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    Clinical Trial Results:
    Phase 2 multicenter study to assess the safety and efficacy of BKM120 as monotherapy in the treatment of initial or recurrent metastatic endometrial cancer after first line therapy in patients who cannot undergo local surgery and/or radiotherapy.

    Summary
    EudraCT number
    2011-002576-16
    Trial protocol
    FR  
    Global end of trial date
    03 Oct 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    09 Jul 2022
    First version publication date
    09 Jul 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    GINECO-EN102b
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    ARCAGY
    Sponsor organisation address
    Hôpital Hôtel-Dieu, 1, place du Parvis Notre-Dame, PARIS cedex 4, France, 75181
    Public contact
    Sponsor office, ARCAGY, 33 142348323, vthouviot@arcagy.org
    Scientific contact
    Sponsor office, ARCAGY, 33 142348323, vthouviot@arcagy.org
    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
    03 Jul 2017
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    03 Oct 2016
    Global end of trial reached?
    Yes
    Global end of trial date
    03 Oct 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To determine the clinical efficacy of BKM120 as monotherapy in the treatment of initial or recurrent metastatic endometrial cancer after first line radio chemiotherapy. Clinical efficacy will be determined by the non-progression rate at 3 or 2 months depending on the group of patients. The primary endpoint is the non-progression rate at 3 months (12 weeks) for the patient group whose disease is painless (low grade tumor = stratum 1) and the non-progression rate at 2 months (8 weeks) for the group of patients with an aggressive disease (high grade tumor = stratum 2).
    Protection of trial subjects
    Cette étude a été menée selon les recommandations : - de la loi Huriet (n°88-1138) du 20 décembre 1988 relative à la Protection des Personnes se prêtant à la Recherche Biomédicale et modifiée par la loi de santé publique (n°2004-806) du 9 août 2004, - de la loi Informatique et Libertés n°78-17 modifiée par la loi n° 2004-801 du 6 août 2004 relative à la protection des personnes physiques à l'égard des traitements de données à caractère personnel, - de la loi Bioéthique n° 2004-800 du 6 août 2004, - des bonnes pratiques cliniques de la conférence internationale d’harmonisation (ICH-E6 du 17/07/1996), - de la direction européenne (2001/20/CE) sur la conduite des essais cliniques.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    05 Sep 2011
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 40
    Worldwide total number of subjects
    40
    EEA total number of subjects
    40
    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)
    16
    From 65 to 84 years
    24
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Between December 2011 and January 2014, 40 patients were enrolled at 13 French centers. 16 patients were included at 100 mg daily. Due to high rate of grade 3/4 toxicities, the IDMC proposed to stop recruitment at 100 mg but to continue the recruitment with a lower dose of 60 mg/d. 24 patients were included at this level dose.

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

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Cohort 60 mg
    Arm description
    40 patients were enrolled, of which 16 patients had received BKM120 at 100mg. Due to high toxicities, the IDMC has proposed to stop recruitment at 100 mg and to continue the clinical trial with a lower dose of 60mg/d. 24 pts were newly enrolled.
    Arm type
    Experimental

    Investigational medicinal product name
    Buparlisib
    Investigational medicinal product code
    BKM120
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    60mg daily

    Arm title
    Cohort 100 mg
    Arm description
    40 patients were enrolled, of which 16 patients had received BKM120 at 100mg. Due to high toxicities, the IDMC has proposed to stop recruitment at 100 mg and to continue the clinical trial with a lower dose of 60mg/d. 24 pts were newly enrolled.
    Arm type
    Experimental

    Investigational medicinal product name
    Buparlisib
    Investigational medicinal product code
    BKM120
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    100 mg daily

    Number of subjects in period 1
    Cohort 60 mg Cohort 100 mg
    Started
    24
    16
    Completed
    24
    16

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Cohort 60 mg
    Reporting group description
    40 patients were enrolled, of which 16 patients had received BKM120 at 100mg. Due to high toxicities, the IDMC has proposed to stop recruitment at 100 mg and to continue the clinical trial with a lower dose of 60mg/d. 24 pts were newly enrolled.

    Reporting group title
    Cohort 100 mg
    Reporting group description
    40 patients were enrolled, of which 16 patients had received BKM120 at 100mg. Due to high toxicities, the IDMC has proposed to stop recruitment at 100 mg and to continue the clinical trial with a lower dose of 60mg/d. 24 pts were newly enrolled.

    Reporting group values
    Cohort 60 mg Cohort 100 mg Total
    Number of subjects
    24 16 40
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    9 7 16
        From 65-84 years
    15 9 24
        85 years and over
    0 0 0
    Age continuous
    Units: years
        median (full range (min-max))
    67.1 (50.0 to 79.7) 65.2 (53.6 to 79.5) -
    Gender categorical
    Units: Subjects
        Female
    24 16 40
        Male
    0 0 0

    End points

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    End points reporting groups
    Reporting group title
    Cohort 60 mg
    Reporting group description
    40 patients were enrolled, of which 16 patients had received BKM120 at 100mg. Due to high toxicities, the IDMC has proposed to stop recruitment at 100 mg and to continue the clinical trial with a lower dose of 60mg/d. 24 pts were newly enrolled.

    Reporting group title
    Cohort 100 mg
    Reporting group description
    40 patients were enrolled, of which 16 patients had received BKM120 at 100mg. Due to high toxicities, the IDMC has proposed to stop recruitment at 100 mg and to continue the clinical trial with a lower dose of 60mg/d. 24 pts were newly enrolled.

    Primary: Rate of non progression

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    End point title
    Rate of non progression [1]
    End point description
    End point type
    Primary
    End point timeframe
    During the study
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistics
    End point values
    Number of subjects analysed
    Units: number
        Succes
        Fail
    No statistical analyses for this end point

    Secondary: Objective response rate

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    End point title
    Objective response rate
    End point description
    End point type
    Secondary
    End point timeframe
    During the study
    End point values
    Number of subjects analysed
    Units: number
        Complete response
        Partial response
        Stable disease
        Progressive disease
        Non evaluable
    No statistical analyses for this end point

    Secondary: Progression free survival (PFS)

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    End point title
    Progression free survival (PFS)
    End point description
    End point type
    Secondary
    End point timeframe
    During the study
    End point values
    Number of subjects analysed
    Units: month
        median (confidence interval 95%)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    During the treatment period
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    CTCAE
    Dictionary version
    4.0
    Reporting groups
    Reporting group title
    Cohort 60 mg
    Reporting group description
    40 patients were enrolled, of which 16 patients had received BKM120 at 100mg. Due to high toxicities, the IDMC has proposed to stop recruitment at 100 mg and to continue the clinical trial with a lower dose of 60mg/d. 24 pts were newly enrolled.

    Reporting group title
    Cohort 100mg
    Reporting group description
    40 patients were enrolled, of which 16 patients had received BKM120 at 100mg. Due to high toxicities, the IDMC has proposed to stop recruitment at 100 mg and to continue the clinical trial with a lower dose of 60mg/d. 24 pts were newly enrolled.

    Serious adverse events
    Cohort 60 mg Cohort 100mg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    13 / 24 (54.17%)
    12 / 16 (75.00%)
         number of deaths (all causes)
    10
    9
         number of deaths resulting from adverse events
    3
    1
    Vascular disorders
    Hypertension
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypotension
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Venous thrombosis
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Surgical and medical procedures
    Ureteral catheterisation
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (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
    Hyperthermia
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    2 / 24 (8.33%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Asthenia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Oedema
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Immune system disorders
    Drug eruption
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         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
    Lung disorder
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Psychiatric disorders
    Depression
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Investigations
    Transaminases increased
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Weight decreased
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Hepatic enzyme increased
         subjects affected / exposed
    0 / 24 (0.00%)
    3 / 16 (18.75%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Panic attack
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Depressed level of consciousness
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Intestinal perforation
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Abdominal pain
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    cytolytic hepatitis
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Dermatitis exfoliative
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rash maculo-papular
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rash
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rash erythematous
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Pain in extremity
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Lymphangitis
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Metabolism and nutrition disorders
    Hyperglycaemia
         subjects affected / exposed
    2 / 24 (8.33%)
    2 / 16 (12.50%)
         occurrences causally related to treatment / all
    2 / 2
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hyponatraemia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Decreased appetite
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Cohort 60 mg Cohort 100mg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    24 / 24 (100.00%)
    15 / 16 (93.75%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    5 / 24 (20.83%)
    7 / 16 (43.75%)
         occurrences all number
    5
    7
    Thrombosis
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    1
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    18 / 24 (75.00%)
    12 / 16 (75.00%)
         occurrences all number
    18
    12
    General physical health deterioration
         subjects affected / exposed
    2 / 24 (8.33%)
    0 / 16 (0.00%)
         occurrences all number
    2
    0
    Pain
         subjects affected / exposed
    11 / 24 (45.83%)
    6 / 16 (37.50%)
         occurrences all number
    11
    6
    Fever
         subjects affected / exposed
    0 / 24 (0.00%)
    2 / 16 (12.50%)
         occurrences all number
    0
    2
    Weight
         subjects affected / exposed
    0 / 24 (0.00%)
    4 / 16 (25.00%)
         occurrences all number
    0
    4
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 24 (0.00%)
    8 / 16 (50.00%)
         occurrences all number
    0
    8
    Immune system disorders
    Allergic reaction
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    1
    Gastrointestinal disorders
    Mucositis
         subjects affected / exposed
    6 / 24 (25.00%)
    4 / 16 (25.00%)
         occurrences all number
    6
    4
    Nausea
         subjects affected / exposed
    8 / 24 (33.33%)
    6 / 16 (37.50%)
         occurrences all number
    8
    6
    Vomiting
         subjects affected / exposed
    5 / 24 (20.83%)
    3 / 16 (18.75%)
         occurrences all number
    5
    3
    Constipation
         subjects affected / exposed
    9 / 24 (37.50%)
    3 / 16 (18.75%)
         occurrences all number
    9
    3
    Diarrhoea
         subjects affected / exposed
    9 / 24 (37.50%)
    5 / 16 (31.25%)
         occurrences all number
    9
    5
    Abdominal pain
         subjects affected / exposed
    10 / 24 (41.67%)
    5 / 16 (31.25%)
         occurrences all number
    10
    5
    Gastrointestinal disorder
         subjects affected / exposed
    0 / 24 (0.00%)
    2 / 16 (12.50%)
         occurrences all number
    0
    2
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    5 / 24 (20.83%)
    0 / 16 (0.00%)
         occurrences all number
    5
    0
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    13 / 24 (54.17%)
    8 / 16 (50.00%)
         occurrences all number
    13
    8
    Pruritus
         subjects affected / exposed
    0 / 24 (0.00%)
    3 / 16 (18.75%)
         occurrences all number
    0
    3
    Dry skin
         subjects affected / exposed
    0 / 24 (0.00%)
    3 / 16 (18.75%)
         occurrences all number
    0
    3
    Oedema
         subjects affected / exposed
    0 / 24 (0.00%)
    5 / 16 (31.25%)
         occurrences all number
    0
    5
    Hand and foot syndrome
         subjects affected / exposed
    0 / 24 (0.00%)
    2 / 16 (12.50%)
         occurrences all number
    0
    2
    Erythema
         subjects affected / exposed
    0 / 24 (0.00%)
    2 / 16 (12.50%)
         occurrences all number
    0
    2
    Photosensitivity
         subjects affected / exposed
    0 / 24 (0.00%)
    2 / 16 (12.50%)
         occurrences all number
    0
    2
    Drug reaction with eosinophilia and systemic symptoms
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    1
    Eyelid oedema
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    1
    Panniculitis
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    1
    Burning sensation
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    1
    Itching
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    1
    Desquamation
         subjects affected / exposed
    0 / 24 (0.00%)
    2 / 16 (12.50%)
         occurrences all number
    0
    2
    Herpes zoster
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    1
    Intertrigo
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    1
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    5 / 24 (20.83%)
    6 / 16 (37.50%)
         occurrences all number
    5
    6
    Depression
         subjects affected / exposed
    10 / 24 (41.67%)
    7 / 16 (43.75%)
         occurrences all number
    10
    7
    Infections and infestations
    infection without neutropenia
         subjects affected / exposed
    6 / 24 (25.00%)
    0 / 16 (0.00%)
         occurrences all number
    6
    0
    Infection
         subjects affected / exposed
    0 / 24 (0.00%)
    3 / 16 (18.75%)
         occurrences all number
    0
    3
    Paronychia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    1
    Metabolism and nutrition disorders
    Anorexia
         subjects affected / exposed
    9 / 24 (37.50%)
    3 / 16 (18.75%)
         occurrences all number
    9
    3
    Anorexia and bulimia syndrome
         subjects affected / exposed
    9 / 24 (37.50%)
    0 / 16 (0.00%)
         occurrences all number
    9
    0
    Hyperglycaemia
         subjects affected / exposed
    0 / 24 (0.00%)
    10 / 16 (62.50%)
         occurrences all number
    0
    10

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    02 May 2013
    Change dose from 10 mg to 60 mg

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

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