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    Clinical Trial Results:
    Efficacy and safety of 2 doses of agomelatine (10 mg/day or 25 mg/day) versus placebo given orally for 12 weeks in non depressed out-patients with Generalized Anxiety Disorder. A 12-week randomised, double-blind, placebo-controlled, 3-arm parallel groups, international multicenter study.

    Due to the EudraCT – Results system being out of service between 31 July 2015 and 12 January 2016, these results have been published in compliance with revised timelines.
    Summary
    EudraCT number
    2012-001666-15
    Trial protocol
    FI   SK   PL  
    Global end of trial date
    21 Jan 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    27 Apr 2016
    First version publication date
    27 Apr 2016
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CL3-20098-087
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Institut de Recherches Internationales Servier
    Sponsor organisation address
    50 rue Carnot, Suresnes Cedex, France, 92284
    Public contact
    Clinical Studies Department, Institut de Recherches Internationales Servier, +33 1 55 72 43 66, clinicaltrials@servier.com
    Scientific contact
    Clinical Studies Department, Institut de Recherches Internationales Servier, +33 1 55 72 43 66, clinicaltrials@servier.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
    21 Jan 2015
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    21 Jan 2015
    Global end of trial reached?
    Yes
    Global end of trial date
    21 Jan 2015
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To demonstrate the short-term efficacy of at least one of the 2 dose regimens of agomelatine (versus placebo) using Hamilton Anxiety (HAM-A ) scale after a 12-week treatment period in non-depressed out-patients suffering from Generalized Anxiety Disorder (GAD).
    Protection of trial subjects
    The study was conducted in accordance with Good Clinical Practice standards, ethical principles stated in the Declaration of Helsinki and applicable regulatory requirements. After the subject has ended his/her participation in the trial, the investigator provided appropriate medication and/or arranged access to appropriate care for the patient. Criteria for mandatory discontinuation of treatment were: - Absence of written consent or consent withdrawal by the patient. - Suicidal risk, according to investigator's judgment and or with a suicidal ideation of 4 or 5 on Columbia Suicide Severity Rating Scale (C-SSRS). - Any suicide attempt during the study whatever its severity (could be checked with C-SSRS suicidal behavior part). - Pregnancy. - ALT or AST > 8 ULN , or ALT or AST > 5 ULN and sustained after two weeks of close monitoring. - ALT or AST > 3 ULN and total bilirubin > 2 ULN. - ALT or AST > 3 ULN with clinical signs of hepatitis. - Symptoms or signs of potential liver injury: such as dark urine, light coloured stools, yellow skin/eyes, pain in the upper right belly, sustained new-onset and unexplained fatigue. Other criteria for premature discontinuation of treatment were: - Any event or circumstance related or unrelated to treatment justifying the discontinuation of the treatment in the investigator's opinion. - Treatment failure, i.e. lack of efficacy which in the opinion of the investigator required the patients to be withdrawn. All withdrawals for worsening of GAD were to be considered as lack of efficacy. - Adverse event - Any protocol deviation which jeopardized the patient’s safety. - Lost to follow-up.
    Background therapy
    -
    Evidence for comparator
    Placebo
    Actual start date of recruitment
    19 Aug 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Ukraine: 100
    Country: Number of subjects enrolled
    Russian Federation: 75
    Country: Number of subjects enrolled
    Poland: 56
    Country: Number of subjects enrolled
    Slovakia: 71
    Country: Number of subjects enrolled
    Finland: 110
    Worldwide total number of subjects
    412
    EEA total number of subjects
    237
    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)
    376
    From 65 to 84 years
    36
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Investigators were psychiatrists

    Pre-assignment
    Screening details
    Non-depressed adult patients of both genders, fufilling DSM-IV criteria for GAD. At selection HAM-A total score was to be ≥ 22, HAD anxious score ≥ HAD depression score, and MADRS total score ≤ 16. At inclusion HAM-A total score was still to be ≥ 22 and no more than 20% of decrease in HAM-A total score between selection and inclusion.

    Period 1
    Period 1 title
    Treatment 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
    Agomelatine 10mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Agomelatine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    From inclusion to W12, patients received one capsule per day of agomelatine 10 mg, to be taken orally at bedtime.

    Arm title
    Agomelatine 25mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Agomelatine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    From inclusion to W12, patients received one capsule per day of agomelatine 25 mg daily , to be taken orally at bedtime.

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    From inclusion to W12, patients received one capsule per day of placebo to be taken orally at bedtime.

    Number of subjects in period 1
    Agomelatine 10mg Agomelatine 25mg Placebo
    Started
    131
    139
    142
    Completed
    113
    126
    112
    Not completed
    18
    13
    30
         Adverse event, non-fatal
    1
    3
    1
         Non-medical reason
    8
    8
    8
         Protocol deviation
    1
    1
    1
         Lack of efficacy
    8
    1
    20

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Agomelatine 10mg
    Reporting group description
    -

    Reporting group title
    Agomelatine 25mg
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Reporting group values
    Agomelatine 10mg Agomelatine 25mg Placebo Total
    Number of subjects
    131 139 142 412
    Age categorical
    Units: Subjects
        In utero
    0 0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0 0
        Newborns (0-27 days)
    0 0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0 0
        Children (2-11 years)
    0 0 0 0
        Adolescents (12-17 years)
    0 0 0 0
        Adults (18-64 years)
    120 125 131 376
        From 65-84 years
    11 14 11 36
        85 years and over
    0 0 0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    43.6 ( 13.4 ) 44.1 ( 15.2 ) 44.1 ( 13.1 ) -
    Gender categorical
    Units: Subjects
        Female
    89 100 90 279
        Male
    42 39 52 133

    End points

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    End points reporting groups
    Reporting group title
    Agomelatine 10mg
    Reporting group description
    -

    Reporting group title
    Agomelatine 25mg
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Subject analysis set title
    Full Analysis Set (FAS)
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All patients of the RS having taken at least one dose of IMP and having a value at baseline (W0) and at least one post-baseline value for the primary efficacy criterion.

    Primary: HAM-A total score

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    End point title
    HAM-A total score
    End point description
    The main analytical approach was the change from baseline to W12 (LOCF).
    End point type
    Primary
    End point timeframe
    Evaluation at ASSE, W0, W2, W4, W8 and W12.
    End point values
    Agomelatine 10mg Agomelatine 25mg Placebo
    Number of subjects analysed
    130
    138
    140
    Units: score
    arithmetic mean (standard deviation)
        change from baseline to W12 (LOCF)
    -13.7 ( 8.7 )
    -18 ( 7.7 )
    -6.9 ( 9.2 )
    Statistical analysis title
    primary analysis
    Statistical analysis description
    Analysis of covariance model on factor treatment with baseline HAM-A total score and centre (random effect) as covariates
    Comparison groups
    Agomelatine 10mg v Placebo
    Number of subjects included in analysis
    270
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001
    Method
    ANCOVA
    Confidence interval
    Statistical analysis title
    primary analysis
    Statistical analysis description
    Analysis of covariance model on factor treatment with baseline HAM-A total score and centre (random effect) as covariates
    Comparison groups
    Agomelatine 25mg v Placebo
    Number of subjects included in analysis
    278
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001
    Method
    ANCOVA
    Confidence interval

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    all adverse events which occurred or worsen or became serious according to the investigator, or upgraded by the Sponsor, between the first IMP intake date (included) and the last IMP intake date + 1 day (included).
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.0
    Reporting groups
    Reporting group title
    Agomelatine 10mg
    Reporting group description
    -

    Reporting group title
    Agomelatine 25mg
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Serious adverse events
    Agomelatine 10mg Agomelatine 25mg Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    4 / 131 (3.05%)
    3 / 139 (2.16%)
    2 / 140 (1.43%)
         number of deaths (all causes)
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    0 / 131 (0.00%)
    2 / 139 (1.44%)
    0 / 140 (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
    Aspartate aminotransferase increased
         subjects affected / exposed
    1 / 131 (0.76%)
    2 / 139 (1.44%)
    0 / 140 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (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
    Vascular disorders
    Flushing
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Presyncope
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (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
    Somnolence
         subjects affected / exposed
    2 / 131 (1.53%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Thrombocytopenia
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (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
    Food poisoning
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (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
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         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
    Urticaria
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Depressed mood
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Generalised anxiety disorder
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    Hyperthyroidism
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (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
    Infections and infestations
    Diarrhoea infectious
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (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
    Hepatitis A
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (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
    Dehydration
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (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
    Hyperglycaemia
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (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
    Frequency threshold for reporting non-serious adverse events: 0.5%
    Non-serious adverse events
    Agomelatine 10mg Agomelatine 25mg Placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    37 / 131 (28.24%)
    47 / 139 (33.81%)
    35 / 140 (25.00%)
    Vascular disorders
    Orthostatic hypotension
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    3 / 131 (2.29%)
    2 / 139 (1.44%)
    2 / 140 (1.43%)
         occurrences all number
    3
    2
    2
    Local swelling
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Sensitivity to weather change
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Sluggishness
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Immune system disorders
    Seasonal allergy
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    0 / 131 (0.00%)
    2 / 139 (1.44%)
    0 / 140 (0.00%)
         occurrences all number
    0
    2
    0
    Rhinorrhoea
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Psychiatric disorders
    Abnormal dreams
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Anorgasmia
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Anxiety
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Confusional state
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Fear of injection
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Insomnia
         subjects affected / exposed
    2 / 131 (1.53%)
    2 / 139 (1.44%)
    2 / 140 (1.43%)
         occurrences all number
    2
    2
    2
    Irritability
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    2
    0
    Nightmare
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    2 / 140 (1.43%)
         occurrences all number
    0
    0
    2
    Sleep disorder
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Investigations
    Blood bilirubin increased
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Blood potassium increased
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Low density lipoprotein increased
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Weight increased
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Injury, poisoning and procedural complications
    Contusion
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Wrist fracture
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Cardiac disorders
    Tachycardia
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Ventricular extrasystoles
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    1 / 131 (0.76%)
    3 / 139 (2.16%)
    3 / 140 (2.14%)
         occurrences all number
    1
    5
    3
    Headache
         subjects affected / exposed
    6 / 131 (4.58%)
    9 / 139 (6.47%)
    9 / 140 (6.43%)
         occurrences all number
    6
    13
    12
    Paraesthesia
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Somnolence
         subjects affected / exposed
    0 / 131 (0.00%)
    4 / 139 (2.88%)
    1 / 140 (0.71%)
         occurrences all number
    0
    5
    1
    Speech disorder
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Tension headache
         subjects affected / exposed
    2 / 131 (1.53%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    3
    0
    0
    Blood and lymphatic system disorders
    Neutropenia
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    0 / 131 (0.00%)
    2 / 139 (1.44%)
    0 / 140 (0.00%)
         occurrences all number
    0
    2
    0
    Eye disorders
    Eye pain
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Vision blurred
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    2
    0
    0
    Abdominal pain
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Abdominal pain upper
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    1 / 140 (0.71%)
         occurrences all number
    0
    1
    1
    Colitis microscopic
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Constipation
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Diarrhoea
         subjects affected / exposed
    1 / 131 (0.76%)
    1 / 139 (0.72%)
    1 / 140 (0.71%)
         occurrences all number
    1
    1
    1
    Dry mouth
         subjects affected / exposed
    1 / 131 (0.76%)
    3 / 139 (2.16%)
    1 / 140 (0.71%)
         occurrences all number
    2
    3
    1
    Dyspepsia
         subjects affected / exposed
    1 / 131 (0.76%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    1
    1
    0
    Flatulence
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Gastritis
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Gastritis erosive
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Nausea
         subjects affected / exposed
    1 / 131 (0.76%)
    4 / 139 (2.88%)
    2 / 140 (1.43%)
         occurrences all number
    1
    4
    2
    Oesophageal pain
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Paraesthesia oral
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Skin and subcutaneous tissue disorders
    Eczema
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    1
    0
    1
    Hyperhidrosis
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Pruritus
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    1 / 140 (0.71%)
         occurrences all number
    0
    1
    1
    Urticaria contact
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Renal and urinary disorders
    Calculus urinary
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Pollakiuria
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    0 / 131 (0.00%)
    3 / 139 (2.16%)
    0 / 140 (0.00%)
         occurrences all number
    0
    3
    0
    Back pain
         subjects affected / exposed
    0 / 131 (0.00%)
    6 / 139 (4.32%)
    1 / 140 (0.71%)
         occurrences all number
    0
    6
    2
    Bursitis
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Muscle tightness
         subjects affected / exposed
    1 / 131 (0.76%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    1
    2
    0
    Musculoskeletal pain
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Neck pain
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    2 / 140 (1.43%)
         occurrences all number
    0
    0
    2
    Pain in extremity
         subjects affected / exposed
    1 / 131 (0.76%)
    1 / 139 (0.72%)
    1 / 140 (0.71%)
         occurrences all number
    1
    2
    1
    Plantar fascial fibromatosis
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Bronchopneumonia
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Conjunctivitis
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Cystitis
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Gastroenteritis
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Gastrointestinal infection
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    0 / 140 (0.00%)
         occurrences all number
    1
    0
    0
    Influenza
         subjects affected / exposed
    3 / 131 (2.29%)
    0 / 139 (0.00%)
    2 / 140 (1.43%)
         occurrences all number
    3
    0
    2
    Nasopharyngitis
         subjects affected / exposed
    7 / 131 (5.34%)
    1 / 139 (0.72%)
    1 / 140 (0.71%)
         occurrences all number
    7
    1
    1
    Pharyngitis
         subjects affected / exposed
    1 / 131 (0.76%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    1
    0
    1
    Respiratory tract infection
         subjects affected / exposed
    1 / 131 (0.76%)
    1 / 139 (0.72%)
    2 / 140 (1.43%)
         occurrences all number
    1
    1
    2
    Sialoadenitis
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Sinusitis
         subjects affected / exposed
    1 / 131 (0.76%)
    2 / 139 (1.44%)
    4 / 140 (2.86%)
         occurrences all number
    1
    2
    4
    Upper respiratory tract infection
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    1 / 140 (0.71%)
         occurrences all number
    0
    1
    1
    Urinary tract infection
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    1 / 140 (0.71%)
         occurrences all number
    0
    1
    1
    Urinary tract infection bacterial
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Viral upper respiratory tract infection
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Vulvovaginal candidiasis
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (0.00%)
         occurrences all number
    0
    1
    0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    0 / 131 (0.00%)
    0 / 139 (0.00%)
    1 / 140 (0.71%)
         occurrences all number
    0
    0
    1
    Hypokalaemia
         subjects affected / exposed
    0 / 131 (0.00%)
    1 / 139 (0.72%)
    0 / 140 (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? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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