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    Clinical Trial Results:
    A Multi-center, Open-Label Study of CP-690,550 in Subjects With Moderate to Severe Ulcerative Colitis

    Summary
    EudraCT number
    2011-004581-14
    Trial protocol
    CZ   DK   HU   EE   GB   LV   BE   NL   ES   AT   DE   SK   PL   IT   HR  
    Global end of trial date
    06 Aug 2020

    Results information
    Results version number
    v1(current)
    This version publication date
    19 Aug 2021
    First version publication date
    19 Aug 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    A3921139
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01470612
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Pfizer Inc.
    Sponsor organisation address
    235 E 42nd Street, New York, United States,
    Public contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., +1 8007181021, ClinicalTrials.gov_Inquiries@pfizer.com
    Scientific contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., +1 8007181021, ClinicalTrials.gov_Inquiries@pfizer.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
    16 Mar 2021
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    06 Aug 2020
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the safety and tolerability of long-term tofacitinib therapy in subjects with ulcerative colitis (UC).
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Council for Harmonisation (ICH) Good Clinical Practice (GCP) Guidelines. All the local regulatory requirements pertinent to safety of trial subjects were followed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Oct 2012
    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
    Australia: 30
    Country: Number of subjects enrolled
    Austria: 30
    Country: Number of subjects enrolled
    Belgium: 61
    Country: Number of subjects enrolled
    Brazil: 2
    Country: Number of subjects enrolled
    Canada: 28
    Country: Number of subjects enrolled
    Colombia: 2
    Country: Number of subjects enrolled
    Croatia: 1
    Country: Number of subjects enrolled
    Czechia: 15
    Country: Number of subjects enrolled
    Denmark: 14
    Country: Number of subjects enrolled
    Estonia: 8
    Country: Number of subjects enrolled
    France: 29
    Country: Number of subjects enrolled
    Germany: 50
    Country: Number of subjects enrolled
    Hungary: 32
    Country: Number of subjects enrolled
    Israel: 6
    Country: Number of subjects enrolled
    Italy: 23
    Country: Number of subjects enrolled
    Japan: 53
    Country: Number of subjects enrolled
    Korea, Republic of: 51
    Country: Number of subjects enrolled
    Latvia: 1
    Country: Number of subjects enrolled
    Netherlands: 32
    Country: Number of subjects enrolled
    New Zealand: 29
    Country: Number of subjects enrolled
    Poland: 56
    Country: Number of subjects enrolled
    Romania: 9
    Country: Number of subjects enrolled
    Russian Federation: 33
    Country: Number of subjects enrolled
    Serbia: 34
    Country: Number of subjects enrolled
    Slovakia: 33
    Country: Number of subjects enrolled
    South Africa: 26
    Country: Number of subjects enrolled
    Spain: 21
    Country: Number of subjects enrolled
    Taiwan: 1
    Country: Number of subjects enrolled
    Ukraine: 47
    Country: Number of subjects enrolled
    United Kingdom: 21
    Country: Number of subjects enrolled
    United States: 166
    Worldwide total number of subjects
    944
    EEA total number of subjects
    415
    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)
    881
    From 65 to 84 years
    63
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Subjects enrolled in this Study A3921139: 1) who had completed or had early withdrawal due to treatment failure in Study A3921096 (NCT01458574) 2) or who were non-responders after completing induction studies A3921094 (NCT01465763) or A3921095 (NCT01458951). Eligible participants were assigned to either Tofacitinib 5 mg BID or 10 mg BID group.

    Pre-assignment
    Screening details
    Treatment failure for A3921096: Increase in Mayo score of >=3 points from baseline and rectal bleeding sub score by >=1 point and endoscopic sub score of >=1 point post minimum of 8 weeks treatment. If endoscopic sub score and baseline endoscopic sub score was 3 (maximum), then increase by >=1 point was not needed, but all other criteria must met.

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

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Tofacitinib 5 mg BID
    Arm description
    Subjects who completed Study A3921096 and were in remission at Week 52 of Study A3921096, received Tofacitinib 5 milligram (mg) tablets twice daily (BID) for maximum of 80 months in this Study A3921139. Remission was defined as total Mayo score less than or equal to (<=) 2 with no individual sub score greater than (>)1 and rectal bleeding sub score of 0.
    Arm type
    Experimental

    Investigational medicinal product name
    Tofacitinib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received Tofacitinib 5 mg tablets orally twice daily.

    Arm title
    Tofacitinib 10 mg BID
    Arm description
    Subjects who had completed Study A3921096 and not in remission, or who had early withdrawal due to treatment failure from Study A3921096, or who were non responders after completing A3921094 or A3921095 received Tofacitinib 10 mg tablets twice daily for maximum of 84 months in this Study A3921139.
    Arm type
    Experimental

    Investigational medicinal product name
    Tofacitinib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received Tofacitinib 10 mg tablets orally twice daily.

    Number of subjects in period 1
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Started
    175
    769
    Completed
    91
    104
    Not completed
    84
    665
         Adverse event, serious fatal
    -
    1
         Consent withdrawn by subject
    24
    79
         Did not meet entrance criteria
    -
    1
         Adverse event, non-fatal
    20
    80
         Pregnancy
    2
    10
         Unspecified
    14
    156
         Lost to follow-up
    2
    5
         Lack of efficacy
    20
    326
         Protocol deviation
    2
    7

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Tofacitinib 5 mg BID
    Reporting group description
    Subjects who completed Study A3921096 and were in remission at Week 52 of Study A3921096, received Tofacitinib 5 milligram (mg) tablets twice daily (BID) for maximum of 80 months in this Study A3921139. Remission was defined as total Mayo score less than or equal to (<=) 2 with no individual sub score greater than (>)1 and rectal bleeding sub score of 0.

    Reporting group title
    Tofacitinib 10 mg BID
    Reporting group description
    Subjects who had completed Study A3921096 and not in remission, or who had early withdrawal due to treatment failure from Study A3921096, or who were non responders after completing A3921094 or A3921095 received Tofacitinib 10 mg tablets twice daily for maximum of 84 months in this Study A3921139.

    Reporting group values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID Total
    Number of subjects
    175 769 944
    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)
    161 720 881
        From 65-84 years
    14 49 63
        85 years and over
    0 0 0
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    44.5 ( 14.6 ) 40.5 ( 13.5 ) -
    Sex: Female, Male
    Units: subjects
        Female
    79 310 389
        Male
    96 459 555
    Race/Ethnicity, Customized
    Units: Subjects
        White
    136 615 751
        Black
    0 9 9
        Asian
    25 97 122
        Other
    9 24 33
        Unspecified
    5 24 29

    End points

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    End points reporting groups
    Reporting group title
    Tofacitinib 5 mg BID
    Reporting group description
    Subjects who completed Study A3921096 and were in remission at Week 52 of Study A3921096, received Tofacitinib 5 milligram (mg) tablets twice daily (BID) for maximum of 80 months in this Study A3921139. Remission was defined as total Mayo score less than or equal to (<=) 2 with no individual sub score greater than (>)1 and rectal bleeding sub score of 0.

    Reporting group title
    Tofacitinib 10 mg BID
    Reporting group description
    Subjects who had completed Study A3921096 and not in remission, or who had early withdrawal due to treatment failure from Study A3921096, or who were non responders after completing A3921094 or A3921095 received Tofacitinib 10 mg tablets twice daily for maximum of 84 months in this Study A3921139.

    Primary: Number of Subjects With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

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    End point title
    Number of Subjects With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) [1]
    End point description
    An AE was any untoward medical occurrence in a subject who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to 81 months for Tofacitininb 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group that were absent before treatment or that worsened relative to pretreatment state. AEs included both serious and non-serious AEs. Safety analysis set (SAS) included all subjects who received at least 1 dose of study medication in this study.
    End point type
    Primary
    End point timeframe
    Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)
    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 data was planned to be analyzed for this endpoint.
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    175
    769
    Units: subjects
        Subject with AEs
    154
    626
        Subject with SAEs
    39
    147
    No statistical analyses for this end point

    Primary: Number of Subjects With Serious Infections as Treatment Emergent Adverse Events (TEAEs)

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    End point title
    Number of Subjects With Serious Infections as Treatment Emergent Adverse Events (TEAEs) [2]
    End point description
    Serious infections were treated infections that required parenteral antimicrobial therapy or hospitalization for treatment or; met other criteria that required the infection to be classified as a serious adverse event (SAE). SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group that were absent before treatment or that worsened relative to pretreatment state. SAS included all subjects who received at least 1 dose of study medication in this study.
    End point type
    Primary
    End point timeframe
    Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be analyzed for this endpoint.
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    175
    769
    Units: subjects
    8
    31
    No statistical analyses for this end point

    Primary: Number of Subjects With Laboratory Test Abnormalities

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    End point title
    Number of Subjects With Laboratory Test Abnormalities [3]
    End point description
    Laboratory abnormalities: Hb, hematocrit, RBC: <0.8*LLN; reticulocytes (absolute [Abs], %):<0.5*LLN,>1.5*ULN; MCV,MCH:<0.9*LLN,>1.1*ULN;platelets:<0.5*LLN,>1.75*ULN;WBC:<0.6*LLN,>1.5*ULN;lymphocytes (Abs,%), total neutrophils(Abs,%):<0.8*LLN,>1.2* ULN;Basophils(Abs,%),eosinophils(Abs,%),monocytes(Abs,%):>1.2*ULN; total bilirubin,direct and indirect bilirubin:>1.5* ULN;AST,ALT,gamma GT,LDH,ALP:>3.0* ULN;total protein,albumin:<0.8* LLN,>1.2*ULN:BUN,creatinine: >1.3*ULN;uric acid:>1.2*ULN;cholesterol,triglycerides:>1.3*ULN;cholesterol (HDL: <0.8*LLN;LDL:>1.2*ULN);sodium:<0.95*LLN,>1.05*ULN;potassium,chloride,calcium,bicarbonate:<0.9*LLN, >1.1*ULN; glucose: <0.6*LLN; creatine kinase >2.0*ULN; urine specific gravity: <1.003; urine pH: <4.5; urine (glucose,protein,blood,nitrite,leukocyte,esterase): >=1; Urine (RBC,WBC):>=20;urine epithelial cells:>=6; urine (casts,granular casts,hyaline casts): >1; urine bacteria:>20. SAS. "Number of subjects Analysed"=subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)
    Notes
    [3] - 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 data was planned to be analyzed for this endpoint.
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    175
    761
    Units: subjects
    162
    670
    No statistical analyses for this end point

    Primary: Number of Subjects With Vital Sign Abnormalities

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    End point title
    Number of Subjects With Vital Sign Abnormalities [4]
    End point description
    Vital sign abnormalities included >=30 millimeter of mercury [mmHg] increase in systolic blood pressure (BP), >=30 mmHg decrease in systolic BP, Systolic BP (<90 mmHg), >=20 mmHg increase in diastolic BP, >=20 mmHg decrease in diastolic BP, diastolic BP (<50 mmHg), pulse rate (<40 beats per minute [BPM]), pulse rate (>120 BPM). SAS included all subjects who received at least 1 dose of study medication in this study. Here, "Number of subjects analysed" signifies subjects evaluable for this endpoint and "n" signifies subjects evaluable at each specified category.
    End point type
    Primary
    End point timeframe
    Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be analyzed for this endpoint.
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    175
    763
    Units: subjects
        Systolic BP (>=30 mmHg increase) (n=172, 748)
    20
    113
        Systolic BP (>=30 mmHg decrease) (n=172, 748)
    19
    44
        Systolic BP (<90 mmHg) (n=175, 763)
    3
    13
        Diastolic BP (>=20 mmHg increase) (n=172, 748)
    21
    137
        Diastolic BP (>=20 mmHg decrease) (n=172, 748)
    37
    78
        Diastolic BP (<50 mmHg) (n=175, 763)
    3
    16
        Pulse Rate (<40 BPM) (n=175, 763)
    1
    0
        Pulse Rate (>120 BPM) (n=175, 763)
    0
    8
    No statistical analyses for this end point

    Primary: Number of Subjects With Clinically Significant Changes in Physical Examinations From Baseline

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    End point title
    Number of Subjects With Clinically Significant Changes in Physical Examinations From Baseline [5]
    End point description
    Physical examinations included weight, general appearance, head, ears, eyes, nose, mouth, throat, thyroid, skin (presence of rash), lungs (auscultation), heart (auscultation for presence of murmurs, gallops, rubs, peripheral edema), abdominal (palpation and auscultation), perianal, musculoskeletal, extremities, neurologic (mental status, gait, reflexes, motor and sensory function, coordination) and lymph nodes. Clinically significant changes were judged by the investigator. SAS included all subjects who received at least 1 dose of study medication in this study.
    End point type
    Primary
    End point timeframe
    Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)
    Notes
    [5] - 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 data was planned to be analyzed for this endpoint.
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    175
    769
    Units: subjects
    84
    391
    No statistical analyses for this end point

    Primary: Number of Subjects With Electrocardiogram (ECG) Abnormalities

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    End point title
    Number of Subjects With Electrocardiogram (ECG) Abnormalities [6]
    End point description
    ECG abnormalities criteria: maximum PR interval (>=300 millisecond); maximum QRS complex (>=200 millisecond); and maximum QT interval (>=500 millisecond). SAS included all subjects who received at least 1 dose of study medication in this study. Here, "Number of subjects analyzed" signifies number of subjects evaluable for this endpoint and "n" signifies subjects evaluable at each specified category.
    End point type
    Primary
    End point timeframe
    Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)
    Notes
    [6] - 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 data was planned to be analyzed for this endpoint.
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    158
    707
    Units: subjects
        Maximum PR interval (>=300) (n=157,706)
    0
    0
        Maximum QRS complex (>=200)(n=158,707)
    0
    0
        Maximum QT interval (>=500)(n=158,707)
    0
    0
    No statistical analyses for this end point

    Primary: Incidence Rates for Adjudicated Cardiovascular, Malignancy, Opportunistic Infections and Thromboembolic Safety Events

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    End point title
    Incidence Rates for Adjudicated Cardiovascular, Malignancy, Opportunistic Infections and Thromboembolic Safety Events [7]
    End point description
    Incidence rates (number of subjects with events per 100 subjects-years) for adjudicated cardiovascular (major adverse cardiovascular event [MACE]), malignancy (non-melanoma skin cancer [NMSC], malignancy excluding NMSC, opportunistic infections (OIs) (both herpes zoster and non herpes zoster OIs) and thromboembolic events (venous thromboembolism) safety events was analyzed.
    End point type
    Primary
    End point timeframe
    Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)
    Notes
    [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be analyzed for this endpoint.
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    175
    769
    Units: Incidence rate
    number (confidence interval 95%)
        MACE
    0.31 (0.04 to 1.13)
    0.11 (0.01 to 0.40)
        NMSC
    0.96 (0.35 to 2.08)
    0.68 (0.35 to 1.19)
        Malignancies excluding NMSC
    1.09 (0.44 to 2.25)
    1.00 (0.60 to 1.59)
        Herpes Zoster OI
    0.47 (0.10 to 1.37)
    0.79 (0.43 to 1.32)
        Non Herpes Zoster OI
    0.16 (0.00 to 0.87)
    0.17 (0.03 to 0.49)
        Venous thromboembolism
    0.00 (0.00 to 0.57)
    0.33 (0.12 to 0.73)
    No statistical analyses for this end point

    Secondary: Number of Subjects in Remission at Months 2, 12, 24 and 36: Observed Cases

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    End point title
    Number of Subjects in Remission at Months 2, 12, 24 and 36: Observed Cases
    End point description
    Remission in subjects was defined as a total Mayo score of less than or equals to (<=) 2, with no individual sub score exceeding 1 point and a rectal bleeding sub score of 0. Mayo score was an instrument designed to measure disease activity of ulcerative colitis (UC). It consisted of 4 sub scores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and physician global assessment (PGA), each sub score graded from 0 to 3 with higher scores indicated higher disease severity. These sub scores were summed up to give a total score range of 0 to 12, where higher score indicated more severe disease. FAS included all subjects who received at least 1 dose of study medication in this study. Here, "Number of subjects analysed" signifies subjects evaluable for this endpoint and "n" signifies subjects evaluable at each specified timepoint. Data is presented for observed cases, no imputation technique was applied.
    End point type
    Secondary
    End point timeframe
    Months 2, 12, 24 and 36
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    164
    676
    Units: subjects
        Month 2 (n= 164, 676)
    131
    188
        Month 12 (n= 154, 447)
    129
    279
        Month 24 (n= 132, 371)
    103
    264
        Month 36 (n= 113, 299)
    98
    239
    No statistical analyses for this end point

    Secondary: Number of Subjects in Remission at Months 2, 12, 24 and 36: Non-responder Imputation- Last Observation Carried Forward (NRI-LOCF)

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    End point title
    Number of Subjects in Remission at Months 2, 12, 24 and 36: Non-responder Imputation- Last Observation Carried Forward (NRI-LOCF)
    End point description
    Remission in subjects was defined as a total Mayo score of <=2, with no individual sub score exceeding 1 point and a rectal bleeding sub score of 0. Mayo score was an instrument designed to measure disease activity of UC. It consisted of 4 sub scores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicated higher disease severity. These sub scores were summed up to give a total score range of 0 to 12, where higher score indicated more severe disease. FAS included all subjects who received at least 1 dose of study medication in this study. NRI method was used for missing data except for visits after a subject advanced to other studies where LOCF method was used.
    End point type
    Secondary
    End point timeframe
    Months 2, 12, 24 and 36
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    175
    769
    Units: subjects
        Month 2
    131
    188
        Month 12
    129
    279
        Month 24
    103
    264
        Month 36
    103
    259
    No statistical analyses for this end point

    Secondary: Number of Subjects in Clinical Remission at Months 2, 12, 24 and 36: Observed Cases

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    End point title
    Number of Subjects in Clinical Remission at Months 2, 12, 24 and 36: Observed Cases
    End point description
    Clinical remission in subjects was defined as a total mayo score of <=2 with no individual sub score exceeding 1 point. Mayo score was an instrument designed to measure disease activity of UC. It consisted of 4 sub scores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each graded from 0 to 3 with higher scores indicated higher disease severity. These sub scores were summed up to give a total score range of 0 to 12, where higher score indicated more severe disease. Here, "Number of subjects analysed" signifies subjects evaluable for this endpoint and "n" signifies subjects evaluable at each specified time point. Data is presented for observed cases, no imputation technique was applied.
    End point type
    Secondary
    End point timeframe
    Months 2, 12, 24 and 36
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    164
    676
    Units: subjects
        Month 2 (n= 164, 676)
    132
    191
        Month 12 (n= 154, 447)
    129
    282
        Month 24 (n= 132, 371)
    104
    266
        Month 36 (n= 113, 299)
    102
    240
    No statistical analyses for this end point

    Secondary: Number of Subjects in Clinical Remission at Months 2, 12, 24 and 36: Non-responder Imputation- Last Observation Carried Forward (NRI-LOCF)

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    End point title
    Number of Subjects in Clinical Remission at Months 2, 12, 24 and 36: Non-responder Imputation- Last Observation Carried Forward (NRI-LOCF)
    End point description
    Clinical remission in subjects was defined as a total mayo score of <=2 with no individual sub score exceeding 1 point. Mayo score was an instrument designed to measure disease activity of UC. It consisted of 4 sub scores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each graded from 0 to 3 with higher scores indicated higher disease severity. These sub scores were summed up to give a total score range of 0 to 12, where higher score indicated more severe disease. FAS included all subjects who received at least 1 dose of study medication in this study. NRI method was used for missing data except for visits after a subject advanced to other studies where LOCF method was used.
    End point type
    Secondary
    End point timeframe
    Months 2, 12, 24 and 36
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    175
    769
    Units: subjects
        Month 2
    132
    191
        Month 12
    129
    282
        Month 24
    104
    266
        Month 36
    107
    260
    No statistical analyses for this end point

    Secondary: Number of Subjects in Partial Mayo Score (PMS) Remission at Months 1, 4, 6, 9, 15, 18, 21, 27, 30, 33, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78, 81 and 84: Observed Cases

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    End point title
    Number of Subjects in Partial Mayo Score (PMS) Remission at Months 1, 4, 6, 9, 15, 18, 21, 27, 30, 33, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78, 81 and 84: Observed Cases
    End point description
    PMS was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 sub scores: stool frequency, rectal bleeding and PGA, each sub score graded from 0 to 3 with higher scores indicated higher disease severity. These sub scores were summed up to give a total score range of 0 to 9, where higher score indicated more severe disease. PMS remission was defined as a partial Mayo score <=2 with no individual sub score >1. Here, "Number of subjects analysed" signifies subjects evaluable for this endpoint and "n" signifies subjects evaluable at each specified timepoint. Data is presented for observed cases, no imputation technique was applied. Here, 99999 indicated data could not be reported as no subjects were evaluable at that time point.
    End point type
    Secondary
    End point timeframe
    Months 1, 4, 6, 9, 15, 18, 21, 27, 30, 33, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78, 81 and 84
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    166
    729
    Units: subjects
        Month 1 (n= 165, 729)
    158
    275
        Month 4 (n= 165, 532)
    152
    375
        Month 6 (n= 166, 505)
    155
    395
        Month 9 (n= 160, 469)
    154
    390
        Month 15 (n= 145, 418)
    139
    361
        Month 18 (n= 144, 404)
    137
    354
        Month 21 (n= 138, 394)
    125
    351
        Month 27 (n= 125, 348)
    117
    319
        Month 30 (n= 124, 338)
    117
    307
        Month 33 (n= 118, 326)
    111
    304
        Month 39 (n= 105, 281)
    102
    261
        Month 42 (n= 100, 253)
    95
    236
        Month 45 (n= 102, 226)
    95
    212
        Month 48 (n= 92, 199)
    87
    183
        Month 51 (n= 89, 175)
    87
    162
        Month 54 (n= 71, 147)
    68
    140
        Month 57 (n= 56, 128)
    54
    120
        Month 60 (n= 39, 107)
    38
    98
        Month 63 (n= 28, 89)
    28
    80
        Month 66 (n= 89, 175)
    19
    67
        Month 69 (n= 11, 54)
    10
    49
        Month 72 (n= 6, 44)
    6
    40
        Month 75 (n= 3, 26)
    3
    24
        Month 78 (n= 4, 19)
    4
    18
        Month 81 (n= 0, 11)
    99999
    10
        Month 84 (n= 0, 8)
    99999
    6
    No statistical analyses for this end point

    Secondary: Number of Subjects in Partial Mayo Score (PMS) Remission at Months 1, 4, 6, 9, 15, 18, 21, 27, 30, 33, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78, 81 and 84: Non-responder Imputation- Last Observation Carried Forward (NRI-LOCF)

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    End point title
    Number of Subjects in Partial Mayo Score (PMS) Remission at Months 1, 4, 6, 9, 15, 18, 21, 27, 30, 33, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78, 81 and 84: Non-responder Imputation- Last Observation Carried Forward (NRI-LOCF)
    End point description
    PMS was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 sub scores: stool frequency, rectal bleeding and PGA, each sub score graded from 0 to 3 with higher scores indicated higher disease severity. These sub scores were summed up to give a total score range of 0 to 9, where higher score indicated more severe disease. PMS remission was defined as a partial Mayo score <=2 with no individual sub score >1. FAS included all subjects who received at least 1 dose of study medication in this study. Here, "n" signifies subjects evaluable at each specified time point. NRI method was used for missing data at all visits except for visits after a participant advanced to other studies and would reach the visits if the subject stayed in the study where LOCF method was used.
    End point type
    Secondary
    End point timeframe
    Months 1, 4, 6, 9, 15, 18, 21, 27, 30, 33, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78, 81 and 84
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    175
    769
    Units: subjects
        Month 1 (n= 175, 769)
    158
    275
        Month 4 (n= 175, 769)
    152
    375
        Month 6 (n= 175, 769)
    155
    395
        Month 9 (n= 175, 769)
    154
    390
        Month 15 (n= 175, 769)
    139
    361
        Month 18 (n= 175, 769)
    137
    354
        Month 21 (n= 175, 769)
    125
    351
        Month 27 (n= 175, 769)
    117
    325
        Month 30 (n= 175, 769)
    117
    316
        Month 33 (n= 175, 769)
    114
    317
        Month 39 (n= 175, 769)
    108
    293
        Month 42 (n= 175, 769)
    102
    286
        Month 45 (n= 175, 769)
    102
    283
        Month 48 (n= 175, 769)
    95
    274
        Month 51 (n= 175, 769)
    96
    267
        Month 54 (n= 170, 764)
    76
    250
        Month 57 (n= 160, 753)
    61
    234
        Month 60 (n= 149, 732)
    44
    213
        Month 63 (n= 135, 707)
    31
    194
        Month 66 (n= 125, 659)
    22
    168
        Month 69 (n= 114, 562)
    13
    131
        Month 72 (n= 109, 468)
    7
    102
        Month 75 (n= 102, 412)
    3
    73
        Month 78 (n= 96, 339)
    4
    52
        Month 81 (n= 95, 284)
    0
    29
        Month 84 (n= 91, 210)
    0
    15
    No statistical analyses for this end point

    Secondary: Number of Subjects who Achieved Mucosal Healing at Months 2, 12, 24 and 36: Observed Cases

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    End point title
    Number of Subjects who Achieved Mucosal Healing at Months 2, 12, 24 and 36: Observed Cases
    End point description
    Mucosal healing in subjects was defined as mayo endoscopic sub score of 0 or 1. The mayo endoscopic sub score consisted of the findings of flexible sigmoidoscopy, graded from 0 to 3 with higher sub scores indicated higher disease severity. FAS included all subjects who received at least 1 dose of study medication in this study. Here, "Number of subjects analysed" signifies subjects evaluable for this endpoint and "n" signifies subjects evaluable at each specified time point. Data is presented for observed cases, no imputation technique was applied.
    End point type
    Secondary
    End point timeframe
    Months 2, 12, 24 and 36
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    169
    690
    Units: subjects
        Month 2 (n= 169, 690)
    152
    279
        Month 12 (n= 156, 458)
    140
    340
        Month 24 (n= 136, 382)
    119
    307
        Month 36 (n= 115, 307)
    107
    265
    No statistical analyses for this end point

    Secondary: Number of Subjects who Achieved Mucosal Healing at Months 2, 12, 24 and 36: Non-responder Imputation- Last Observation Carried Forward (NRI-LOCF)

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    End point title
    Number of Subjects who Achieved Mucosal Healing at Months 2, 12, 24 and 36: Non-responder Imputation- Last Observation Carried Forward (NRI-LOCF)
    End point description
    Mucosal healing in subjects was defined as mayo endoscopic sub score of 0 or 1. The mayo endoscopic sub score consisted of the findings of flexible sigmoidoscopy, graded from 0 to 3 with higher sub scores indicating higher disease severity. FAS included all subjects who received at least 1 dose of study medication in this study. NRI method was used for missing data at all visits and LOCF method was used for visits after a subject advanced to next study.
    End point type
    Secondary
    End point timeframe
    Months 2, 12, 24 and 36
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    175
    769
    Units: subjects
        Month 2
    152
    279
        Month 12
    140
    340
        Month 24
    119
    307
        Month 36
    113
    285
    No statistical analyses for this end point

    Secondary: Number of Subjects With Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score >=170 at Months 2, 6, 12, 18, 24, 30, 36, 48, 60, 72 and 84: Non-responder Imputation- Last Observation Carried Forward (NRI-LOCF)

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    End point title
    Number of Subjects With Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score >=170 at Months 2, 6, 12, 18, 24, 30, 36, 48, 60, 72 and 84: Non-responder Imputation- Last Observation Carried Forward (NRI-LOCF)
    End point description
    IBDQ was a psychometrically validated patient reported outcome (PRO) instrument for measuring the disease-specific quality of life in subjects with inflammatory bowel disease (IBD), including ulcerative colitis consisted of 32 items scored from 1 (worst response) to 7 (best response). For each domain, higher score indicates better quality of life (QOL). Total score was the sum of each item score, and ranged from 32 to 224 with a higher score indicated better QOL. FAS included all subjects who received at least 1 dose of study medication in this study. Here, "n" signifies subjects evaluable at each specified time point. NRI method was used for missing data at all visits except for visits after a subject advanced to other studies and would reach the visits if the subject stayed in the study where LOCF method was used.
    End point type
    Secondary
    End point timeframe
    Months 2, 6, 12, 18, 24, 30, 36, 48, 60, 72 and 84
    End point values
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Number of subjects analysed
    175
    769
    Units: subjects
        Month 2 (n= 175, 769)
    154
    419
        Month 6 (n= 175, 769)
    151
    395
        Month 12 (n= 175, 769)
    140
    365
        Month 18 (n= 175, 769)
    123
    354
        Month 24 (n= 175, 769)
    120
    315
        Month 30 (n= 175, 769)
    115
    299
        Month 36 (n= 175, 769)
    111
    294
        Month 48 (n= 175, 769)
    93
    265
        Month 60 (n= 149, 732)
    45
    215
        Month 72 (n= 109, 468)
    8
    99
        Month 84 (n= 91, 210)
    0
    14
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)
    Adverse event reporting additional description
    Same event may appear as both an AE and SAE. However, what is presented are distinct events. An event may be categorized as serious in one subject and as non-serious in another, or a subject may have experienced both a serious and non-serious event. Analysis performed on safety analysis set.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    23.0
    Reporting groups
    Reporting group title
    Tofacitinib 5 mg BID
    Reporting group description
    Subjects who completed Study A3921096 and were in remission at Week 52 of Study A3921096, received Tofacitinib 5 milligram (mg) tablets twice daily (BID) for maximum of 80 months in this Study A3921139. Remission was defined as total Mayo score <=2 with no individual sub score >1 and rectal bleeding sub score of 0.

    Reporting group title
    Tofacitinib 10 mg BID
    Reporting group description
    Subjects who had completed Study A3921096 and not in remission, or who had early withdrawal due to treatment failure from Study A3921096, or who were non responders after completing A3921094 or A3921095 received Tofacitinib 10 mg tablets twice daily for maximum of 84 months in this Study A3921139.

    Serious adverse events
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Total subjects affected by serious adverse events
         subjects affected / exposed
    39 / 175 (22.29%)
    147 / 769 (19.12%)
         number of deaths (all causes)
    0
    6
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acute myeloid leukaemia
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Adenocarcinoma metastatic
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Adenocarcinoma of colon
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Adenoma benign
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Basal cell carcinoma
         subjects affected / exposed
    2 / 175 (1.14%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    2 / 2
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Breast cancer
         subjects affected / exposed
    2 / 175 (1.14%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cholangiocarcinoma
         subjects affected / exposed
    1 / 175 (0.57%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Colon adenoma
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Colorectal cancer metastatic
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diffuse large B-cell lymphoma
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Epstein-Barr virus associated lymphoma
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Fibroadenoma of breast
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatic angiosarcoma
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    Invasive ductal breast carcinoma
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Leiomyosarcoma
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lung neoplasm
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lung neoplasm malignant
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         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
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    Meningioma
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metastases to liver
         subjects affected / exposed
    1 / 175 (0.57%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metastases to lymph nodes
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metastases to peritoneum
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Oesophageal adenocarcinoma
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         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 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Squamous cell carcinoma
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    Abortion spontaneous
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Chest discomfort
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (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 / 175 (0.57%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Fatigue
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Oedema peripheral
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Benign prostatic hyperplasia
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cervical dysplasia
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cervix haemorrhage uterine
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (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
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nasal polyps
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    0 / 175 (0.00%)
    5 / 769 (0.65%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Pulmonary mass
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Depression
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Major depression
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Suicide attempt
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Product issues
    Device loosening
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Alcohol poisoning
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ankle fracture
         subjects affected / exposed
    1 / 175 (0.57%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Clavicle fracture
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Fibula fracture
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Foot fracture
         subjects affected / exposed
    2 / 175 (1.14%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Humerus fracture
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ligament rupture
         subjects affected / exposed
    2 / 175 (1.14%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ligament sprain
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lower limb fracture
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Meniscus injury
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Muscle strain
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         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 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rib fracture
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Spinal compression fracture
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Spinal fracture
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tendon rupture
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Toxicity to various agents
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Upper limb fracture
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Wrist fracture
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Congenital, familial and genetic disorders
    Hydrocele
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Acute myocardial infarction
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Angina pectoris
         subjects affected / exposed
    1 / 175 (0.57%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Atrial fibrillation
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Atrioventricular block second degree
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac arrest
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    Cardiac failure
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Coronary artery disease
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Myocarditis
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pericarditis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Cerebellar haemorrhage
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cerebrovascular accident
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cervical radiculopathy
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Headache
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ischaemic stroke
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Loss of consciousness
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Post herpetic neuralgia
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sciatica
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vertebrobasilar insufficiency
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ear and labyrinth disorders
    Deafness unilateral
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vertigo
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Eye disorders
    Cataract
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diplopia
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Abdominal pain lower
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Anal fistula
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Anal skin tags
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Colitis ulcerative
         subjects affected / exposed
    4 / 175 (2.29%)
    38 / 769 (4.94%)
         occurrences causally related to treatment / all
    0 / 4
    4 / 39
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Colon dysplasia
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dyspepsia
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequent bowel movements
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastritis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal perforation
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Haematochezia
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Haemorrhoids
         subjects affected / exposed
    1 / 175 (0.57%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ileus
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Inguinal hernia
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         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
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Megacolon
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Proctalgia
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Proctitis
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rectal haemorrhage
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         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 / 175 (0.57%)
    0 / 769 (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
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholecystitis chronic
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cholelithiasis
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatic cirrhosis
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (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
    Acne
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Acne conglobata
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         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
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Eosinophilic pustular folliculitis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Erythema nodosum
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Calculus urinary
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Haematuria
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nephrolithiasis
         subjects affected / exposed
    1 / 175 (0.57%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Prerenal failure
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         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 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ureteric obstruction
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ureterolithiasis
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Endocrine disorders
    Hyperparathyroidism
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Thyroid mass
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         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
    Arthritis reactive
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Back pain
         subjects affected / exposed
    1 / 175 (0.57%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Femoroacetabular impingement
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neck pain
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Osteoarthritis
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rotator cuff syndrome
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Spinal osteoarthritis
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Spinal pain
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (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 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Anal abscess
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Appendicitis
         subjects affected / exposed
    0 / 175 (0.00%)
    3 / 769 (0.39%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Arthritis bacterial
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Atypical pneumonia
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bacterial vaginosis
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cellulitis staphylococcal
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Clostridium difficile infection
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Complicated appendicitis
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cytomegalovirus hepatitis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diverticulitis
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Enteritis infectious
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastroenteritis norovirus
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (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
    1 / 175 (0.57%)
    4 / 769 (0.52%)
         occurrences causally related to treatment / all
    1 / 1
    3 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Herpes zoster meningitis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Histoplasmosis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Influenza
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lower respiratory tract infection
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Mastoiditis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Meningitis viral
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Necrotising fasciitis
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ophthalmic herpes zoster
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Osteomyelitis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Perirectal abscess
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pilonidal cyst
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pulmonary mycosis
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sinusitis
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 769 (0.26%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tonsillitis
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 769 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tuberculosis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urosepsis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Wound infection
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 769 (0.13%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 2%
    Non-serious adverse events
    Tofacitinib 5 mg BID Tofacitinib 10 mg BID
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    134 / 175 (76.57%)
    550 / 769 (71.52%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Skin papilloma
         subjects affected / exposed
    4 / 175 (2.29%)
    14 / 769 (1.82%)
         occurrences all number
    4
    15
    Vascular disorders
    Hypertension
         subjects affected / exposed
    17 / 175 (9.71%)
    28 / 769 (3.64%)
         occurrences all number
    18
    31
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    5 / 175 (2.86%)
    33 / 769 (4.29%)
         occurrences all number
    6
    37
    Oedema peripheral
         subjects affected / exposed
    4 / 175 (2.29%)
    13 / 769 (1.69%)
         occurrences all number
    4
    14
    Pyrexia
         subjects affected / exposed
    2 / 175 (1.14%)
    25 / 769 (3.25%)
         occurrences all number
    2
    28
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    14 / 175 (8.00%)
    38 / 769 (4.94%)
         occurrences all number
    19
    41
    Dyspnoea
         subjects affected / exposed
    5 / 175 (2.86%)
    7 / 769 (0.91%)
         occurrences all number
    5
    8
    Rhinorrhoea
         subjects affected / exposed
    4 / 175 (2.29%)
    4 / 769 (0.52%)
         occurrences all number
    4
    4
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    6 / 175 (3.43%)
    16 / 769 (2.08%)
         occurrences all number
    6
    16
    Depression
         subjects affected / exposed
    4 / 175 (2.29%)
    12 / 769 (1.56%)
         occurrences all number
    5
    12
    Insomnia
         subjects affected / exposed
    5 / 175 (2.86%)
    18 / 769 (2.34%)
         occurrences all number
    5
    19
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    6 / 175 (3.43%)
    11 / 769 (1.43%)
         occurrences all number
    6
    11
    Aspartate aminotransferase increased
         subjects affected / exposed
    5 / 175 (2.86%)
    8 / 769 (1.04%)
         occurrences all number
    5
    8
    Blood cholesterol increased
         subjects affected / exposed
    7 / 175 (4.00%)
    18 / 769 (2.34%)
         occurrences all number
    7
    20
    Blood creatine phosphokinase increased
         subjects affected / exposed
    19 / 175 (10.86%)
    85 / 769 (11.05%)
         occurrences all number
    22
    108
    Lymphocyte count decreased
         subjects affected / exposed
    3 / 175 (1.71%)
    18 / 769 (2.34%)
         occurrences all number
    7
    24
    White blood cell count decreased
         subjects affected / exposed
    4 / 175 (2.29%)
    8 / 769 (1.04%)
         occurrences all number
    5
    9
    Injury, poisoning and procedural complications
    Ligament sprain
         subjects affected / exposed
    4 / 175 (2.29%)
    8 / 769 (1.04%)
         occurrences all number
    4
    8
    Skin laceration
         subjects affected / exposed
    5 / 175 (2.86%)
    4 / 769 (0.52%)
         occurrences all number
    5
    4
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    4 / 175 (2.29%)
    14 / 769 (1.82%)
         occurrences all number
    4
    15
    Headache
         subjects affected / exposed
    12 / 175 (6.86%)
    57 / 769 (7.41%)
         occurrences all number
    23
    81
    Paraesthesia
         subjects affected / exposed
    2 / 175 (1.14%)
    17 / 769 (2.21%)
         occurrences all number
    2
    17
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    3 / 175 (1.71%)
    36 / 769 (4.68%)
         occurrences all number
    4
    38
    Lymphopenia
         subjects affected / exposed
    6 / 175 (3.43%)
    13 / 769 (1.69%)
         occurrences all number
    9
    23
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    6 / 175 (3.43%)
    47 / 769 (6.11%)
         occurrences all number
    8
    54
    Abdominal pain upper
         subjects affected / exposed
    4 / 175 (2.29%)
    24 / 769 (3.12%)
         occurrences all number
    8
    33
    Colitis ulcerative
         subjects affected / exposed
    44 / 175 (25.14%)
    131 / 769 (17.04%)
         occurrences all number
    57
    150
    Constipation
         subjects affected / exposed
    7 / 175 (4.00%)
    20 / 769 (2.60%)
         occurrences all number
    7
    20
    Diarrhoea
         subjects affected / exposed
    9 / 175 (5.14%)
    34 / 769 (4.42%)
         occurrences all number
    11
    38
    Dyspepsia
         subjects affected / exposed
    8 / 175 (4.57%)
    12 / 769 (1.56%)
         occurrences all number
    9
    12
    Gastrooesophageal reflux disease
         subjects affected / exposed
    10 / 175 (5.71%)
    15 / 769 (1.95%)
         occurrences all number
    11
    15
    Haemorrhoids
         subjects affected / exposed
    3 / 175 (1.71%)
    20 / 769 (2.60%)
         occurrences all number
    3
    21
    Nausea
         subjects affected / exposed
    1 / 175 (0.57%)
    30 / 769 (3.90%)
         occurrences all number
    1
    37
    Vomiting
         subjects affected / exposed
    3 / 175 (1.71%)
    20 / 769 (2.60%)
         occurrences all number
    3
    23
    Skin and subcutaneous tissue disorders
    Acne
         subjects affected / exposed
    5 / 175 (2.86%)
    20 / 769 (2.60%)
         occurrences all number
    5
    22
    Rash
         subjects affected / exposed
    4 / 175 (2.29%)
    38 / 769 (4.94%)
         occurrences all number
    4
    41
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    17 / 175 (9.71%)
    76 / 769 (9.88%)
         occurrences all number
    22
    96
    Back pain
         subjects affected / exposed
    11 / 175 (6.29%)
    28 / 769 (3.64%)
         occurrences all number
    16
    31
    Musculoskeletal pain
         subjects affected / exposed
    2 / 175 (1.14%)
    18 / 769 (2.34%)
         occurrences all number
    2
    24
    Myalgia
         subjects affected / exposed
    6 / 175 (3.43%)
    10 / 769 (1.30%)
         occurrences all number
    6
    12
    Osteoarthritis
         subjects affected / exposed
    6 / 175 (3.43%)
    9 / 769 (1.17%)
         occurrences all number
    6
    10
    Tendonitis
         subjects affected / exposed
    5 / 175 (2.86%)
    4 / 769 (0.52%)
         occurrences all number
    5
    4
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    17 / 175 (9.71%)
    30 / 769 (3.90%)
         occurrences all number
    26
    44
    Ear infection
         subjects affected / exposed
    4 / 175 (2.29%)
    6 / 769 (0.78%)
         occurrences all number
    4
    6
    Gastroenteritis
         subjects affected / exposed
    12 / 175 (6.86%)
    51 / 769 (6.63%)
         occurrences all number
    15
    60
    Herpes zoster
         subjects affected / exposed
    12 / 175 (6.86%)
    50 / 769 (6.50%)
         occurrences all number
    13
    52
    Influenza
         subjects affected / exposed
    23 / 175 (13.14%)
    63 / 769 (8.19%)
         occurrences all number
    32
    76
    Latent tuberculosis
         subjects affected / exposed
    4 / 175 (2.29%)
    13 / 769 (1.69%)
         occurrences all number
    4
    13
    Oral herpes
         subjects affected / exposed
    1 / 175 (0.57%)
    18 / 769 (2.34%)
         occurrences all number
    3
    42
    Nasopharyngitis
         subjects affected / exposed
    41 / 175 (23.43%)
    157 / 769 (20.42%)
         occurrences all number
    91
    302
    Pharyngitis
         subjects affected / exposed
    8 / 175 (4.57%)
    14 / 769 (1.82%)
         occurrences all number
    8
    16
    Pneumonia
         subjects affected / exposed
    4 / 175 (2.29%)
    9 / 769 (1.17%)
         occurrences all number
    5
    9
    Sinusitis
         subjects affected / exposed
    8 / 175 (4.57%)
    25 / 769 (3.25%)
         occurrences all number
    13
    30
    Rhinitis
         subjects affected / exposed
    5 / 175 (2.86%)
    7 / 769 (0.91%)
         occurrences all number
    5
    8
    Upper respiratory tract infection
         subjects affected / exposed
    19 / 175 (10.86%)
    77 / 769 (10.01%)
         occurrences all number
    27
    114
    Urinary tract infection
         subjects affected / exposed
    13 / 175 (7.43%)
    34 / 769 (4.42%)
         occurrences all number
    20
    60
    Viral upper respiratory tract infection
         subjects affected / exposed
    5 / 175 (2.86%)
    7 / 769 (0.91%)
         occurrences all number
    5
    7
    Metabolism and nutrition disorders
    Hypercholesterolaemia
         subjects affected / exposed
    1 / 175 (0.57%)
    38 / 769 (4.94%)
         occurrences all number
    1
    43
    Hyperlipidaemia
         subjects affected / exposed
    4 / 175 (2.29%)
    10 / 769 (1.30%)
         occurrences all number
    4
    10

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    22 Oct 2018
    This amendment specified the end of the trial will be approximately in July 2020. This 2 year extension of the study allowed for additional collection of long term safety and efficacy data in UC patients on tofacitinib.

    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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    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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