maint Month 12 (n=362, 406)
    1.14 ± 4.29
    1.34 ± 4.74
        PW Change, End Maint (n=411, 437)
    0.88 ± 4.54
    1.33 ± 5.00
        Social/Family Well-being , Baseline (n=555, 563)
    22.84 ± 4.92
    23.28 ± 4.77
        S/FW Change, Cycle 3 Day 1 (n=506, 492)
    -0.52 ± 4.03
    -0.67 ± 3.92
        S/FW Change, End Induction (n=482, 475)
    -0.46 ± 4.77
    -0.56 ± 5.00
        S/FW Change, Maint Month 2 (n=359, 396)
    -0.39 ± 4.72
    -0.67 ± 4.68
        S/FW Change, Maint Month 12 (n=359, 403)
    -0.61 ± 5.56
    -0.97 ± 5.34
        S/FW Change, End Maint (n=410, 436)
    -0.93 ± 5.67
    -0.71 ± 5.54
        Emotional Well-being (EW), Baseline (n=556, 563)
    17.64 ± 4.19
    17.87 ± 4.13
        EW Change, Cycle 3 Day 1 (n=503, 490)
    1.49 ± 3.40
    1.35 ± 3.35
        EW Change, End Induction (n=478, 476)
    1.16 ± 3.90
    1.14 ± 3.87
        EW Change, Maint Month 2 (n=359, 396)
    1.77 ± 3.88
    1.49 ± 4.16
        EW Change, Maint Month 12 (n=360, 402)
    1.45 ± 3.92
    1.46 ± 3.88
        EW Change, End Maint (n=405, 435)
    1.43 ± 3.98
    1.49 ± 3.99
        Functional Well-being (FW), Baseline (n=556, 563)
    18.66 ± 6.19
    18.76 ± 5.98
        FW Change, Cycle 3 Day 1 (n=504, 488)
    -0.30 ± 5.30
    -0.07 ± 5.24
        FW Change, End Induction (n=480, 476)
    0.44 ± 5.63
    0.93 ± 5.85
        FW Change, Maint Month 2 (n=359, 396)
    1.04 ± 5.31
    1.25 ± 6.02
        FW Change, Maint Month 12 (n=360, 402)
    1.84 ± 5.54
    1.65 ± 5.95
        FW Change, End Maint (n=406, 436)
    1.40 ± 6.12
    1.72 ± 6.16
    No statistical analyses for this end point

    Secondary: Change From Baseline in FACT-Lym Total Outcome Index (TOI) Score (Follicular Lymphoma Population)

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    End point title
    Change From Baseline in FACT-Lym Total Outcome Index (TOI) Score (Follicular Lymphoma Population)
    End point description
    The FACT-Lym TOI Score for the follicular lymphoma population was derived from the following 3 individual FACT-Lym questionnaire subscale scores: Physical Well-being (range: 0-28), Functional Well-being (range: 0-28) and Lymphoma (range: 0-60). The FACT-Lym TOI Score is the sum of the 3 individual subscales (range 0-116). Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline (Induction Cycle 1, Day 1), end of study (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: Units on a scale
    arithmetic mean (standard deviation)
        TOI Score, Baseline (n=559, 567)
    86.61 ± 18.16
    86.94 ± 18.05
        TOI Score Change, Cycle 3 Day 1 (n=514, 497)
    0.46 ± 15.03
    2.18 ± 15.95
        TOI Score Change, End Induction (n=485, 481)
    2.91 ± 17.00
    4.57 ± 16.71
        TOI Score Change, Maint Month 2 (n=363, 400)
    6.22 ± 16.16
    7.17 ± 16.57
        TOI Score Change, Maint Month 12 (n=362, 408)
    7.61 ± 15.62
    7.20 ± 16.75
        TOI Score Change, End Maint (n=412, 440)
    6.23 ± 17.06
    7.44 ± 16.96
    No statistical analyses for this end point

    Secondary: Change From Baseline in FACT-Lym Individual Subscale Lymphoma Score (Follicular Population)

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    End point title
    Change From Baseline in FACT-Lym Individual Subscale Lymphoma Score (Follicular Population)
    End point description
    The FACT-Lym Individual Subscale Lymphoma Score for the follicular lymphoma population was derived from the Lymphoma subscale questionnaire (range: 0-60). Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline (Induction Cycle 1, Day 1), end of study (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: Units on a scale
    arithmetic mean (standard deviation)
        Lymphoma, Baseline (n=556, 563)
    45.01 ± 9.37
    45.54 ± 9.29
        Lymphoma Change, Cycle 3 Day 1 (n=509, 491)
    2.04 ± 7.18
    2.71 ± 7.46
        Lymphoma Change, End Induction (n=477, 478)
    2.99 ± 8.63
    3.01 ± 8.36
        Lymphoma Change, Maint Month 2 (n=360, 395)
    4.80 ± 8.29
    4.52 ± 8.32
        Lymphoma Change, Maint Month 12 (n=360, 404)
    4.93 ± 8.34
    4.27 ± 8.31
        Lymphoma Change, End Maint (n=407, 438)
    4.31 ± 8.81
    4.57 ± 8.54
    No statistical analyses for this end point

    Secondary: Change From Baseline in Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) Total Score (Follicular Population)

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    End point title
    Change From Baseline in Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) Total Score (Follicular Population)
    End point description
    The FACT-Lym Total Score for the follicular lymphoma population was derived from the following 5 individual FACT-Lym questionnaire subscale scores: Physical Well-being (range: 0-28), Social/Family Well-being (range: 0-28), Emotional Well-being (range: 0-24),Functional Well-being (range: 0-28) and Lymphoma (range: 0-60). The FACT-Lym Total Score is the sum of all 5 individual subscales (range 0-168). Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Baseline (Induction Cycle 1, Day 1), end of study (up to approximately 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: Units on a scale
    arithmetic mean (standard deviation)
        Total Score, Baseline (n=552, 559)
    127.40 ± 22.43
    128.42 ± 22.16
        Total Score Change, Cycle 3 Day 1 (n=499, 484)
    1.98 ± 17.01
    3.21 ± 17.12
        Total Score Change, End Induction (n=471, 471)
    4.18 ± 19.75
    5.10 ± 20.03
        Total Score Change, Maint Month 2 (n=356, 392)
    8.40 ± 19.16
    8.13 ± 19.80
        Total Score Change, Maint Month 12 (n=358, 396)
    8.87 ± 19.31
    7.90 ± 19.55
        Total Score Change, End Maint (n=401, 433)
    7.43 ± 19.88
    8.80 ± 20.57
    No statistical analyses for this end point

    Secondary: Change From Baseline in Euro-Quality of Life-5 Dimensions (EQ-5D) Questionnaire Summary Score (Follicular Lymphoma Population) During Induction Phase

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    End point title
    Change From Baseline in Euro-Quality of Life-5 Dimensions (EQ-5D) Questionnaire Summary Score (Follicular Lymphoma Population) During Induction Phase
    End point description
    The EQ-5D is a quality of life questionnaire with five questions, each with three categories (no problem, moderate problem, severe problems) and a visual analogue scale (VAS) from 0 (worst possible health state) to 100 (best possible health state. Summary score ranges from 0 to 1. Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received. 9999=NE=Not estimable based on 0 or 1 subject evaluated.
    End point type
    Secondary
    End point timeframe
    Induction: Cycle 1 Day 1 (Baseline), Cycle 3 Day 1, End of Induction (up to 7 months) (1 Cycle=21 or 28 days); Maintenance: 2, 12, 25 months after Day 1 of last induction cycle (Cycle 6 or 8), Follow-up; up to data cut-off (up to 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: Units on a scale
    arithmetic mean (standard deviation)
        Baseline Induction (n=558, 559)
    0.80 ± 0.24
    0.81 ± 0.21
        Change Baseline, Cycle 1 Day 1 (n=0, 0)
    9999 ± 9999
    9999 ± 9999
        Change Baseline, Cycle 3 Day 1 (n=505, 487)
    0.03 ± 0.21
    0.03 ± 0.20
        Change Baseline, Induction Completion (n=468, 466)
    0.04 ± 0.23
    0.03 ± 0.22
        Change Baseline, Maint/Obs Month 2 (n=348, 377)
    0.05 ± 0.23
    0.06 ± 0.22
        Change Baseline, Maint/Obs Month 12 (n=2, 1)
    0.00 ± 0.00
    -0.20 ± 9999
        Change Baseline, Maint/Obs Completion (n=0, 1)
    9999 ± 9999
    -0.10 ± 9999
    No statistical analyses for this end point

    Secondary: Change From Baseline in EQ-5D Questionnaire Summary Score (Follicular Lymphoma Population) During Maintenance/Observation Phase

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    End point title
    Change From Baseline in EQ-5D Questionnaire Summary Score (Follicular Lymphoma Population) During Maintenance/Observation Phase
    End point description
    The EQ-5D is a quality of life questionnaire with five questions, each with three categories (no problem, moderate problem, severe problems) and a visual analogue scale (VAS) from 0 (worst possible health state) to 100 (best possible health state. Summary score ranges from 0 to 1. Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received. 9999=NE=Not estimable based on 0 subjects evaluated.
    End point type
    Secondary
    End point timeframe
    Induction: Cycle 1 Day 1 (Baseline), Cycle 3 Day 1, End of Induction (up to 7 months) (1 Cycle=21 or 28 days); Maintenance: 2, 12, 25 months after Day 1 of last induction cycle (Cycle 6 or 8), Follow-up; up to data cut-off (up to 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: Units on a scale
    arithmetic mean (standard deviation)
        Change Baseline, Maint/Obs Month 2 (n=11, 14)
    0.04 ± 0.34
    0.04 ± 0.14
        Change Baseline, Maint/Obs Month 12 (n=354, 395)
    0.06 ± 0.24
    0.06 ± 0.21
        Change Baseline, Maint/Obs Completion (n=402, 421)
    0.03 ± 0.23
    0.05 ± 0.23
    No statistical analyses for this end point

    Secondary: Change From Baseline in EQ-5D Questionnaire Summary Score (Follicular Lymphoma Population) During Follow Up Phase

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    End point title
    Change From Baseline in EQ-5D Questionnaire Summary Score (Follicular Lymphoma Population) During Follow Up Phase
    End point description
    The EQ-5D is a quality of life questionnaire with five questions, each with three categories (no problem, moderate problem, severe problems) and a visual analogue scale (VAS) from 0 (worst possible health state) to 100 (best possible health state. Summary score ranges from 0 to 1. Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. The FL ITT population was defined as all randomised subjects with follicular histology grouped according to their randomised treatment arm regardless of what treatments were actually received.
    End point type
    Secondary
    End point timeframe
    Induction: Cycle 1 Day 1 (Baseline), Cycle 3 Day 1, End of Induction (up to 7 months) (1 Cycle=21 or 28 days); Maintenance: 2, 12, 25 months after Day 1 of last induction cycle (Cycle 6 or 8), Follow-up; up to data cut-off (up to 5 years and 2 months)
    End point values
    Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
    Number of subjects analysed
    601
    601
    Units: Units on a scale
    arithmetic mean (standard deviation)
        Change Baseline, Follow-up Month 36 (n=238, 248)
    0.05 ± 0.24
    0.06 ± 0.23
        Change Baseline, Follow-up Month 48 (n=73, 80)
    0.05 ± 0.20
    0.06 ± 0.23
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Baseline up to 10 years
    Adverse event reporting additional description
    The safety analysis population included all subjects who received any amount of any study drug and subjects were analysed according to the treatment received.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.0
    Reporting groups
    Reporting group title
    Obinutuzumab+Chemotherapy
    Reporting group description
    Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.

    Reporting group title
    Rituximab+Chemotherapy
    Reporting group description
    Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.

    Serious adverse events
    Obinutuzumab+Chemotherapy Rituximab+Chemotherapy
    Total subjects affected by serious adverse events
         subjects affected / exposed
    361 / 698 (51.72%)
    309 / 692 (44.65%)
         number of deaths (all causes)
    104
    111
         number of deaths resulting from adverse events
    14
    6
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    ADENOCARCINOMA OF COLON
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    2 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CHOLANGIOCARCINOMA
         subjects affected / exposed
    0 / 698 (0.00%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    1 / 2
    RENAL CANCER
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HEPATIC CANCER
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    KERATOACANTHOMA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SQUAMOUS CELL BREAST CARCINOMA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ADENOCARCINOMA METASTATIC
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LENTIGO MALIGNA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LARYNGEAL SQUAMOUS CELL CARCINOMA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SQUAMOUS CELL CARCINOMA
         subjects affected / exposed
    2 / 698 (0.29%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PITUITARY TUMOUR BENIGN
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GASTRIC CANCER
         subjects affected / exposed
    2 / 698 (0.29%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 1
         deaths causally related to treatment / all
    1 / 2
    0 / 1
    DUCTAL ADENOCARCINOMA OF PANCREAS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INTRADUCTAL PROLIFERATIVE BREAST LESION
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MYELODYSPLASTIC SYNDROME
         subjects affected / exposed
    4 / 698 (0.57%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    4 / 4
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PAPILLARY THYROID CANCER
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    VULVOVAGINAL WARTS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    TRANSITIONAL CELL CARCINOMA
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HODGKIN'S DISEASE NODULAR SCLEROSIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BASAL CELL CARCINOMA
         subjects affected / exposed
    6 / 698 (0.86%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    1 / 7
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BENIGN LARYNGEAL NEOPLASM
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NEUROENDOCRINE CARCINOMA OF THE SKIN
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    ACUTE MYELOID LEUKAEMIA
         subjects affected / exposed
    2 / 698 (0.29%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    2 / 4
    1 / 1
         deaths causally related to treatment / all
    1 / 2
    1 / 1
    TUMOUR FLARE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SCHWANNOMA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INVASIVE DUCTAL BREAST CARCINOMA
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NON-SMALL CELL LUNG CANCER
         subjects affected / exposed
    2 / 698 (0.29%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    0 / 2
    COLORECTAL CANCER
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SQUAMOUS CELL CARCINOMA OF SKIN
         subjects affected / exposed
    5 / 698 (0.72%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BOWEN'S DISEASE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HODGKIN'S DISEASE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PROSTATE CANCER
         subjects affected / exposed
    5 / 698 (0.72%)
    4 / 692 (0.58%)
         occurrences causally related to treatment / all
    1 / 5
    1 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    OESOPHAGEAL CARCINOMA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    BLADDER TRANSITIONAL CELL CARCINOMA METASTATIC
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LUNG NEOPLASM MALIGNANT
         subjects affected / exposed
    0 / 698 (0.00%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 3
    NON-HODGKIN'S LYMPHOMA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    CANCER PAIN
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PANCREATIC CARCINOMA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MALIGNANT MELANOMA
         subjects affected / exposed
    1 / 698 (0.14%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    INTRAOCULAR MELANOMA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ADENOCARCINOMA
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RECTAL ADENOCARCINOMA
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ACUTE LYMPHOCYTIC LEUKAEMIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    TONGUE NEOPLASM MALIGNANT STAGE UNSPECIFIED
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GASTRIC ADENOMA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BREAST CANCER
         subjects affected / exposed
    6 / 698 (0.86%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    2 / 6
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    THYROID ADENOMA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    COLON CANCER
         subjects affected / exposed
    1 / 698 (0.14%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    HORMONE RECEPTOR POSITIVE BREAST CANCER
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ACOUSTIC NEUROMA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GASTROINTESTINAL NEOPLASM
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MENINGIOMA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BLADDER TRANSITIONAL CELL CARCINOMA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LUNG ADENOCARCINOMA
         subjects affected / exposed
    2 / 698 (0.29%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 2
    1 / 1
         deaths causally related to treatment / all
    0 / 1
    1 / 1
    HODGKIN'S DISEASE STAGE II
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NON-SMALL CELL LUNG CANCER STAGE IV
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    UTERINE CANCER
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RENAL CELL CARCINOMA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vascular disorders
    EMBOLISM
         subjects affected / exposed
    0 / 698 (0.00%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DEEP VEIN THROMBOSIS
         subjects affected / exposed
    1 / 698 (0.14%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PERIPHERAL ARTERY ANEURYSM
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PERIPHERAL ISCHAEMIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PELVIC VENOUS THROMBOSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    AXILLARY VEIN THROMBOSIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPOTENSION
         subjects affected / exposed
    7 / 698 (1.00%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    5 / 7
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPERTENSIVE URGENCY
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CIRCULATORY COLLAPSE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPERTENSIVE CRISIS
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    2 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    ABORTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    CHILLS
         subjects affected / exposed
    4 / 698 (0.57%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    4 / 4
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPERTHERMIA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CHEST DISCOMFORT
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PYREXIA
         subjects affected / exposed
    37 / 698 (5.30%)
    23 / 692 (3.32%)
         occurrences causally related to treatment / all
    23 / 43
    11 / 24
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MUCOSAL INFLAMMATION
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MULTIPLE ORGAN DYSFUNCTION SYNDROME
         subjects affected / exposed
    0 / 698 (0.00%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 2
    DEATH
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    1 / 1
    0 / 1
    HYPERPLASIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ILL-DEFINED DISORDER
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    INFUSION SITE EXTRAVASATION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ADVERSE DRUG REACTION
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    STENT-GRAFT ENDOLEAK
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NON-CARDIAC CHEST PAIN
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PAIN
         subjects affected / exposed
    0 / 698 (0.00%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INFLUENZA LIKE ILLNESS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CHEST PAIN
         subjects affected / exposed
    1 / 698 (0.14%)
    4 / 692 (0.58%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SWELLING FACE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CYST RUPTURE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GENERAL PHYSICAL HEALTH DETERIORATION
         subjects affected / exposed
    3 / 698 (0.43%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    0 / 1
    OEDEMA PERIPHERAL
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Immune system disorders
    HYPOGAMMAGLOBULINAEMIA
         subjects affected / exposed
    0 / 698 (0.00%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CYTOKINE RELEASE SYNDROME
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ANAPHYLACTIC SHOCK
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HAEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DRUG HYPERSENSITIVITY
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ALLERGY TO ARTHROPOD BITE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ANAPHYLACTIC REACTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPERSENSITIVITY
         subjects affected / exposed
    0 / 698 (0.00%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    PROSTATITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    OVARIAN MASS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    OVARIAN CYST
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    VULVOVAGINAL PAIN
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    VAGINAL ULCERATION
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    PLEURISY
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BRONCHOSPASM
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DYSPNOEA
         subjects affected / exposed
    10 / 698 (1.43%)
    8 / 692 (1.16%)
         occurrences causally related to treatment / all
    8 / 12
    4 / 8
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    ACUTE LUNG INJURY
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    ACUTE RESPIRATORY DISTRESS SYNDROME
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    LUNG DISORDER
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPOXIA
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RESPIRATORY ARREST
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INTERSTITIAL LUNG DISEASE
         subjects affected / exposed
    2 / 698 (0.29%)
    4 / 692 (0.58%)
         occurrences causally related to treatment / all
    2 / 2
    4 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PHARYNGEAL PARAESTHESIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PULMONARY ARTERIAL HYPERTENSION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PLEURAL EFFUSION
         subjects affected / exposed
    5 / 698 (0.72%)
    5 / 692 (0.72%)
         occurrences causally related to treatment / all
    1 / 5
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    EMPHYSEMA
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    EPISTAXIS
         subjects affected / exposed
    1 / 698 (0.14%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LUNG CONSOLIDATION
         subjects affected / exposed
    0 / 698 (0.00%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMONIA ASPIRATION
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    ASTHMA
         subjects affected / exposed
    2 / 698 (0.29%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMONITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PARANASAL CYST
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    COUGH
         subjects affected / exposed
    0 / 698 (0.00%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DYSPNOEA EXERTIONAL
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RESPIRATORY DISORDER
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PULMONARY OEDEMA
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PHARYNGEAL INFLAMMATION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HAEMOPTYSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PULMONARY CONGESTION
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMOTHORAX
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PULMONARY EMBOLISM
         subjects affected / exposed
    8 / 698 (1.15%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    2 / 11
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CHRONIC OBSTRUCTIVE PULMONARY DISEASE
         subjects affected / exposed
    1 / 698 (0.14%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 6
         deaths causally related to treatment / all
    0 / 1
    0 / 1
    PLEURITIC PAIN
         subjects affected / exposed
    1 / 698 (0.14%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ACUTE RESPIRATORY FAILURE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RESPIRATORY FAILURE
         subjects affected / exposed
    3 / 698 (0.43%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Psychiatric disorders
    SUBSTANCE-INDUCED PSYCHOTIC DISORDER
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DEPRESSION
         subjects affected / exposed
    3 / 698 (0.43%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CONFUSIONAL STATE
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DELIRIUM
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SUICIDE ATTEMPT
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ANXIETY
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ALCOHOL PROBLEM
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    EMOTIONAL DISORDER
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MENTAL STATUS CHANGES
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PSYCHOTIC DISORDER
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Product issues
    DEVICE BREAKAGE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Investigations
    INTERNATIONAL NORMALISED RATIO INCREASED
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HEPATIC ENZYME INCREASED
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BLOOD CREATININE INCREASED
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    EASTERN COOPERATIVE ONCOLOGY GROUP PERFORMANCE STATUS WORSENED
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ASPARTATE AMINOTRANSFERASE INCREASED
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    WHITE BLOOD CELLS URINE POSITIVE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RESPIROVIRUS TEST POSITIVE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ALANINE AMINOTRANSFERASE INCREASED
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    MENISCUS INJURY
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CARTILAGE INJURY
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BRAIN CONTUSION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMOTHORAX TRAUMATIC
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LUMBAR VERTEBRAL FRACTURE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    THORACIC VERTEBRAL FRACTURE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HUMERUS FRACTURE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    FALL
         subjects affected / exposed
    3 / 698 (0.43%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MULTIPLE FRACTURES
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ANASTOMOTIC STENOSIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    COMPRESSION FRACTURE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LIGAMENT SPRAIN
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INFUSION RELATED REACTION
         subjects affected / exposed
    36 / 698 (5.16%)
    19 / 692 (2.75%)
         occurrences causally related to treatment / all
    42 / 42
    21 / 21
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    FOOT FRACTURE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ACCIDENT
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    FEMUR FRACTURE
         subjects affected / exposed
    2 / 698 (0.29%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    UPPER LIMB FRACTURE
         subjects affected / exposed
    1 / 698 (0.14%)
    4 / 692 (0.58%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    FACIAL BONES FRACTURE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    POST PROCEDURAL HAEMORRHAGE
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MEDICATION ERROR
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SPINAL COMPRESSION FRACTURE
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ANKLE FRACTURE
         subjects affected / exposed
    1 / 698 (0.14%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HAND FRACTURE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ALCOHOL POISONING
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SEROMA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Congenital, familial and genetic disorders
    HEREDITARY MOTOR AND SENSORY NEUROPATHY
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    CARDIOGENIC SHOCK
         subjects affected / exposed
    2 / 698 (0.29%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 1
         deaths causally related to treatment / all
    0 / 2
    0 / 0
    SINUS TACHYCARDIA
         subjects affected / exposed
    3 / 698 (0.43%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    TACHYCARDIA
         subjects affected / exposed
    3 / 698 (0.43%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    3 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CORONARY ARTERY DISEASE
         subjects affected / exposed
    1 / 698 (0.14%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BRADYCARDIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ARRHYTHMIA
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SUPRAVENTRICULAR TACHYCARDIA
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    VENTRICULAR TACHYCARDIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PALPITATIONS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    AORTIC VALVE STENOSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MYOCARDIAL ISCHAEMIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RIGHT VENTRICULAR FAILURE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ATRIAL FLUTTER
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ACUTE MYOCARDIAL INFARCTION
         subjects affected / exposed
    4 / 698 (0.57%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 5
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CARDIO-RESPIRATORY ARREST
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CORONARY ARTERY STENOSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CARDIAC ARREST
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    ATRIAL FIBRILLATION
         subjects affected / exposed
    9 / 698 (1.29%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    1 / 11
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CARDIAC FAILURE CONGESTIVE
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MYOCARDIAL INFARCTION
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    SINUS BRADYCARDIA
         subjects affected / exposed
    5 / 698 (0.72%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    5 / 5
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CARDIAC FAILURE
         subjects affected / exposed
    2 / 698 (0.29%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    2 / 3
    3 / 3
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    ANGINA PECTORIS
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    HAEMORRHAGIC STROKE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CEREBRAL ISCHAEMIA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LOSS OF CONSCIOUSNESS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DEMENTIA
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LETHARGY
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    TRANSIENT ISCHAEMIC ATTACK
         subjects affected / exposed
    5 / 698 (0.72%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 5
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DYSDIADOCHOKINESIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DIZZINESS POSTURAL
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SUBARACHNOID HAEMORRHAGE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CEREBRAL DISORDER
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PRESYNCOPE
         subjects affected / exposed
    0 / 698 (0.00%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MONOPARESIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CEREBRAL INFARCTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    EPILEPSY
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    FACIAL PARALYSIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ISCHAEMIC STROKE
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    HAEMORRHAGE INTRACRANIAL
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SPINAL CORD COMPRESSION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NEURALGIA
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SYNCOPE
         subjects affected / exposed
    4 / 698 (0.57%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    1 / 4
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    POLYNEUROPATHY
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    BRACHIAL PLEXOPATHY
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DIZZINESS
         subjects affected / exposed
    1 / 698 (0.14%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ATAXIA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CAROTID ARTERY STENOSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ENCEPHALOPATHY
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    TREMOR
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ORTHOSTATIC INTOLERANCE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPERAMMONAEMIC ENCEPHALOPATHY
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    AMYOTROPHIC LATERAL SCLEROSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    PARKINSON'S DISEASE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ORTHOSTATIC TREMOR
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPOTONIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SEIZURE
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CEREBROVASCULAR ACCIDENT
         subjects affected / exposed
    0 / 698 (0.00%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 2
    CEREBRAL HAEMATOMA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    NERVOUS SYSTEM DISORDER
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NEUROPATHY PERIPHERAL
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    HAEMOLYSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    AUTOIMMUNE HAEMOLYTIC ANAEMIA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    HAEMOLYTIC ANAEMIA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MYELOSUPPRESSION
         subjects affected / exposed
    3 / 698 (0.43%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    4 / 4
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NEUTROPENIA
         subjects affected / exposed
    28 / 698 (4.01%)
    33 / 692 (4.77%)
         occurrences causally related to treatment / all
    30 / 31
    43 / 46
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    IMMUNE THROMBOCYTOPENIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ANAEMIA
         subjects affected / exposed
    6 / 698 (0.86%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    6 / 7
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DISSEMINATED INTRAVASCULAR COAGULATION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    FEBRILE NEUTROPENIA
         subjects affected / exposed
    36 / 698 (5.16%)
    23 / 692 (3.32%)
         occurrences causally related to treatment / all
    45 / 48
    28 / 31
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GRANULOCYTOPENIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    THROMBOCYTOPENIA
         subjects affected / exposed
    5 / 698 (0.72%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    12 / 12
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SPLENOMEGALY
         subjects affected / exposed
    2 / 698 (0.29%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LEUKOPENIA
         subjects affected / exposed
    4 / 698 (0.57%)
    6 / 692 (0.87%)
         occurrences causally related to treatment / all
    2 / 4
    8 / 10
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ear and labyrinth disorders
    VERTIGO
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    EAR PAIN
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DEAFNESS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Eye disorders
    CORNEAL OPACITY
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    MELAENA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    VOMITING
         subjects affected / exposed
    5 / 698 (0.72%)
    9 / 692 (1.30%)
         occurrences causally related to treatment / all
    4 / 5
    10 / 13
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CONSTIPATION
         subjects affected / exposed
    3 / 698 (0.43%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 3
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ASCITES
         subjects affected / exposed
    1 / 698 (0.14%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PANCREATITIS ACUTE
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GASTRITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INTESTINAL OBSTRUCTION
         subjects affected / exposed
    4 / 698 (0.57%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ILEUS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INTESTINAL ISCHAEMIA
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RECTAL HAEMORRHAGE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MOUTH ULCERATION
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HAEMORRHOIDS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INTESTINAL POLYP
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SWOLLEN TONGUE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GASTRITIS EROSIVE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    UPPER GASTROINTESTINAL HAEMORRHAGE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    GASTRIC HAEMORRHAGE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    COLITIS
         subjects affected / exposed
    3 / 698 (0.43%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    1 / 3
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PANCREATITIS
         subjects affected / exposed
    4 / 698 (0.57%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 5
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DIARRHOEA
         subjects affected / exposed
    11 / 698 (1.58%)
    7 / 692 (1.01%)
         occurrences causally related to treatment / all
    7 / 12
    3 / 8
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ENTEROVESICAL FISTULA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GASTROOESOPHAGEAL REFLUX DISEASE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HIATUS HERNIA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    FAECALOMA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    OBSTRUCTIVE PANCREATITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GASTROENTERITIS EOSINOPHILIC
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INTESTINAL VILLI ATROPHY
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HAEMATEMESIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MIKULICZ'S SYNDROME
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LARGE INTESTINAL OBSTRUCTION
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GASTRIC ULCER
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    UMBILICAL HERNIA
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ABDOMINAL PAIN UPPER
         subjects affected / exposed
    0 / 698 (0.00%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SUBACUTE PANCREATITIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LARGE INTESTINE POLYP
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INGUINAL HERNIA
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CROHN'S DISEASE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SMALL INTESTINAL OBSTRUCTION
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NAUSEA
         subjects affected / exposed
    5 / 698 (0.72%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    5 / 5
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ABDOMINAL PAIN
         subjects affected / exposed
    10 / 698 (1.43%)
    6 / 692 (0.87%)
         occurrences causally related to treatment / all
    1 / 11
    1 / 6
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DYSPEPSIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    HEPATIC FUNCTION ABNORMAL
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DRUG-INDUCED LIVER INJURY
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BILE DUCT STONE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CHOLECYSTITIS ACUTE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HEPATITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BILE DUCT STENOSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CHOLANGITIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CHOLELITHIASIS
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HEPATITIS ACUTE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HEPATIC CIRRHOSIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CHOLECYSTITIS
         subjects affected / exposed
    5 / 698 (0.72%)
    6 / 692 (0.87%)
         occurrences causally related to treatment / all
    0 / 6
    1 / 7
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BILIARY COLIC
         subjects affected / exposed
    3 / 698 (0.43%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    RASH
         subjects affected / exposed
    5 / 698 (0.72%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    3 / 5
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DERMATITIS EXFOLIATIVE GENERALISED
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DRUG ERUPTION
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RASH MACULO-PAPULAR
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ACTINIC KERATOSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DERMATITIS CONTACT
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    URTICARIA
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    NEPHROLITHIASIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RENAL PELVIS FISTULA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ACUTE KIDNEY INJURY
         subjects affected / exposed
    4 / 698 (0.57%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RENAL PAIN
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RENAL INFARCT
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RENAL COLIC
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RENAL FAILURE
         subjects affected / exposed
    1 / 698 (0.14%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    URETERIC OBSTRUCTION
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    FLANK PAIN
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PATHOLOGICAL FRACTURE
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    TEMPOROMANDIBULAR JOINT SYNDROME
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ARTHROPATHY
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NECK PAIN
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MYOPATHY
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ROTATOR CUFF SYNDROME
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MYOSITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PAIN IN EXTREMITY
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SPINAL PAIN
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SYNOVITIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MUSCULAR WEAKNESS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    OSTEITIS DEFORMANS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INTERVERTEBRAL DISC PROTRUSION
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SPINAL STENOSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BACK PAIN
         subjects affected / exposed
    2 / 698 (0.29%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HAEMARTHROSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    OSTEOARTHRITIS
         subjects affected / exposed
    2 / 698 (0.29%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SERONEGATIVE ARTHRITIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    GASTROENTERITIS VIRAL
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ENTEROCOCCAL INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BRONCHITIS
         subjects affected / exposed
    9 / 698 (1.29%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    2 / 9
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    POST PROCEDURAL INFECTION
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NEUTROPENIC SEPSIS
         subjects affected / exposed
    6 / 698 (0.86%)
    5 / 692 (0.72%)
         occurrences causally related to treatment / all
    8 / 9
    7 / 8
         deaths causally related to treatment / all
    1 / 1
    0 / 1
    INFLUENZA
         subjects affected / exposed
    4 / 698 (0.57%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 4
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BREAST ABSCESS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MUCOSAL INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    OOPHORITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CHRONIC SINUSITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CLOSTRIDIUM DIFFICILE COLITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RHINITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ORAL HERPES
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BACTERAEMIA
         subjects affected / exposed
    1 / 698 (0.14%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INFECTED CYST
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PYELONEPHRITIS
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PERITONSILLAR ABSCESS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    COMPLICATED APPENDICITIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HERPES ZOSTER OTICUS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INFECTION
         subjects affected / exposed
    6 / 698 (0.86%)
    10 / 692 (1.45%)
         occurrences causally related to treatment / all
    2 / 7
    3 / 11
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PULMONARY SEPSIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DIVERTICULITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PARAPHARYNGEAL SPACE INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    URINARY TRACT INFECTION
         subjects affected / exposed
    8 / 698 (1.15%)
    7 / 692 (1.01%)
         occurrences causally related to treatment / all
    2 / 8
    1 / 7
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NEUROBORRELIOSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INTERVERTEBRAL DISCITIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SINUSITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SCROTAL ABSCESS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CATHETER SITE CELLULITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DISSEMINATED VARICELLA ZOSTER VIRUS INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SINUSITIS FUNGAL
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    EPIGLOTTITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HERPES ZOSTER
         subjects affected / exposed
    9 / 698 (1.29%)
    9 / 692 (1.30%)
         occurrences causally related to treatment / all
    6 / 9
    5 / 9
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ESCHERICHIA URINARY TRACT INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    OTITIS MEDIA CHRONIC
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    MASTOIDITIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SEPSIS
         subjects affected / exposed
    14 / 698 (2.01%)
    9 / 692 (1.30%)
         occurrences causally related to treatment / all
    8 / 18
    5 / 9
         deaths causally related to treatment / all
    0 / 2
    0 / 1
    STAPHYLOCOCCAL BACTERAEMIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    CYSTITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CELLULITIS
         subjects affected / exposed
    4 / 698 (0.57%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    1 / 4
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CYTOMEGALOVIRUS INFECTION
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SEPTIC SHOCK
         subjects affected / exposed
    0 / 698 (0.00%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Q FEVER
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    CAMPYLOBACTER INFECTION
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    VARICELLA ZOSTER SEPSIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    VIRAL INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    4 / 692 (0.58%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ABDOMINAL SEPSIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    ENCEPHALITIS ENTEROVIRAL
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ESCHERICHIA INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SINUSITIS BACTERIAL
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ATYPICAL PNEUMONIA
         subjects affected / exposed
    1 / 698 (0.14%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    NEUTROPENIC INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    TUBERCULOSIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ABSCESS INTESTINAL
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GASTROENTERITIS
         subjects affected / exposed
    7 / 698 (1.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 7
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMOCYSTIS JIROVECII PNEUMONIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    TUBO-OVARIAN ABSCESS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ABSCESS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    FEBRILE INFECTION
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    SUBCUTANEOUS ABSCESS
         subjects affected / exposed
    0 / 698 (0.00%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PERIODONTITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    APPENDICITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DEVICE RELATED SEPSIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BK VIRUS INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RHINOVIRUS INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    VASCULAR DEVICE INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    OESOPHAGEAL CANDIDIASIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    VIRAL MYOSITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    LOWER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    13 / 698 (1.86%)
    9 / 692 (1.30%)
         occurrences causally related to treatment / all
    8 / 23
    2 / 9
         deaths causally related to treatment / all
    1 / 2
    0 / 0
    OESOPHAGEAL INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ARTHRITIS BACTERIAL
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMONIA BACTERIAL
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    UROSEPSIS
         subjects affected / exposed
    4 / 698 (0.57%)
    5 / 692 (0.72%)
         occurrences causally related to treatment / all
    4 / 5
    1 / 6
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    UPPER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    5 / 698 (0.72%)
    3 / 692 (0.43%)
         occurrences causally related to treatment / all
    2 / 7
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMONIA FUNGAL
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    OVARIAN BACTERIAL INFECTION
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMONIA
         subjects affected / exposed
    51 / 698 (7.31%)
    43 / 692 (6.21%)
         occurrences causally related to treatment / all
    24 / 61
    24 / 51
         deaths causally related to treatment / all
    2 / 7
    0 / 2
    SOFT TISSUE INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ARTHRITIS INFECTIVE
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    BACTERIAL TRACHEITIS
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DEVICE RELATED INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    GASTROENTERITIS ESCHERICHIA COLI
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMONIA PNEUMOCOCCAL
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    6 / 698 (0.86%)
    5 / 692 (0.72%)
         occurrences causally related to treatment / all
    3 / 7
    9 / 11
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    MENINGITIS ENTEROVIRAL
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    INFECTIVE EXACERBATION OF CHRONIC OBSTRUCTIVE AIRWAYS DISEASE
         subjects affected / exposed
    3 / 698 (0.43%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    STAPHYLOCOCCAL INFECTION
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HERPES ZOSTER INFECTION NEUROLOGICAL
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    ENDOCARDITIS
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PELVIC ABSCESS
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    PNEUMOCYSTIS JIROVECII INFECTION
         subjects affected / exposed
    0 / 698 (0.00%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    HYPONATRAEMIA
         subjects affected / exposed
    4 / 698 (0.57%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    1 / 4
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    HYPERCALCAEMIA
         subjects affected / exposed
    2 / 698 (0.29%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    HYPERGLYCAEMIA
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DEHYDRATION
         subjects affected / exposed
    4 / 698 (0.57%)
    2 / 692 (0.29%)
         occurrences causally related to treatment / all
    2 / 4
    1 / 2
         deaths causally related to treatment / all
    1 / 1
    0 / 0
    HYPOKALAEMIA
         subjects affected / exposed
    1 / 698 (0.14%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    FLUID OVERLOAD
         subjects affected / exposed
    1 / 698 (0.14%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    TUMOUR LYSIS SYNDROME
         subjects affected / exposed
    3 / 698 (0.43%)
    1 / 692 (0.14%)
         occurrences causally related to treatment / all
    3 / 3
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    DIABETES MELLITUS
         subjects affected / exposed
    2 / 698 (0.29%)
    0 / 692 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Obinutuzumab+Chemotherapy Rituximab+Chemotherapy
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    690 / 698 (98.85%)
    675 / 692 (97.54%)
    Vascular disorders
    FLUSHING
         subjects affected / exposed
    46 / 698 (6.59%)
    40 / 692 (5.78%)
         occurrences all number
    56
    44
    HOT FLUSH
         subjects affected / exposed
    38 / 698 (5.44%)
    25 / 692 (3.61%)
         occurrences all number
    43
    28
    HYPOTENSION
         subjects affected / exposed
    44 / 698 (6.30%)
    28 / 692 (4.05%)
         occurrences all number
    48
    32
    HYPERTENSION
         subjects affected / exposed
    64 / 698 (9.17%)
    50 / 692 (7.23%)
         occurrences all number
    100
    70
    General disorders and administration site conditions
    PAIN
         subjects affected / exposed
    26 / 698 (3.72%)
    35 / 692 (5.06%)
         occurrences all number
    28
    40
    PYREXIA
         subjects affected / exposed
    200 / 698 (28.65%)
    150 / 692 (21.68%)
         occurrences all number
    277
    231
    CHILLS
         subjects affected / exposed
    126 / 698 (18.05%)
    74 / 692 (10.69%)
         occurrences all number
    172
    99
    CHEST DISCOMFORT
         subjects affected / exposed
    43 / 698 (6.16%)
    36 / 692 (5.20%)
         occurrences all number
    45
    43
    FATIGUE
         subjects affected / exposed
    275 / 698 (39.40%)
    277 / 692 (40.03%)
         occurrences all number
    390
    392
    INFLUENZA LIKE ILLNESS
         subjects affected / exposed
    34 / 698 (4.87%)
    35 / 692 (5.06%)
         occurrences all number
    38
    36
    ASTHENIA
         subjects affected / exposed
    47 / 698 (6.73%)
    44 / 692 (6.36%)
         occurrences all number
    56
    55
    MUCOSAL INFLAMMATION
         subjects affected / exposed
    36 / 698 (5.16%)
    44 / 692 (6.36%)
         occurrences all number
    41
    55
    OEDEMA PERIPHERAL
         subjects affected / exposed
    46 / 698 (6.59%)
    40 / 692 (5.78%)
         occurrences all number
    50
    47
    Respiratory, thoracic and mediastinal disorders
    PRODUCTIVE COUGH
         subjects affected / exposed
    42 / 698 (6.02%)
    35 / 692 (5.06%)
         occurrences all number
    53
    41
    OROPHARYNGEAL PAIN
         subjects affected / exposed
    82 / 698 (11.75%)
    73 / 692 (10.55%)
         occurrences all number
    98
    87
    DYSPNOEA
         subjects affected / exposed
    112 / 698 (16.05%)
    88 / 692 (12.72%)
         occurrences all number
    131
    101
    THROAT IRRITATION
         subjects affected / exposed
    27 / 698 (3.87%)
    37 / 692 (5.35%)
         occurrences all number
    27
    40
    COUGH
         subjects affected / exposed
    221 / 698 (31.66%)
    185 / 692 (26.73%)
         occurrences all number
    305
    248
    Psychiatric disorders
    INSOMNIA
         subjects affected / exposed
    113 / 698 (16.19%)
    89 / 692 (12.86%)
         occurrences all number
    131
    98
    ANXIETY
         subjects affected / exposed
    44 / 698 (6.30%)
    29 / 692 (4.19%)
         occurrences all number
    47
    31
    Investigations
    WEIGHT DECREASED
         subjects affected / exposed
    35 / 698 (5.01%)
    45 / 692 (6.50%)
         occurrences all number
    37
    49
    Injury, poisoning and procedural complications
    INFUSION RELATED REACTION
         subjects affected / exposed
    416 / 698 (59.60%)
    347 / 692 (50.14%)
         occurrences all number
    699
    569
    Nervous system disorders
    DYSGEUSIA
         subjects affected / exposed
    38 / 698 (5.44%)
    40 / 692 (5.78%)
         occurrences all number
    42
    44
    PERIPHERAL SENSORY NEUROPATHY
         subjects affected / exposed
    59 / 698 (8.45%)
    47 / 692 (6.79%)
         occurrences all number
    68
    50
    HEADACHE
         subjects affected / exposed
    155 / 698 (22.21%)
    123 / 692 (17.77%)
         occurrences all number
    229
    185
    DIZZINESS
         subjects affected / exposed
    75 / 698 (10.74%)
    57 / 692 (8.24%)
         occurrences all number
    88
    69
    PARAESTHESIA
         subjects affected / exposed
    62 / 698 (8.88%)
    51 / 692 (7.37%)
         occurrences all number
    71
    68
    NEUROPATHY PERIPHERAL
         subjects affected / exposed
    51 / 698 (7.31%)
    49 / 692 (7.08%)
         occurrences all number
    62
    52
    Blood and lymphatic system disorders
    NEUTROPENIA
         subjects affected / exposed
    348 / 698 (49.86%)
    307 / 692 (44.36%)
         occurrences all number
    885
    777
    ANAEMIA
         subjects affected / exposed
    75 / 698 (10.74%)
    72 / 692 (10.40%)
         occurrences all number
    88
    95
    THROMBOCYTOPENIA
         subjects affected / exposed
    90 / 698 (12.89%)
    52 / 692 (7.51%)
         occurrences all number
    150
    79
    LEUKOPENIA
         subjects affected / exposed
    87 / 698 (12.46%)
    91 / 692 (13.15%)
         occurrences all number
    222
    267
    Gastrointestinal disorders
    DIARRHOEA
         subjects affected / exposed
    207 / 698 (29.66%)
    168 / 692 (24.28%)
         occurrences all number
    318
    253
    VOMITING
         subjects affected / exposed
    182 / 698 (26.07%)
    151 / 692 (21.82%)
         occurrences all number
    242
    211
    CONSTIPATION
         subjects affected / exposed
    249 / 698 (35.67%)
    221 / 692 (31.94%)
         occurrences all number
    326
    301
    DRY MOUTH
         subjects affected / exposed
    36 / 698 (5.16%)
    23 / 692 (3.32%)
         occurrences all number
    40
    25
    ABDOMINAL PAIN
         subjects affected / exposed
    69 / 698 (9.89%)
    78 / 692 (11.27%)
         occurrences all number
    84
    95
    STOMATITIS
         subjects affected / exposed
    54 / 698 (7.74%)
    55 / 692 (7.95%)
         occurrences all number
    72
    71
    NAUSEA
         subjects affected / exposed
    354 / 698 (50.72%)
    338 / 692 (48.84%)
         occurrences all number
    594
    577
    ABDOMINAL PAIN UPPER
         subjects affected / exposed
    57 / 698 (8.17%)
    53 / 692 (7.66%)
         occurrences all number
    64
    60
    DYSPEPSIA
         subjects affected / exposed
    65 / 698 (9.31%)
    50 / 692 (7.23%)
         occurrences all number
    82
    56
    Skin and subcutaneous tissue disorders
    RASH
         subjects affected / exposed
    127 / 698 (18.19%)
    131 / 692 (18.93%)
         occurrences all number
    162
    170
    PRURITUS
         subjects affected / exposed
    102 / 698 (14.61%)
    94 / 692 (13.58%)
         occurrences all number
    124
    116
    DRY SKIN
         subjects affected / exposed
    40 / 698 (5.73%)
    36 / 692 (5.20%)
         occurrences all number
    44
    39
    ERYTHEMA
         subjects affected / exposed
    37 / 698 (5.30%)
    37 / 692 (5.35%)
         occurrences all number
    40
    43
    NIGHT SWEATS
         subjects affected / exposed
    32 / 698 (4.58%)
    38 / 692 (5.49%)
         occurrences all number
    35
    46
    ALOPECIA
         subjects affected / exposed
    90 / 698 (12.89%)
    77 / 692 (11.13%)
         occurrences all number
    94
    78
    Musculoskeletal and connective tissue disorders
    MUSCLE SPASMS
         subjects affected / exposed
    40 / 698 (5.73%)
    42 / 692 (6.07%)
         occurrences all number
    46
    49
    BACK PAIN
         subjects affected / exposed
    99 / 698 (14.18%)
    115 / 692 (16.62%)
         occurrences all number
    127
    143
    BONE PAIN
         subjects affected / exposed
    40 / 698 (5.73%)
    44 / 692 (6.36%)
         occurrences all number
    46
    56
    ARTHRALGIA
         subjects affected / exposed
    144 / 698 (20.63%)
    127 / 692 (18.35%)
         occurrences all number
    180
    160
    MYALGIA
         subjects affected / exposed
    53 / 698 (7.59%)
    38 / 692 (5.49%)
         occurrences all number
    63
    43
    PAIN IN EXTREMITY
         subjects affected / exposed
    66 / 698 (9.46%)
    65 / 692 (9.39%)
         occurrences all number
    75
    79
    Infections and infestations
    RHINITIS
         subjects affected / exposed
    59 / 698 (8.45%)
    36 / 692 (5.20%)
         occurrences all number
    71
    49
    SINUSITIS
         subjects affected / exposed
    68 / 698 (9.74%)
    47 / 692 (6.79%)
         occurrences all number
    92
    58
    ORAL HERPES
         subjects affected / exposed
    46 / 698 (6.59%)
    43 / 692 (6.21%)
         occurrences all number
    54
    48
    BRONCHITIS
         subjects affected / exposed
    47 / 698 (6.73%)
    42 / 692 (6.07%)
         occurrences all number
    69
    53
    LOWER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    59 / 698 (8.45%)
    71 / 692 (10.26%)
         occurrences all number
    97
    105
    RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    39 / 698 (5.59%)
    35 / 692 (5.06%)
         occurrences all number
    67
    43
    CONJUNCTIVITIS
         subjects affected / exposed
    35 / 698 (5.01%)
    26 / 692 (3.76%)
         occurrences all number
    42
    30
    NASOPHARYNGITIS
         subjects affected / exposed
    135 / 698 (19.34%)
    143 / 692 (20.66%)
         occurrences all number
    200
    224
    HERPES ZOSTER
         subjects affected / exposed
    70 / 698 (10.03%)
    40 / 692 (5.78%)
         occurrences all number
    75
    46
    UPPER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    153 / 698 (21.92%)
    132 / 692 (19.08%)
         occurrences all number
    217
    189
    PNEUMONIA
         subjects affected / exposed
    47 / 698 (6.73%)
    46 / 692 (6.65%)
         occurrences all number
    63
    59
    URINARY TRACT INFECTION
         subjects affected / exposed
    75 / 698 (10.74%)
    66 / 692 (9.54%)
         occurrences all number
    111
    100
    Metabolism and nutrition disorders
    HYPOKALAEMIA
         subjects affected / exposed
    48 / 698 (6.88%)
    29 / 692 (4.19%)
         occurrences all number
    72
    43
    DECREASED APPETITE
         subjects affected / exposed
    98 / 698 (14.04%)
    91 / 692 (13.15%)
         occurrences all number
    114
    103

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    26 Jul 2011
    Allow for an early futility analysis of the first 170 randomized patients with follicular lymphoma based on the end-of-induction treatment complete response rates. The statistical methods sections were updated accordingly. Positron emission tomography (PET) was also made mandatory at screening and at end of induction therapy for the first 170 subjects with follicular lymphoma at all sites where PET scanners were available. The determination of minimal residual disease (MRD) based on polymerase chain reaction detection of BCL2/IgH-rearrangements within the malignant clone for all subjects with follicular lymphoma was also implemented.
    16 Jul 2012
    Implementation of a deoxyribonucleic acid (DNA) substudy in those subjects who give consent to the Roche Clinical Repository (RCR) and to DNA collection.
    28 May 2013
    Clarification of measuring and assessing the spleen and splenic response for marginal zone lymphoma (MZL) subjects.
    22 Mar 2014
    The Sponsor issued a Dear Investigator Letter (DIL) on 3 February 2014 to inform investigators about a higher incidence of thrombocytopenia and hemorrhagic events during the first cycle in participants with chronic lymphocytic leukemia (CLL) treated with obinutuzumab plus chlorambucil (GClb) as compared with participants treated with rituximab plus chlorambucil (RClb) or chlorambucil alone. Updates to guidelines regarding management of participants with thrombocytopenia. Evaluation of medical resource utilization was removed from the secondary objectives. The name of the study drug was updated from GA101 to obinutuzumab.
    09 Jun 2017
    The protocol was amended to consider second malignancies as an adverse event of special interest (AESI). The Medical Monitor for the study changed. Biomarker sample storage changed from 15 to 5 years after the completion of the study.
    15 Feb 2020
    The protocol was amended to collect response after progression and administration of new anti-lymphoma treatment (NALT). The Medical Monitor changed. Reference safety information was added.

    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
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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