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    Clinical Trial Results:
    A Phase 3b Study to Evaluate the Potential of Aleglitazar to Reduce Cardiovascular Risk in Patients with Stable Cardiovascular Disease and Glucose Abnormalities

    Due to a system error, the data reported in v1 is not correct and has been removed from public view.
    Summary
    EudraCT number
    2012-000671-16
    Trial protocol
    GB   SE   CZ   HU   LT   AT   EE   LV   IT   ES   FI   PL  
    Global end of trial date
    13 Nov 2013

    Results information
    Results version number
    v2(current)
    This version publication date
    09 Jun 2016
    First version publication date
    06 Aug 2015
    Other versions
    v1 (removed from public view)
    Version creation reason
    • Correction of full data set
    QC of the full data set after the system downtime

    Trial information

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    Trial identification
    Sponsor protocol code
    BC28027
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01715818
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    F.Hoffmann-La Roche AG
    Sponsor organisation address
    Grenzacherstrasse 124, Basel, Switzerland, CH-4070
    Public contact
    Roche Trial Information Hotline, F.Hoffmann-La Roche AG, 41 616878333, global.trial_information@roche.com
    Scientific contact
    Roche Trial Information Hotline, F.Hoffmann-La Roche AG, 41 616878333, global.trial_information@roche.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    04 Dec 2013
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    13 Nov 2013
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    To determine whether the addition of aleglitazar versus placebo will reduce a composite outcome of cardiovascular (CV) death, non-fatal myocardial infarction (MI) or non-fatal stroke in patients with stable cardiovascular disease (CVD) and glucose abnormalities.
    Protection of trial subjects
    This study was conducted in full conformance with the ICH E6 guideline for Good Clinical Practice and the principles of the declaration of Helsinki, or the laws and regulations of the country in which the research was conducted, whichever afforded the greater protection to the individual.
    Background therapy
    All participants were to be managed according to the best judgment of their treating physicians as informed by current local clinical practice guidelines and the best clinical evidence for participants with stable CVD, CV risk factors and abnormalities.
    Evidence for comparator
    -
    Actual start date of recruitment
    13 Dec 2012
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Poland: 205
    Country: Number of subjects enrolled
    Spain: 190
    Country: Number of subjects enrolled
    Sweden: 81
    Country: Number of subjects enrolled
    United Kingdom: 178
    Country: Number of subjects enrolled
    Austria: 8
    Country: Number of subjects enrolled
    Czech Republic: 99
    Country: Number of subjects enrolled
    Estonia: 4
    Country: Number of subjects enrolled
    Germany: 92
    Country: Number of subjects enrolled
    Hungary: 161
    Country: Number of subjects enrolled
    Italy: 23
    Country: Number of subjects enrolled
    Lithuania: 15
    Country: Number of subjects enrolled
    Australia: 29
    Country: Number of subjects enrolled
    Thailand: 5
    Country: Number of subjects enrolled
    Malaysia: 23
    Country: Number of subjects enrolled
    Korea, Republic of: 71
    Country: Number of subjects enrolled
    Colombia: 9
    Country: Number of subjects enrolled
    Mexico: 23
    Country: Number of subjects enrolled
    Romania: 32
    Country: Number of subjects enrolled
    Canada: 214
    Country: Number of subjects enrolled
    United States: 537
    Worldwide total number of subjects
    1999
    EEA total number of subjects
    1088
    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)
    846
    From 65 to 84 years
    1148
    85 years and over
    5

    Subject disposition

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    Recruitment
    Recruitment details
    The target population comprised male and female participants with established evidence of stable CVD, and with glucose abnormalities [either established Type 2 Diabetes Mellitus (T2D), or no evidence of T2D with glycosylated hemoglobin A1c (HbA1c) ≥ 5.7%] as markers of CV risk.

    Pre-assignment
    Screening details
    Screening period was up to 4 weeks duration

    Period 1
    Period 1 title
    Double-blind period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Aleglitazar
    Arm description
    Participants randomized to this arm received aleglitazar 150 micrograms (μg) tablet orally once daily
    Arm type
    Experimental

    Investigational medicinal product name
    Aleglitazar
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Participants in this arm received 150 μg aleglitazar tablet orally once daily, preferably at the same time of the day.

    Arm title
    Placebo
    Arm description
    Participants randomized to this arm received placebo tablet orally once daily
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Participants received matching placebo orally once daily, preferably at the same time of the day

    Number of subjects in period 1
    Aleglitazar Placebo
    Started
    1000
    999
    Completed
    0
    0
    Not completed
    1000
    999
         Adverse event, serious fatal
    2
    3
         Consent withdrawn by subject
    6
    5
         Discontinued due to early termination of the study
    980
    979
         Lost to follow-up
    12
    12

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Aleglitazar
    Reporting group description
    Participants randomized to this arm received aleglitazar 150 micrograms (μg) tablet orally once daily

    Reporting group title
    Placebo
    Reporting group description
    Participants randomized to this arm received placebo tablet orally once daily

    Reporting group values
    Aleglitazar Placebo Total
    Number of subjects
    1000 999 1999
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    66.03 ( 8.33 ) 65.97 ( 8.25 ) -
    Gender categorical
    Units: Subjects
        Female
    244 282 526
        Male
    756 717 1473

    End points

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    End points reporting groups
    Reporting group title
    Aleglitazar
    Reporting group description
    Participants randomized to this arm received aleglitazar 150 micrograms (μg) tablet orally once daily

    Reporting group title
    Placebo
    Reporting group description
    Participants randomized to this arm received placebo tablet orally once daily

    Primary: Time to First Occurrence of Any Component of the Composite Event (CV Death, Non-fatal MI, Non-fatal Stroke) as Adjudicated by the Clinical Events Committee (CEC)

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    End point title
    Time to First Occurrence of Any Component of the Composite Event (CV Death, Non-fatal MI, Non-fatal Stroke) as Adjudicated by the Clinical Events Committee (CEC) [1]
    End point description
    End point type
    Primary
    End point timeframe
    During double blind period and at follow-up
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Due to premature termination of the study by the Sponsor, CV endpoints were not adjudicated by the CEC and the planned statistical analysis of efficacy endpoints was not performed.
    End point values
    Aleglitazar Placebo
    Number of subjects analysed
    0 [2]
    0 [3]
    Units: months
        arithmetic mean (standard deviation)
    ( )
    ( )
    Notes
    [2] - Planned analysis was not performed due to early termination of study
    [3] - Planned analysis was not performed due to early termination of study
    No statistical analyses for this end point

    Secondary: Time to First Occurrence of a Composite With Components as Adjudicated by the CEC: CV Death, Non-fatal MI and Non-fatal Stroke [in Each of the Subgroups With or Without Evidence of T2D at Baseline]

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    End point title
    Time to First Occurrence of a Composite With Components as Adjudicated by the CEC: CV Death, Non-fatal MI and Non-fatal Stroke [in Each of the Subgroups With or Without Evidence of T2D at Baseline]
    End point description
    End point type
    Secondary
    End point timeframe
    During double blind period and at follow-up
    End point values
    Aleglitazar Placebo
    Number of subjects analysed
    0 [4]
    0 [5]
    Units: months
        arithmetic mean (standard deviation)
    ( )
    ( )
    Notes
    [4] - Planned analysis was not performed due to early termination of study
    [5] - Planned analysis was not performed due to early termination of study
    No statistical analyses for this end point

    Secondary: Time to First Occurrence of a Composite With Components as Adjudicated by the CEC: All-cause Mortality, Non-fatal MI and Non-fatal Stroke (in each of the Subgroups With or Without Evidence of T2D at Baseline)

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    End point title
    Time to First Occurrence of a Composite With Components as Adjudicated by the CEC: All-cause Mortality, Non-fatal MI and Non-fatal Stroke (in each of the Subgroups With or Without Evidence of T2D at Baseline)
    End point description
    End point type
    Secondary
    End point timeframe
    During double blind period and at follow-up
    End point values
    Aleglitazar Placebo
    Number of subjects analysed
    0 [6]
    0 [7]
    Units: months
        arithmetic mean (standard deviation)
    ( )
    ( )
    Notes
    [6] - Planned analysis was not performed due to early termination of study
    [7] - Planned analysis was not performed due to early termination of study
    No statistical analyses for this end point

    Secondary: Time to First Occurrence of a Composite With Components as Adjudicated by the CEC: CV Death, Non-fatal MI, Hospitalization for Unstable Angina, Hospitalization for Heart Failure, and Non-fatal Stroke

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    End point title
    Time to First Occurrence of a Composite With Components as Adjudicated by the CEC: CV Death, Non-fatal MI, Hospitalization for Unstable Angina, Hospitalization for Heart Failure, and Non-fatal Stroke
    End point description
    End point type
    Secondary
    End point timeframe
    During double blind period and at follow-up
    End point values
    Aleglitazar Placebo
    Number of subjects analysed
    0 [8]
    0 [9]
    Units: months
        arithmetic mean (standard deviation)
    ( )
    ( )
    Notes
    [8] - Planned analysis was not performed due to early termination of study
    [9] - Planned analysis was not performed due to early termination of study
    No statistical analyses for this end point

    Secondary: Number of participants With All-cause Mortality (in Each of the Subgroups With or Without Evidence of T2D at Baseline)

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    End point title
    Number of participants With All-cause Mortality (in Each of the Subgroups With or Without Evidence of T2D at Baseline)
    End point description
    End point type
    Secondary
    End point timeframe
    During double blind period and at follow-up
    End point values
    Aleglitazar Placebo
    Number of subjects analysed
    0 [10]
    0 [11]
    Units: participants
    Notes
    [10] - Planned analysis was not performed due to early termination of study
    [11] - Planned analysis was not performed due to early termination of study
    No statistical analyses for this end point

    Secondary: Number of Participants With Incidence of New Onset T2D in Participants without Evidence of T2D at Baseline

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    End point title
    Number of Participants With Incidence of New Onset T2D in Participants without Evidence of T2D at Baseline
    End point description
    Participants with a physician diagnosis of diabetes plus prescription of a glucose lowering drug (other than study drug) plus at least one of the following criteria [local or central laboratory parameters: HbA1c ≥6.5% or fasting plasma glucose ≥126 milligrams per deciliter (mg/dL) or 2-hour plasma glucose ≥200 mg/dL during an oral glucose tolerance test or random plasma glucose ≥200 mg/dL] or participants with two consecutive post-baseline HbA1c values of ≥ 6.5%
    End point type
    Secondary
    End point timeframe
    During the double-blind period
    End point values
    Aleglitazar Placebo
    Number of subjects analysed
    999
    997
    Units: participants
    1
    5
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From start of treatment to 4 weeks after the EOT visit
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    16.0
    Reporting groups
    Reporting group title
    Aleglitazar
    Reporting group description
    Participants randomized to this arm received aleglitazar 150 μg tablet orally once daily

    Reporting group title
    Placebo
    Reporting group description
    Participants randomized to this arm received placebo tablet orally once daily

    Serious adverse events
    Aleglitazar Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    45 / 999 (4.50%)
    27 / 997 (2.71%)
         number of deaths (all causes)
    2
    4
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Bladder cancer
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lung neoplasm
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Transitional cell carcinoma
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vascular disorders
    Orthostatic hypotension
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Peripheral arterial occlusive disease
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Surgical and medical procedures
    Tooth extraction
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Death
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Respiratory, thoracic and mediastinal disorders
    Epistaxis
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    1 / 999 (0.10%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dyspnoea exertional
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pleural effusion
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory failure
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Psychiatric disorders
    Completed suicide
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Confusional state
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Procedural complication
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Ankle fracture
         subjects affected / exposed
    2 / 999 (0.20%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Fall
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Head injury
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hip fracture
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Humerus fracture
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Overdose
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Road traffic accident
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Thoracic vertebral fracture
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Congenital, familial and genetic disorders
    Phimosis
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Cardiogenic shock
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Cardiac failure
         subjects affected / exposed
    3 / 999 (0.30%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    2 / 3
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac failure congestive
         subjects affected / exposed
    3 / 999 (0.30%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    2 / 3
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Arrhythmia
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Atrial fibrillation
         subjects affected / exposed
    1 / 999 (0.10%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac tamponade
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiomyopathy
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pericardial effusion
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Supraventricular tachycardia
         subjects affected / exposed
    1 / 999 (0.10%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Aphonia
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cognitive disorder
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Radiculopathy
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Subarachnoid haemorrhage
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vertebrobasilar insufficiency
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Duodenal ulcer haemorrhage
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Upper gastrointestinal haemorrhage
         subjects affected / exposed
    3 / 999 (0.30%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Colitis ischaemic
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal necrosis
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Intestinal haemorrhage
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Large intestine polyp
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Retroperitoneal haemorrhage
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Biliary colic
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cholangitis
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cholecystitis acute
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Diabetic foot
         subjects affected / exposed
    0 / 999 (0.00%)
    2 / 997 (0.20%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Skin ulcer
         subjects affected / exposed
    2 / 999 (0.20%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Hydronephrosis
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nephropathy
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal failure acute
         subjects affected / exposed
    4 / 999 (0.40%)
    2 / 997 (0.20%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Intervertebral disc protrusion
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Sepsis
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Pneumonia
         subjects affected / exposed
    2 / 999 (0.20%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bronchopneumonia
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cellulitis
         subjects affected / exposed
    1 / 999 (0.10%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Device related sepsis
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Encephalitis viral
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Erysipelas
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastroenteritis viral
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neuroborreliosis
         subjects affected / exposed
    0 / 999 (0.00%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Osteomyelitis
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 999 (0.10%)
    1 / 997 (0.10%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary tract infection bacterial
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urosepsis
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Viral infection
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hyperkalaemia
         subjects affected / exposed
    2 / 999 (0.20%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dehydration
         subjects affected / exposed
    1 / 999 (0.10%)
    0 / 997 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Aleglitazar Placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    76 / 999 (7.61%)
    42 / 997 (4.21%)
    Metabolism and nutrition disorders
    Hypoglycaemia
         subjects affected / exposed
    76 / 999 (7.61%)
    42 / 997 (4.21%)
         occurrences all number
    180
    97

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    21 Feb 2013
    The protocol was amended to add a study drug discontinuation criterion for participants who experienced a serious gastrointestinal hemorrhage based on recommendations from the Data Safety Monitoring Board (DSMB) and the exclusion criterion of estimated glomerular filtration rate (eGFR) of <30 mL/min/1.73m^2 was modified to <45 mL/min/m^2.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

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