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    Clinical Trial Results:
    High-dose chemotherapy and autologous stem cell transplant or consolidating conventional chemotherapy in primary CNS lymphoma - randomized phase III trial

    Summary
    EudraCT number
    2012-000620-17
    Trial protocol
    DE   DK   IT  
    Global end of trial date
    25 Feb 2022

    Results information
    Results version number
    v2(current)
    This version publication date
    28 Mar 2024
    First version publication date
    22 Feb 2024
    Other versions
    v1
    Version creation reason

    Trial information

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    Trial identification
    Sponsor protocol code
    DRKS00005503
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02531841
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    DRKS: 00005503
    Sponsors
    Sponsor organisation name
    Klinikum Der Landeshauptstadt Stuttgart gKAöR
    Sponsor organisation address
    Kriegsbergstrasse 60, Stuttgart, Germany, 70174
    Public contact
    PD Dr. med. Elisabeth Schorb, Medical Center - University of Freiburg, Germany, +49 761 270 35361, elisabeth.schorb@uniklinik-freiburg.de
    Scientific contact
    PD Dr. med. Elisabeth Schorb, Medical Center - University of Freiburg, Germany, +49 761 270 35361, elisabeth.schorb@uniklinik-freiburg.de
    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
    18 Sep 2023
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    09 Feb 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    25 Feb 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To demonstrate the efficacy measured as progression-free survival (PFS) of intensive chemotherapy followed by autologous stem-cell transplantation compared to conventional chemotherapy
    Protection of trial subjects
    Interim analyses regarding safety issues were performed regularly in order to inform the Data Monitoring Committee (DMC). The underlying principles for the DMC are the patients' ethical and safety aspects. It is the task of the DMC to examine whether the study’s conduct is still ethically justifiable, whether security of the patients is ensured and whether the study’s conduct is acceptable. Data on the patient's vital signs were taken at screening and all subsequent visits. The patient was free to withdraw from the study for any reason and at any time without giving reason for doing so and without penalty or prejudice.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    16 Jul 2014
    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
    Norway: 4
    Country: Number of subjects enrolled
    Denmark: 11
    Country: Number of subjects enrolled
    Germany: 284
    Country: Number of subjects enrolled
    Italy: 46
    Country: Number of subjects enrolled
    Switzerland: 1
    Worldwide total number of subjects
    346
    EEA total number of subjects
    345
    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)
    262
    From 65 to 84 years
    84
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    -

    Pre-assignment period milestones
    Number of subjects started
    346
    Number of subjects completed
    346

    Period 1
    Period 1 title
    Induction treatment
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded
    Blinding implementation details
    Single arm treatment period

    Arms
    Arm title
    Induction treatment
    Arm description
    4 cycles (every 3 weeks), stem-cell harvest after 2nd cycle: - Rituximab 375 mg/m²/d i.v. (days 0, 5) - MTX 3.5 g/m² i.v. (day 1) - Ara-C 2 x 2 g/m²/d i.v. (days 2-3) - Thiotepa 30 mg/m2 i.v. (day 4)
    Arm type
    Induction treatment

    Investigational medicinal product name
    Rituximab
    Investigational medicinal product code
    Other name
    MabThera®
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Concentrate for solution for infusion
    Dosage and administration details
    Strength: 10 mg/mL (referred to concentrate) Dose: 3000 mg/m2 (total), for induction treatment and consolidation treatment For induction treatment: 375 mg/m²/d i.v. (day 0, 5)

    Investigational medicinal product name
    Thiotepa
    Investigational medicinal product code
    Other name
    TEPADINA® 100 mg
    Pharmaceutical forms
    Powder for concentrate for solution for infusion
    Routes of administration
    Solution for infusion
    Dosage and administration details
    Strength: 10 mg/mL (refers to concentrate) Dose: 30 mg/kg (total), For induction treatment: 30 mg/m2 i.v. (day 4)

    Investigational medicinal product name
    Cytarabine
    Investigational medicinal product code
    Other name
    ARA-cell® 4000 mg Infusionslösung
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Solution for infusion
    Dosage and administration details
    Strength: 50 mg/mL Dose: 32 g/m2 (total) For induction treatment: 2 x 2 g/m²/d i.v. (days 2-3)

    Investigational medicinal product name
    Methotrexate
    Investigational medicinal product code
    Other name
    Methotrexat HC 1000 mg Lösung Medac
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Concentrate for solution for infusion
    Dosage and administration details
    Strength: 100 mg/mL MTX (referred to concentrate) Dose: 14 g/m2 (total), for induction treatment For induction treatment: 3.5 g/m² i.v. (day 1)

    Number of subjects in period 1
    Induction treatment
    Started
    346
    Completed
    230
    Not completed
    116
         incl. insufficient bone marrow recovery
    15
         Toxicity, AE/SAE
    56
         Wish of patient
    5
         Protocol deviation
    40
    Period 2
    Period 2 title
    Consolidation treatment
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    R-DeVIC
    Arm description
    2 cycles of R-DeVIC (every 3 weeks): - Rituximab 375 mg/m²/d i.v. (d 0) - Dexamethasone 40 mg/d i.v. (d 1-3) - Etoposide 100 mg/m²/d i.v. (d 1-3) - Ifosfamide 1500 mg/m²/d i.v. (d 1-3) - Carboplatin 300 mg/m² i.v. (d 1)
    Arm type
    Active comparator

    Investigational medicinal product name
    Cytarabine
    Investigational medicinal product code
    Other name
    ARA-cell® 4000 mg Infusionslösung
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Solution for infusion
    Dosage and administration details
    Strength: 50 mg/mL Dose: 32 g/m2 (total), for induction treatment

    Investigational medicinal product name
    Methotrexate
    Investigational medicinal product code
    Other name
    Methotrexat HC 1000 mg Lösung Medac
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Concentrate for solution for infusion
    Dosage and administration details
    Strength: 100 mg/mL MTX (referred to concentrate) Dose: 14 g/m2 (total), for induction treatment

    Investigational medicinal product name
    Thiotepa
    Investigational medicinal product code
    Other name
    TEPADINA® 100 mg
    Pharmaceutical forms
    Powder for concentrate for solution for infusion
    Routes of administration
    Solution for infusion
    Dosage and administration details
    Strength: 10 mg/mL (refers to concentrate) Dose: 30 mg/kg (total), for induction treatment, 20 mg/kg (total), for high-dose consolidation

    Investigational medicinal product name
    Rituximab
    Investigational medicinal product code
    Other name
    MabThera®
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Concentrate for solution for infusion
    Dosage and administration details
    Strength: 10 mg/mL (referred to concentrate) Dose: 3000 mg/m2 (total), for induction treatment and consolidation treatment For consolidation treatment: 375 mg/m² i.v. (day 0)

    Investigational medicinal product name
    Busulfan
    Investigational medicinal product code
    Other name
    Busilvex®
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Concentrate for solution for infusion
    Dosage and administration details
    Strength: 6 mg/mL (refers to concentrate) Dose: 6.4 mg/ml (total)

    Investigational medicinal product name
    Dexamethasone
    Investigational medicinal product code
    Other name
    Fortecortin® Inject 40 mg
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Solution for injection
    Dosage and administration details
    Strength: 8,744 mg/ml Dexamethason-21-dihydrogen phosphate disodium (= 8 mg/ml dexamethasone) Dose: 240 mg (total), for consolidation Arm A

    Investigational medicinal product name
    Etoposide/VP-16
    Investigational medicinal product code
    Other name
    ETOPOPHOS® 1000 mg
    Pharmaceutical forms
    Powder for solution for infusion
    Routes of administration
    Solution for infusion
    Dosage and administration details
    Strength: 11,4 mg/mL Etoposide phosphate (= 10 mg/mL Etoposide, referred to concentrate) Dose: 600 mg/m2 (total), for consolidation Arm A

    Investigational medicinal product name
    Ifosfamide
    Investigational medicinal product code
    Other name
    IFO-cell® 5 g
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Concentrate for solution for infusion
    Dosage and administration details
    Strength: 200 mg/mL Dose: 9000 mg/m2 (total), for consolidation Arm A

    Investigational medicinal product name
    Carmustine/BCNU
    Investigational medicinal product code
    Other name
    CARMUBRIS®
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Solution for infusion
    Dosage and administration details
    Strength: 3.3 mg/mL (refers to concentrate) Dose: 400 mg/m2 (total), for consolidation in experimental intervention

    Investigational medicinal product name
    Carboplatin
    Investigational medicinal product code
    Other name
    CARBO-cell® 10 mg/mL Infusionslösung
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Concentrate for solution for infusion
    Dosage and administration details
    Strength: 10 mg/mL Dose: 600 mg/m2 (total), for consolidation Arm A

    Arm title
    HDT-ASCT
    Arm description
    High-dose chemotherapy (HDT): - BCNU* 400 mg/m² i.v. (d -6) - Thiotepa 2 x 5 mg/kg/d i.v. (d -5-(-4)) - ASCT (d 0) * if not available at study site, Busulfan could have been administered: Busulfan 3.2 mg/kg/d i.v. (d -8-(-7))
    Arm type
    Experimental

    Investigational medicinal product name
    Thiotepa
    Investigational medicinal product code
    Other name
    TEPADINA® 100 mg
    Pharmaceutical forms
    Powder for concentrate for solution for infusion
    Routes of administration
    Solution for infusion
    Dosage and administration details
    Strength: 10 mg/mL (refers to concentrate) Dose: 30 mg/kg (total), For consolidation treatment: 2 x 5 mg/kg/d i.v. (d -5-(-4))

    Investigational medicinal product name
    Carmustine/BCNU
    Investigational medicinal product code
    Other name
    CARMUBRIS®
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Solution for infusion
    Dosage and administration details
    Strength: 3.3 mg/mL (refers to concentrate) Dose: 400 mg/m2 (total). For consolidation treatment: BCNU 400 mg/m² i.v. (d -6). If not available at study site, Busulfan could have been administered: Busulfan 3.2 mg/kg/d i.v. (d -8-(-7))

    Number of subjects in period 2
    R-DeVIC HDT-ASCT
    Started
    115
    115
    Completed
    115
    114
    Not completed
    0
    1
         Major I/E violation
    -
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Induction treatment
    Reporting group description
    -

    Reporting group values
    Induction treatment Total
    Number of subjects
    346 346
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    262 262
        From 65-84 years
    84 84
        85 years and over
    0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    57.8 ( 9.5 ) -
    Gender categorical
    Units: Subjects
        Female
    150 150
        Male
    196 196

    End points

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    End points reporting groups
    Reporting group title
    Induction treatment
    Reporting group description
    4 cycles (every 3 weeks), stem-cell harvest after 2nd cycle: - Rituximab 375 mg/m²/d i.v. (days 0, 5) - MTX 3.5 g/m² i.v. (day 1) - Ara-C 2 x 2 g/m²/d i.v. (days 2-3) - Thiotepa 30 mg/m2 i.v. (day 4)
    Reporting group title
    R-DeVIC
    Reporting group description
    2 cycles of R-DeVIC (every 3 weeks): - Rituximab 375 mg/m²/d i.v. (d 0) - Dexamethasone 40 mg/d i.v. (d 1-3) - Etoposide 100 mg/m²/d i.v. (d 1-3) - Ifosfamide 1500 mg/m²/d i.v. (d 1-3) - Carboplatin 300 mg/m² i.v. (d 1)

    Reporting group title
    HDT-ASCT
    Reporting group description
    High-dose chemotherapy (HDT): - BCNU* 400 mg/m² i.v. (d -6) - Thiotepa 2 x 5 mg/kg/d i.v. (d -5-(-4)) - ASCT (d 0) * if not available at study site, Busulfan could have been administered: Busulfan 3.2 mg/kg/d i.v. (d -8-(-7))

    Primary: Progression-free survival (FAS)

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    End point title
    Progression-free survival (FAS)
    End point description
    End point type
    Primary
    End point timeframe
    Time from randomization until disease progression), disease relapse after achieving complete response (CR), or death from any cause.
    End point values
    R-DeVIC HDT-ASCT
    Number of subjects analysed
    115
    114
    Units: Rate
    number (confidence interval 95%)
        6 months
    0.83 (0.74 to 0.88)
    0.83 (0.75 to 0.89)
        12 months
    0.71 (0.62 to 0.78)
    0.83 (0.74 to 0.88)
        24 months
    0.61 (0.51 to 0.69)
    0.79 (0.70 to 0.85)
        36 months
    0.51 (0.41 to 0.60)
    0.78 (0.69 to 0.85)
        48 months
    0.50 (0.40 to 0.59)
    0.77 (0.67 to 0.83)
        60 months
    0.46 (0.35 to 0.56)
    0.74 (0.62 to 0.82)
    Statistical analysis title
    Cox regression analysis
    Statistical analysis description
    The primary endpoint PFS was analyzed with a Cox proportional hazards model, containing the randomized treatment as hypothesis variable and the stratification variable response status as a covariate.
    Comparison groups
    R-DeVIC v HDT-ASCT
    Number of subjects included in analysis
    229
    Analysis specification
    Pre-specified
    Analysis type
    equivalence
    P-value
    = 0.0003
    Method
    Regression, Cox
    Parameter type
    Cox proportional hazard
    Point estimate
    0.43
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.27
         upper limit
    0.68

    Secondary: Overall survival (FAS)

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    End point title
    Overall survival (FAS)
    End point description
    End point type
    Secondary
    End point timeframe
    Time from randomization until death from any cause.
    End point values
    R-DeVIC HDT-ASCT
    Number of subjects analysed
    115
    114
    Units: Rate
    number (confidence interval 95%)
        6 months
    0.96 (0.90 to 0.98)
    0.93 (0.86 to 0.96)
        12 months
    0.89 (0.81 to 0.93)
    0.91 (0.84 to 0.95)
        24 months
    0.80 (0.72 to 0.87)
    0.87 (0.79 to 0.92)
        36 months
    0.71 (0.61 to 0.78)
    0.86 (0.78 to 0.91)
        48 months
    0.68 (0.58 to 0.76)
    0.84 (0.76 to 0.90)
        60 months
    0.63 (0.52 to 0.73)
    0.84 (0.76 to 0.90)
    Statistical analysis title
    Hazard Ratio
    Comparison groups
    R-DeVIC v HDT-ASCT
    Number of subjects included in analysis
    229
    Analysis specification
    Pre-specified
    Analysis type
    equivalence
    Method
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.46
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.26
         upper limit
    0.81

    Secondary: Relapse rate

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    End point title
    Relapse rate
    End point description
    End point type
    Secondary
    End point timeframe
    Time from randomization
    End point values
    R-DeVIC HDT-ASCT
    Number of subjects analysed
    115
    114
    Units: Rate
    number (confidence interval 95%)
        6 months
    0.1667 (0.1048 to 0.2409)
    0.1316 (0.0772 to 0.2008)
        12 months
    0.2725 (0.1940 to 0.3567)
    0.1404 (0.0839 to 0.2109)
        24 months
    0.3736 (0.2842 to 0.4629)
    0.1770 (0.1129 to 0.2530)
        36 months
    0.4494 (0.3519 to 0.5419)
    0.1864 (0.1204 to 0.2636)
        48 months
    0.4636 (0.3640 to 0.5572)
    0.1994 (0.1300 to 0.2796)
        60 months
    0.4820 (0.3784 to 0.5782)
    0.2300 (0.1433 to 0.3289)
    No statistical analyses for this end point

    Secondary: Quality of life EORTC QLQ-C30: 1 year follow-up

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    End point title
    Quality of life EORTC QLQ-C30: 1 year follow-up
    End point description
    End point type
    Secondary
    End point timeframe
    1 year follow up
    End point values
    R-DeVIC HDT-ASCT
    Number of subjects analysed
    115
    114
    Units: Points
    arithmetic mean (standard deviation)
        1 year follow-up
    63.6 ( 20.1 )
    64.9 ( 20.8 )
    No statistical analyses for this end point

    Secondary: Non Relapse Mortality (FAS)

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    End point title
    Non Relapse Mortality (FAS)
    End point description
    End point type
    Secondary
    End point timeframe
    Time from randomization to death without prior relapse / disease progression
    End point values
    R-DeVIC HDT-ASCT
    Number of subjects analysed
    115
    114
    Units: Rate
    number (confidence interval 95%)
        6 months
    0.0088 (0.0008 to 0.0437)
    0.0351 (0.0114 to 0.0813)
        12 months
    0.0175 (0.0034 to 0.0565)
    0.0351 (0.0114 to 0.0813)
        24 months
    0.0175 (0.0034 to 0.0565)
    0.0351 (0.0114 to 0.0813)
        36 months
    0.0386 (0.0124 to 0.0896)
    0.0351 (0.0114 to 0.0813)
        48 months
    0.0386 (0.0124 to 0.0896)
    0.0351 (0.0114 to 0.0813)
        60 months
    0.0626 (0.0200 to 0.1404)
    0.0351 (0.0114 to 0.0813)
    No statistical analyses for this end point

    Secondary: Quality of life EORTC QLQ-C30: 1 year follow-up: change from screening

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    End point title
    Quality of life EORTC QLQ-C30: 1 year follow-up: change from screening
    End point description
    Only patients with paired values before and after therapy were considered.
    End point type
    Secondary
    End point timeframe
    From screening to 1 year follow up
    End point values
    R-DeVIC HDT-ASCT
    Number of subjects analysed
    115
    114
    Units: Points
    arithmetic mean (standard deviation)
        1 year follow-up: change from screening
    11.0 ( 30.1 )
    14.8 ( 27.5 )
    No statistical analyses for this end point

    Secondary: Quality of life EORTC QLQ-C30: EOT change from screening

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    End point title
    Quality of life EORTC QLQ-C30: EOT change from screening
    End point description
    Only patients with paired values before and after therapy were considered
    End point type
    Secondary
    End point timeframe
    From screening to end of treatment
    End point values
    R-DeVIC HDT-ASCT
    Number of subjects analysed
    115
    114
    Units: Points
    arithmetic mean (standard deviation)
        Change from screening to end of treatment
    6.9 ( 31.4 )
    8.3 ( 29.7 )
    No statistical analyses for this end point

    Secondary: Quality of life EORTC QLQ-C30: Screening

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    End point title
    Quality of life EORTC QLQ-C30: Screening
    End point description
    End point type
    Secondary
    End point timeframe
    at screening
    End point values
    R-DeVIC HDT-ASCT
    Number of subjects analysed
    115
    114
    Units: Points
    arithmetic mean (standard deviation)
        Screening
    49.8 ( 26.1 )
    47.1 ( 27.2 )
    No statistical analyses for this end point

    Secondary: Quality of life EORTC QLQ-C30: Response assessment II

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    End point title
    Quality of life EORTC QLQ-C30: Response assessment II
    End point description
    End point type
    Secondary
    End point timeframe
    Response assessment II
    End point values
    R-DeVIC HDT-ASCT
    Number of subjects analysed
    115
    114
    Units: Points
    arithmetic mean (standard deviation)
        Response assessment II
    55.0 ( 21.6 )
    57.5 ( 19.5 )
    No statistical analyses for this end point

    Secondary: Quality of life EORTC QLQ-C30: EOT

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    End point title
    Quality of life EORTC QLQ-C30: EOT
    End point description
    End point type
    Secondary
    End point timeframe
    End of treatment
    End point values
    R-DeVIC HDT-ASCT
    Number of subjects analysed
    115
    114
    Units: Points
    arithmetic mean (standard deviation)
        End of treatment
    57.7 ( 20.9 )
    53.1 ( 51.0 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Complete study
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22
    Reporting groups
    Reporting group title
    Arm A (R-DeVic)
    Reporting group description
    -

    Reporting group title
    Induction therapy
    Reporting group description
    -

    Reporting group title
    Arm B (HDT-ASCT)
    Reporting group description
    -

    Serious adverse events
    Arm A (R-DeVic) Induction therapy Arm B (HDT-ASCT)
    Total subjects affected by serious adverse events
         subjects affected / exposed
    25 / 108 (23.15%)
    200 / 346 (57.80%)
    29 / 111 (26.13%)
         number of deaths (all causes)
    36
    63
    17
         number of deaths resulting from adverse events
    2
    18
    5
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acute myeloid leukaemia
         subjects affected / exposed
    2 / 108 (1.85%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
    Myelodysplastic syndrome
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hypotension
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Jugular vein thrombosis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Thrombosis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Mucosal inflammation
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pain
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    0 / 108 (0.00%)
    11 / 346 (3.18%)
    2 / 111 (1.80%)
         occurrences causally related to treatment / all
    0 / 0
    6 / 11
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory failure
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Acute respiratory distress syndrome
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    Epistaxis
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    3 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Haemothorax
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hypercapnia
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Interstitial lung disease
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Lung infiltration
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pneumonitis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pneumothorax
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    Respiratory arrest
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory failure
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Psychiatric disorders
    Acute psychosis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Depression
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Confusional state
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Self-injurious ideation
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Suicide attempt
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood creatinine increased
         subjects affected / exposed
    1 / 108 (0.93%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Chemotherapeutic drug level increased
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    C-reactive protein increased
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Eastern Cooperative Oncology Group performance status worsened
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hepatic enzyme increased
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Haemoglobin decreased
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Neutrophil count decreased
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Platelet count decreased
         subjects affected / exposed
    2 / 108 (1.85%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    3 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Transaminases increased
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Brain herniation
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Haemolytic transfusion reaction
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Seroma
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Transplant failure
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Wound dehiscence
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Acute myocardial infarction
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Atrial fibrillation
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cardiac failure
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Cardiac arrest
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Brain oedema
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cerebrovascular accident
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cerebral infarction
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Cerebral haemorrhage
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cerebellar syndrome
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Epilepsy
         subjects affected / exposed
    1 / 108 (0.93%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Dysarthria
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Haemorrhage intracranial
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hydrocephalus
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hypoaesthesia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    IIIrd nerve paralysis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Meningism
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Neurotoxicity
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Seizure
         subjects affected / exposed
    1 / 108 (0.93%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Subdural hygroma
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Transient ischaemic attack
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    3 / 108 (2.78%)
    8 / 346 (2.31%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    3 / 3
    7 / 8
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Bicytopenia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cytopenia
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Febrile bone marrow aplasia
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Febrile neutropenia
         subjects affected / exposed
    3 / 108 (2.78%)
    45 / 346 (13.01%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    3 / 3
    55 / 57
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Leukopenia
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    3 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    0 / 108 (0.00%)
    5 / 346 (1.45%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    4 / 5
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pancytopenia
         subjects affected / exposed
    2 / 108 (1.85%)
    11 / 346 (3.18%)
    3 / 111 (2.70%)
         occurrences causally related to treatment / all
    2 / 2
    17 / 17
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    4 / 108 (3.70%)
    13 / 346 (3.76%)
    2 / 111 (1.80%)
         occurrences causally related to treatment / all
    4 / 4
    13 / 14
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Colitis ischaemic
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Diverticular perforation
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Duodenal ulcer
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Intestinal perforation
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Large intestine perforation
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Lower gastrointestinal haemorrhage
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Mechanical ileus
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pancreatitis
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Proctitis ulcerative
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Stomatitis
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    3 / 3
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Upper gastrointestinal haemorrhage
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Vomiting
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Hepatotoxicity
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gallbladder rupture
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Hyperhidrosis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    0 / 108 (0.00%)
    12 / 346 (3.47%)
    4 / 111 (3.60%)
         occurrences causally related to treatment / all
    0 / 0
    11 / 12
    2 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal failure
         subjects affected / exposed
    0 / 108 (0.00%)
    4 / 346 (1.16%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    3 / 4
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal tubular disorder
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    Diabetes insipidus
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Bone pain
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Back pain
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Muscle spasms
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Abscess
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Abscess jaw
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Arthritis bacterial
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Brain abscess
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Bronchitis
         subjects affected / exposed
    1 / 108 (0.93%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Bacterial sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Atypical pneumonia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Atypical mycobacterial infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Clostridium difficile colitis
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Clostridium difficile infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Candida sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Cerebral candidiasis
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Device related sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Device related infection
         subjects affected / exposed
    1 / 108 (0.93%)
    5 / 346 (1.45%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 5
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cytomegalovirus infection reactivation
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cytomegalovirus infection
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Diverticulitis
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Escherichia sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    4 / 346 (1.16%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 4
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Escherichia infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Escherichia bacteraemia
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Endocarditis staphylococcal
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Empyema
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Febrile infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    H1N1 influenza
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Gastroenteritis Escherichia coli
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Herpes zoster infection neurological
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infection
         subjects affected / exposed
    0 / 108 (0.00%)
    7 / 346 (2.02%)
    2 / 111 (1.80%)
         occurrences causally related to treatment / all
    0 / 0
    5 / 8
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Influenza
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Klebsiella infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Mucormycosis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Medical device site infection
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Necrotising soft tissue infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Neutropenic infection
         subjects affected / exposed
    1 / 108 (0.93%)
    8 / 346 (2.31%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    7 / 8
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Neutropenic sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    5 / 346 (1.45%)
    3 / 111 (2.70%)
         occurrences causally related to treatment / all
    0 / 0
    5 / 5
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    1 / 1
    Osteomyelitis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Osteomyelitis bacterial
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Parainfluenzae virus infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Peritonitis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    2 / 108 (1.85%)
    24 / 346 (6.94%)
    4 / 111 (3.60%)
         occurrences causally related to treatment / all
    1 / 2
    20 / 26
    3 / 4
         deaths causally related to treatment / all
    0 / 0
    4 / 4
    2 / 2
    Pneumonia necrotising
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pneumonia cytomegaloviral
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pneumonia escherichia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pneumonia fungal
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    Pneumonia influenzal
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pneumonia klebsiella
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pneumonia bacterial
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Post procedural infection
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pseudomembranous colitis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Rectal abscess
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pulmonary sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    Puncture site abscess
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pyelonephritis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pseudomonal sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    Respiratory tract infection viral
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Staphylococcal sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    18 / 346 (5.20%)
    2 / 111 (1.80%)
         occurrences causally related to treatment / all
    0 / 0
    12 / 19
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    3 / 3
    1 / 1
    Septic shock
         subjects affected / exposed
    0 / 108 (0.00%)
    8 / 346 (2.31%)
    3 / 111 (2.70%)
         occurrences causally related to treatment / all
    0 / 0
    7 / 9
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    3 / 3
    0 / 0
    Skin infection
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    3 / 3
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Tooth abscess
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Urosepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Viral infection
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Wound infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Wound abscess
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gout
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hyperkalaemia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hypernatraemia
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hypoglycaemia
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hypokalaemia
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    2 / 111 (1.80%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Arm A (R-DeVic) Induction therapy Arm B (HDT-ASCT)
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    108 / 108 (100.00%)
    344 / 346 (99.42%)
    111 / 111 (100.00%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Plasma cell myeloma
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    0
    Prostate cancer
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Embolism
         subjects affected / exposed
    3 / 108 (2.78%)
    31 / 346 (8.96%)
    2 / 111 (1.80%)
         occurrences all number
    3
    31
    2
    Flushing
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    1
    Haematoma
         subjects affected / exposed
    0 / 108 (0.00%)
    5 / 346 (1.45%)
    0 / 111 (0.00%)
         occurrences all number
    0
    5
    0
    Hypertension
         subjects affected / exposed
    17 / 108 (15.74%)
    94 / 346 (27.17%)
    28 / 111 (25.23%)
         occurrences all number
    17
    94
    28
    Hypotension
         subjects affected / exposed
    7 / 108 (6.48%)
    48 / 346 (13.87%)
    15 / 111 (13.51%)
         occurrences all number
    7
    50
    15
    Jugular vein thrombosis
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Phlebitis
         subjects affected / exposed
    0 / 108 (0.00%)
    10 / 346 (2.89%)
    2 / 111 (1.80%)
         occurrences all number
    0
    10
    2
    Subclavian vein thrombosis
         subjects affected / exposed
    1 / 108 (0.93%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    1
    1
    0
    Thrombophlebitis superficial
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Thrombosis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Superficial vein thrombosis
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    0
    Surgical and medical procedures
    Lung lobectomy
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Tooth extraction
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Chills
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Chest pain
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Device related thrombosis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Face oedema
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Fatigue
         subjects affected / exposed
    25 / 108 (23.15%)
    110 / 346 (31.79%)
    37 / 111 (33.33%)
         occurrences all number
    25
    112
    37
    Gait disturbance
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Impaired healing
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Influenza like illness
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Infusion site extravasation
         subjects affected / exposed
    2 / 108 (1.85%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    2
    1
    0
    Injection site haematoma
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Injection site haemorrhage
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Localised oedema
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Mucosal inflammation
         subjects affected / exposed
    1 / 108 (0.93%)
    1 / 346 (0.29%)
    1 / 111 (0.90%)
         occurrences all number
    1
    1
    1
    Multiple organ dysfunction syndrome
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Oedema
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Oedema peripheral
         subjects affected / exposed
    19 / 108 (17.59%)
    106 / 346 (30.64%)
    21 / 111 (18.92%)
         occurrences all number
    19
    108
    21
    Pain
         subjects affected / exposed
    14 / 108 (12.96%)
    119 / 346 (34.39%)
    25 / 111 (22.52%)
         occurrences all number
    14
    120
    25
    Pyrexia
         subjects affected / exposed
    10 / 108 (9.26%)
    164 / 346 (47.40%)
    49 / 111 (44.14%)
         occurrences all number
    10
    169
    49
    Swelling face
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Immune system disorders
    Hypersensitivity
         subjects affected / exposed
    1 / 108 (0.93%)
    32 / 346 (9.25%)
    11 / 111 (9.91%)
         occurrences all number
    1
    32
    11
    Reproductive system and breast disorders
    Penis disorder
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Respiratory, thoracic and mediastinal disorders
    Aspiration
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    1
    Asthma
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Atelectasis
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Cough
         subjects affected / exposed
    0 / 108 (0.00%)
    7 / 346 (2.02%)
    3 / 111 (2.70%)
         occurrences all number
    0
    7
    3
    Epistaxis
         subjects affected / exposed
    6 / 108 (5.56%)
    67 / 346 (19.36%)
    10 / 111 (9.01%)
         occurrences all number
    6
    68
    10
    Dyspnoea
         subjects affected / exposed
    4 / 108 (3.70%)
    55 / 346 (15.90%)
    8 / 111 (7.21%)
         occurrences all number
    4
    55
    8
    Hiccups
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    2 / 111 (1.80%)
         occurrences all number
    0
    2
    2
    Hypoxia
         subjects affected / exposed
    0 / 108 (0.00%)
    11 / 346 (3.18%)
    1 / 111 (0.90%)
         occurrences all number
    0
    11
    1
    Lung diffusion disorder
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Oropharyngeal pain
         subjects affected / exposed
    0 / 108 (0.00%)
    4 / 346 (1.16%)
    2 / 111 (1.80%)
         occurrences all number
    0
    4
    2
    Pleural effusion
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Pleuritic pain
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    2 / 111 (1.80%)
         occurrences all number
    0
    2
    2
    Pneumothorax
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Pulmonary haemorrhage
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Respiratory failure
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Psychiatric disorders
    Agitation
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    1 / 111 (0.90%)
         occurrences all number
    0
    5
    1
    Anxiety
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    4
    0
    Confusional state
         subjects affected / exposed
    9 / 108 (8.33%)
    83 / 346 (23.99%)
    17 / 111 (15.32%)
         occurrences all number
    9
    83
    17
    Depressed mood
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Depression
         subjects affected / exposed
    13 / 108 (12.04%)
    45 / 346 (13.01%)
    10 / 111 (9.01%)
         occurrences all number
    13
    45
    10
    Hallucination
         subjects affected / exposed
    1 / 108 (0.93%)
    11 / 346 (3.18%)
    6 / 111 (5.41%)
         occurrences all number
    1
    11
    6
    Insomnia
         subjects affected / exposed
    7 / 108 (6.48%)
    31 / 346 (8.96%)
    6 / 111 (5.41%)
         occurrences all number
    8
    31
    6
    Mania
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Panic attack
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Suicidal ideation
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    47 / 108 (43.52%)
    280 / 346 (80.92%)
    50 / 111 (45.05%)
         occurrences all number
    47
    281
    50
    Aspartate aminotransferase increased
         subjects affected / exposed
    26 / 108 (24.07%)
    230 / 346 (66.47%)
    48 / 111 (43.24%)
         occurrences all number
    26
    232
    48
    Blood alkaline phosphatase abnormal
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Blood alkaline phosphatase increased
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Blood bilirubin increased
         subjects affected / exposed
    8 / 108 (7.41%)
    119 / 346 (34.39%)
    18 / 111 (16.22%)
         occurrences all number
    8
    119
    18
    Blood creatinine increased
         subjects affected / exposed
    21 / 108 (19.44%)
    134 / 346 (38.73%)
    24 / 111 (21.62%)
         occurrences all number
    21
    137
    24
    Blood culture positive
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Blood lactate dehydrogenase increased
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    C-reactive protein increased
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    4
    0
    Electrocardiogram QT prolonged
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Electrocardiogram T wave inversion
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Forced expiratory volume decreased
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    2 / 111 (1.80%)
         occurrences all number
    0
    3
    2
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    51 / 108 (47.22%)
    230 / 346 (66.47%)
    71 / 111 (63.96%)
         occurrences all number
    51
    232
    71
    Platelet count decreased
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Weight increased
         subjects affected / exposed
    2 / 108 (1.85%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    2
    2
    0
    Weight decreased
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Injury, poisoning and procedural complications
    Contusion
         subjects affected / exposed
    1 / 108 (0.93%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    1
    1
    0
    Fall
         subjects affected / exposed
    0 / 108 (0.00%)
    12 / 346 (3.47%)
    0 / 111 (0.00%)
         occurrences all number
    0
    13
    0
    Infusion related reaction
         subjects affected / exposed
    1 / 108 (0.93%)
    16 / 346 (4.62%)
    12 / 111 (10.81%)
         occurrences all number
    1
    16
    12
    Procedural pneumothorax
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Transfusion reaction
         subjects affected / exposed
    1 / 108 (0.93%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    1
    1
    0
    Cardiac disorders
    Acute coronary syndrome
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Bradycardia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Atrial fibrillation
         subjects affected / exposed
    2 / 108 (1.85%)
    12 / 346 (3.47%)
    5 / 111 (4.50%)
         occurrences all number
    2
    13
    6
    Palpitations
         subjects affected / exposed
    1 / 108 (0.93%)
    9 / 346 (2.60%)
    1 / 111 (0.90%)
         occurrences all number
    1
    9
    1
    Sinus bradycardia
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    1 / 111 (0.90%)
         occurrences all number
    0
    2
    2
    Sinus node dysfunction
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Sinus tachycardia
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    2 / 111 (1.80%)
         occurrences all number
    0
    0
    2
    Tachycardia
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    1 / 111 (0.90%)
         occurrences all number
    0
    2
    1
    Ventricular arrhythmia
         subjects affected / exposed
    0 / 108 (0.00%)
    7 / 346 (2.02%)
    2 / 111 (1.80%)
         occurrences all number
    0
    7
    2
    Nervous system disorders
    Balance disorder
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Cognitive disorder
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Dysgeusia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Dizziness
         subjects affected / exposed
    0 / 108 (0.00%)
    11 / 346 (3.18%)
    3 / 111 (2.70%)
         occurrences all number
    0
    13
    3
    Dizziness postural
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Dysaesthesia
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Dysarthria
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Encephalopathy
         subjects affected / exposed
    2 / 108 (1.85%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences all number
    2
    0
    0
    Headache
         subjects affected / exposed
    14 / 108 (12.96%)
    100 / 346 (28.90%)
    14 / 111 (12.61%)
         occurrences all number
    14
    100
    14
    Hemiplegia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Horner's syndrome
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    0
    Lethargy
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Leukoencephalopathy
         subjects affected / exposed
    1 / 108 (0.93%)
    3 / 346 (0.87%)
    2 / 111 (1.80%)
         occurrences all number
    1
    3
    2
    Loss of consciousness
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Memory impairment
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Motor dysfunction
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Orthostatic intolerance
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Paraesthesia
         subjects affected / exposed
    6 / 108 (5.56%)
    26 / 346 (7.51%)
    3 / 111 (2.70%)
         occurrences all number
    6
    26
    3
    Parkinsonism
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Partial seizures
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Peripheral motor neuropathy
         subjects affected / exposed
    3 / 108 (2.78%)
    15 / 346 (4.34%)
    1 / 111 (0.90%)
         occurrences all number
    3
    15
    1
    Peripheral sensory neuropathy
         subjects affected / exposed
    7 / 108 (6.48%)
    17 / 346 (4.91%)
    1 / 111 (0.90%)
         occurrences all number
    7
    17
    1
    Quadriparesis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Seizure
         subjects affected / exposed
    1 / 108 (0.93%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    1
    3
    0
    Somnolence
         subjects affected / exposed
    5 / 108 (4.63%)
    19 / 346 (5.49%)
    5 / 111 (4.50%)
         occurrences all number
    5
    19
    5
    Syncope
         subjects affected / exposed
    3 / 108 (2.78%)
    17 / 346 (4.91%)
    3 / 111 (2.70%)
         occurrences all number
    4
    17
    3
    Tremor
         subjects affected / exposed
    1 / 108 (0.93%)
    5 / 346 (1.45%)
    1 / 111 (0.90%)
         occurrences all number
    1
    5
    1
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    102 / 108 (94.44%)
    330 / 346 (95.38%)
    103 / 111 (92.79%)
         occurrences all number
    102
    336
    103
    Febrile neutropenia
         subjects affected / exposed
    14 / 108 (12.96%)
    176 / 346 (50.87%)
    67 / 111 (60.36%)
         occurrences all number
    14
    182
    67
    Haemolysis
         subjects affected / exposed
    3 / 108 (2.78%)
    6 / 346 (1.73%)
    3 / 111 (2.70%)
         occurrences all number
    3
    6
    3
    Leukopenia
         subjects affected / exposed
    89 / 108 (82.41%)
    313 / 346 (90.46%)
    101 / 111 (90.99%)
         occurrences all number
    89
    313
    101
    Lymphadenopathy
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Neutropenia
         subjects affected / exposed
    74 / 108 (68.52%)
    260 / 346 (75.14%)
    85 / 111 (76.58%)
         occurrences all number
    74
    261
    85
    Lymphopenia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    1
    Thrombocytopenia
         subjects affected / exposed
    101 / 108 (93.52%)
    330 / 346 (95.38%)
    108 / 111 (97.30%)
         occurrences all number
    102
    334
    109
    Thrombocytosis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Ear and labyrinth disorders
    Ear pain
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Hypoacusis
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Tinnitus
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Vertigo
         subjects affected / exposed
    0 / 108 (0.00%)
    5 / 346 (1.45%)
    0 / 111 (0.00%)
         occurrences all number
    0
    5
    0
    Eye disorders
    Conjunctival haemorrhage
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Diplopia
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    0
    Dry eye
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Eye haematoma
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Lacrimation increased
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Ocular hyperaemia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Retinal haemorrhage
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Swelling of eyelid
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Vision blurred
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    1 / 111 (0.90%)
         occurrences all number
    0
    3
    1
    Visual acuity reduced
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Visual field defect
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Visual impairment
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Vitreous haemorrhage
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    6 / 108 (5.56%)
    56 / 346 (16.18%)
    23 / 111 (20.72%)
         occurrences all number
    6
    56
    23
    Ascites
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    1 / 111 (0.90%)
         occurrences all number
    0
    3
    1
    Aphthous ulcer
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Anal ulcer
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Anal fissure
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Colitis
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Constipation
         subjects affected / exposed
    12 / 108 (11.11%)
    74 / 346 (21.39%)
    9 / 111 (8.11%)
         occurrences all number
    13
    74
    9
    Diarrhoea
         subjects affected / exposed
    7 / 108 (6.48%)
    67 / 346 (19.36%)
    65 / 111 (58.56%)
         occurrences all number
    7
    69
    65
    Dental caries
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Dyspepsia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    2 / 111 (1.80%)
         occurrences all number
    0
    1
    2
    Dysphagia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    1
    Gastritis
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    2 / 111 (1.80%)
         occurrences all number
    0
    0
    2
    Gastrooesophageal reflux disease
         subjects affected / exposed
    2 / 108 (1.85%)
    14 / 346 (4.05%)
    3 / 111 (2.70%)
         occurrences all number
    2
    14
    3
    Haemorrhoidal haemorrhage
         subjects affected / exposed
    0 / 108 (0.00%)
    18 / 346 (5.20%)
    0 / 111 (0.00%)
         occurrences all number
    0
    18
    0
    Haemorrhoids
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Haemorrhoids thrombosed
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Ileus
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Nausea
         subjects affected / exposed
    23 / 108 (21.30%)
    113 / 346 (32.66%)
    63 / 111 (56.76%)
         occurrences all number
    23
    114
    63
    Oesophagitis
         subjects affected / exposed
    1 / 108 (0.93%)
    6 / 346 (1.73%)
    5 / 111 (4.50%)
         occurrences all number
    1
    6
    5
    Palatal disorder
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Pancreatitis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Salivary hypersecretion
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Rectal ulcer
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Salivary gland calculus
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Proctalgia
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Stomatitis
         subjects affected / exposed
    10 / 108 (9.26%)
    115 / 346 (33.24%)
    87 / 111 (78.38%)
         occurrences all number
    10
    118
    87
    Tongue haemorrhage
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Tooth disorder
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Toothache
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Vomiting
         subjects affected / exposed
    9 / 108 (8.33%)
    50 / 346 (14.45%)
    44 / 111 (39.64%)
         occurrences all number
    9
    50
    44
    Hepatobiliary disorders
    Cholelithiasis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Hepatic failure
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    4
    0
    Hepatic steatosis
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    38 / 108 (35.19%)
    144 / 346 (41.62%)
    49 / 111 (44.14%)
         occurrences all number
    38
    144
    49
    Acne
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Decubitus ulcer
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Dermatitis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Dermatitis bullous
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Dermatitis contact
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    0
    Dry skin
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Epidermolysis
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Erythema
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    1
    0
    1
    Hyperhidrosis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Night sweats
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Palmar-plantar erythrodysaesthesia syndrome
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Petechiae
         subjects affected / exposed
    1 / 108 (0.93%)
    5 / 346 (1.45%)
    0 / 111 (0.00%)
         occurrences all number
    1
    5
    0
    Pruritus
         subjects affected / exposed
    2 / 108 (1.85%)
    26 / 346 (7.51%)
    6 / 111 (5.41%)
         occurrences all number
    2
    26
    6
    Rash
         subjects affected / exposed
    0 / 108 (0.00%)
    5 / 346 (1.45%)
    1 / 111 (0.90%)
         occurrences all number
    0
    7
    2
    Rash erythematous
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Skin ulcer
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Solar lentigo
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Urticaria
         subjects affected / exposed
    2 / 108 (1.85%)
    27 / 346 (7.80%)
    5 / 111 (4.50%)
         occurrences all number
    2
    27
    5
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    0 / 108 (0.00%)
    5 / 346 (1.45%)
    1 / 111 (0.90%)
         occurrences all number
    0
    5
    1
    Chronic kidney disease
         subjects affected / exposed
    0 / 108 (0.00%)
    13 / 346 (3.76%)
    2 / 111 (1.80%)
         occurrences all number
    0
    14
    2
    Haematuria
         subjects affected / exposed
    2 / 108 (1.85%)
    12 / 346 (3.47%)
    4 / 111 (3.60%)
         occurrences all number
    2
    12
    4
    Nocturia
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Pollakiuria
         subjects affected / exposed
    1 / 108 (0.93%)
    4 / 346 (1.16%)
    0 / 111 (0.00%)
         occurrences all number
    1
    5
    0
    Urinary incontinence
         subjects affected / exposed
    1 / 108 (0.93%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    1
    1
    0
    Urinary retention
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Urethral haemorrhage
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Endocrine disorders
    Cushingoid
         subjects affected / exposed
    0 / 108 (0.00%)
    4 / 346 (1.16%)
    0 / 111 (0.00%)
         occurrences all number
    0
    4
    0
    Hyperthyroidism
         subjects affected / exposed
    0 / 108 (0.00%)
    16 / 346 (4.62%)
    1 / 111 (0.90%)
         occurrences all number
    0
    16
    1
    Hypothyroidism
         subjects affected / exposed
    3 / 108 (2.78%)
    17 / 346 (4.91%)
    0 / 111 (0.00%)
         occurrences all number
    3
    17
    0
    Musculoskeletal and connective tissue disorders
    Arthritis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Arthralgia
         subjects affected / exposed
    0 / 108 (0.00%)
    5 / 346 (1.45%)
    0 / 111 (0.00%)
         occurrences all number
    0
    6
    0
    Back pain
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Bone pain
         subjects affected / exposed
    4 / 108 (3.70%)
    84 / 346 (24.28%)
    5 / 111 (4.50%)
         occurrences all number
    4
    85
    5
    Exostosis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Joint ankylosis
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    0
    Joint swelling
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Muscle spasms
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Muscular weakness
         subjects affected / exposed
    5 / 108 (4.63%)
    25 / 346 (7.23%)
    4 / 111 (3.60%)
         occurrences all number
    5
    25
    4
    Musculoskeletal stiffness
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Myalgia
         subjects affected / exposed
    1 / 108 (0.93%)
    8 / 346 (2.31%)
    1 / 111 (0.90%)
         occurrences all number
    1
    8
    1
    Rhabdomyolysis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Sacroiliitis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Sjogren's syndrome
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Soft tissue necrosis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Infections and infestations
    Abdominal infection
         subjects affected / exposed
    1 / 108 (0.93%)
    13 / 346 (3.76%)
    8 / 111 (7.21%)
         occurrences all number
    1
    13
    8
    Acarodermatitis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Atypical pneumonia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Bronchitis
         subjects affected / exposed
    6 / 108 (5.56%)
    30 / 346 (8.67%)
    4 / 111 (3.60%)
         occurrences all number
    6
    30
    4
    Cellulitis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Clostridial infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Clostridium difficile infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    2 / 111 (1.80%)
         occurrences all number
    0
    1
    2
    Conjunctivitis
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Cutaneous mucormycosis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Cytomegalovirus infection reactivation
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    1 / 111 (0.90%)
         occurrences all number
    0
    1
    1
    Device related infection
         subjects affected / exposed
    3 / 108 (2.78%)
    53 / 346 (15.32%)
    23 / 111 (20.72%)
         occurrences all number
    3
    55
    23
    Enterobacter sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Erysipelas
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Escherichia bacteraemia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Escherichia infection
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Escherichia sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Encephalitis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Enterococcal infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Escherichia urinary tract infection
         subjects affected / exposed
    1 / 108 (0.93%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    1
    1
    0
    Eye infection
         subjects affected / exposed
    3 / 108 (2.78%)
    7 / 346 (2.02%)
    0 / 111 (0.00%)
         occurrences all number
    3
    8
    0
    Folliculitis
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Fungal skin infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Hepatitis A
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Herpes simplex
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Herpes virus infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Human herpesvirus 6 infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Influenza
         subjects affected / exposed
    0 / 108 (0.00%)
    4 / 346 (1.16%)
    0 / 111 (0.00%)
         occurrences all number
    0
    4
    0
    Infection
         subjects affected / exposed
    0 / 108 (0.00%)
    6 / 346 (1.73%)
    1 / 111 (0.90%)
         occurrences all number
    0
    6
    1
    Klebsiella bacteraemia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Klebsiella infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Labyrinthitis
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    0
    Laryngitis
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Neutropenic sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Meningitis viral
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Mucosal infection
         subjects affected / exposed
    2 / 108 (1.85%)
    42 / 346 (12.14%)
    23 / 111 (20.72%)
         occurrences all number
    2
    42
    23
    Nasopharyngitis
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Neutropenic infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Oesophageal candidiasis
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Oral candidiasis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Oropharyngeal candidiasis
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Otitis media
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Parotitis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Pharyngitis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Pneumonia
         subjects affected / exposed
    0 / 108 (0.00%)
    36 / 346 (10.40%)
    5 / 111 (4.50%)
         occurrences all number
    0
    37
    5
    Parainfluenzae virus infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Proteus infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Pseudomonal bacteraemia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Pseudomonal sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Rash pustular
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Sinusitis
         subjects affected / exposed
    2 / 108 (1.85%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    2
    2
    0
    Skin infection
         subjects affected / exposed
    5 / 108 (4.63%)
    38 / 346 (10.98%)
    4 / 111 (3.60%)
         occurrences all number
    5
    38
    4
    Soft tissue infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Staphylococcal bacteraemia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Staphylococcal infection
         subjects affected / exposed
    0 / 108 (0.00%)
    2 / 346 (0.58%)
    0 / 111 (0.00%)
         occurrences all number
    0
    2
    0
    Staphylococcal sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Streptococcal bacteraemia
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Sepsis
         subjects affected / exposed
    0 / 108 (0.00%)
    0 / 346 (0.00%)
    1 / 111 (0.90%)
         occurrences all number
    0
    0
    1
    Tooth infection
         subjects affected / exposed
    1 / 108 (0.93%)
    10 / 346 (2.89%)
    0 / 111 (0.00%)
         occurrences all number
    1
    10
    0
    Subcutaneous abscess
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Systemic candida
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Urinary tract infection
         subjects affected / exposed
    9 / 108 (8.33%)
    52 / 346 (15.03%)
    14 / 111 (12.61%)
         occurrences all number
    9
    53
    14
    Urinary tract infection bacterial
         subjects affected / exposed
    1 / 108 (0.93%)
    0 / 346 (0.00%)
    0 / 111 (0.00%)
         occurrences all number
    1
    0
    0
    Vascular device infection
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Vulval abscess
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    4 / 108 (3.70%)
    27 / 346 (7.80%)
    8 / 111 (7.21%)
         occurrences all number
    4
    27
    8
    Dehydration
         subjects affected / exposed
    2 / 108 (1.85%)
    8 / 346 (2.31%)
    0 / 111 (0.00%)
         occurrences all number
    2
    8
    0
    Diabetes mellitus
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Fluid overload
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Gout
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    1 / 111 (0.90%)
         occurrences all number
    0
    4
    1
    Hyperglycaemia
         subjects affected / exposed
    29 / 108 (26.85%)
    152 / 346 (43.93%)
    25 / 111 (22.52%)
         occurrences all number
    29
    154
    25
    Hyperkalaemia
         subjects affected / exposed
    11 / 108 (10.19%)
    71 / 346 (20.52%)
    10 / 111 (9.01%)
         occurrences all number
    11
    71
    10
    Hypernatraemia
         subjects affected / exposed
    0 / 108 (0.00%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    0
    3
    0
    Hypoalbuminaemia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Hypocalcaemia
         subjects affected / exposed
    2 / 108 (1.85%)
    3 / 346 (0.87%)
    0 / 111 (0.00%)
         occurrences all number
    2
    3
    0
    Hypokalaemia
         subjects affected / exposed
    3 / 108 (2.78%)
    19 / 346 (5.49%)
    5 / 111 (4.50%)
         occurrences all number
    4
    24
    5
    Hypomagnesaemia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0
    Hyponatraemia
         subjects affected / exposed
    20 / 108 (18.52%)
    121 / 346 (34.97%)
    29 / 111 (26.13%)
         occurrences all number
    20
    121
    29
    Hypophosphataemia
         subjects affected / exposed
    0 / 108 (0.00%)
    1 / 346 (0.29%)
    0 / 111 (0.00%)
         occurrences all number
    0
    1
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    20 Apr 2018
    Administrative changes: Change of principal investigator in center Hannover, Closure of study center Berlin (no recruitment), Registration of trial in ClinicalTrials.gov (NCT02531841) Clarification with reference to in-/exclusion criteria: • Addition of randomization criterion no. 4: “Exclusion criterion no. 6 not applicable for re-check for randomization” • Additional wording in randomization criterion no. 1: “Sufficient stem cell harvest (≥ 3 x 106 CD34+ cells/kg of body weight)” • Additional wording in exclusion criterion no. 6: “Only applicable for patient inclusion (registration) not applicable for re-check for randomization” • Correction of contents regarding the contraception time period of female and male patients on the basis of three SmPCs Sample size calculation: Increase of • recruitment period due to increase of number of patients enrolled • number of patients, that need to be recruited to obtain the originally planned number of 220 patients, that were to be randomized Adaption of figures and timelines: • Addition of specification “for evaluation of primary endpoint” regarding trial duration and time table Adaption of involved number of sites and countries: • Number of sites increased and the participating countries changed Adaption in flow chart: • Specification of response statement: “Whole brain MRI and response statement according to IPCG criteria” • More detailed timelines for RA III in case of postponement of consolidation therapy • Addition of more precise time period recommended for FU visits during year 3-5 and after year 5 Addition of special treatment recommendations regarding the Induction treatment phase. A special “pregnancy form”, which must be used replaced the former so called “SAE reporting form”. Detailed explanation was added regarding storage and use of stem cells. Improved wording regarding documentation and reporting of AEs and SAEs. Explanation regarding the handling of biomaterial was added.
    14 Jun 2018
    Additional demand of ethics committee to substantial amendment 01: Change in wording in Patient Informed Consent (PIC), version V03, section 12 regarding the notification of health damages which could have occurred as a result of the clinical study. Furthermore, a change in wording regarding documentation and reporting of AEs (section 10.1.2): “AEs must be documented … until day 60 after last administration of study medication randomization. If patient could not be randomized, AE documentation and reporting should be made until day 60 after last administration of study medication”.

    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

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/27098429
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