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    Clinical Trial Results:
    A Phase 3 Randomized Double-Blind Trial of Maintenance with Niraparib Versus Placebo in Patients with Platinum Sensitive Ovarian Cancer

    Summary
    EudraCT number
    2013-000685-11
    Trial protocol
    SE   DE   AT   GB   DK   IT   HU   ES   BE   PL  
    Global end of trial date
    26 Dec 2021

    Results information
    Results version number
    v3(current)
    This version publication date
    16 Jun 2023
    First version publication date
    01 Jan 2023
    Other versions
    v1 , v2
    Version creation reason

    Trial information

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    Trial identification
    Sponsor protocol code
    213356
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    GSK
    Sponsor organisation address
    980 Great West Road, Brentford, Middlesex, United Kingdom, TW8 9GS
    Public contact
    GSK Response Center, GSK, 1 8664357343, GSKClinicalSupportHD@gsk.com
    Scientific contact
    GSK Response Center, GSK, 1 8664357343, GSKClinicalSupportHD@gsk.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
    27 Mar 2023
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    26 Dec 2021
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of this study is to evaluate efficacy of niraparib as maintenance therapy in participants who have platinum sensitive ovarian cancer as assessed by the prolongation of progression-free survival (PFS)
    Protection of trial subjects
    Protocol Amendment 7 introduced less visits burden to participants, as so called “Extended Cycle Visit”: – Required in-clinic visit every cycle (28 days) optional; participants may visit the clinic every three cycles (84 days). – Option for in-home nursing visit or site local clinic/hospital except for visit every three cycles which must be performed at the site – Study assessments which can be performed by study coordinator through telephone contact include Adverse event, ConMed and Eastern Cooperative Oncology Group. – Study assessments which can be performed at the in home nursing visits, local clinic or hospital include vitals, blood draw (complete blood count, chemistry, CA-125) and dispensation of study drug Protective measures were also taken temporarily during Coronavirus disease-19 pandemic 2020/2021 by allowing most assessments done remotely, or locally; and providing study drug supply by courier to participants.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    21 Jun 2013
    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
    United States: 198
    Country: Number of subjects enrolled
    Austria: 6
    Country: Number of subjects enrolled
    Belgium: 18
    Country: Number of subjects enrolled
    Canada: 66
    Country: Number of subjects enrolled
    Germany: 52
    Country: Number of subjects enrolled
    Denmark: 48
    Country: Number of subjects enrolled
    Spain: 48
    Country: Number of subjects enrolled
    France: 47
    Country: Number of subjects enrolled
    United Kingdom: 32
    Country: Number of subjects enrolled
    Hungary: 3
    Country: Number of subjects enrolled
    Israel: 18
    Country: Number of subjects enrolled
    Italy: 19
    Country: Number of subjects enrolled
    Norway: 12
    Country: Number of subjects enrolled
    Poland: 15
    Country: Number of subjects enrolled
    Sweden: 14
    Worldwide total number of subjects
    596
    EEA total number of subjects
    282
    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)
    384
    From 65 to 84 years
    212
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    This was a randomized, double-blind study conducted to analyze maintenance with niraparib versus placebo in participants with ovarian cancer.

    Pre-assignment
    Screening details
    A total of 596 participants were enrolled in the study. The results presented are based on the data cut-off date of 31 March 2021 (which aligns with the time of the study unblinding) and the post-unblinding safety data until the end of study (01-April-2021 to 26-December-2021).

    Period 1
    Period 1 title
    Overall Study (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
    gBRCA Niraparib
    Arm description
    Participants with germline breast cancer gene (gBRCA) mutation received oral dose of niraparib 300 milligrams (mg) once daily in 28-day cycles until disease progression.
    Arm type
    Experimental

    Investigational medicinal product name
    Niraparib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Participants received 3x100 milligrams of niraparib as oral dose.

    Arm title
    gBRCA Placebo
    Arm description
    Participants with germline BRCA mutation received oral dose of placebo matching niraparib once daily in 28-day cycles until disease progression.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Participants received placebo matching 3x capsules as oral dose.

    Arm title
    Non-gBRCA Niraparib
    Arm description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.
    Arm type
    Experimental

    Investigational medicinal product name
    Niraparib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Participants received 3x100 milligrams of niraparib as oral dose.

    Arm title
    Non-gBRCA Placebo
    Arm description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Participants received placebo matching 3x capsules as oral dose.

    Arm title
    FE sub-study: Fasted/fed
    Arm description
    Participants received a single dose of 3x100 mg capsules of niraparib administered orally following a minimum 10-hour overnight fast in Period 1 followed by 300 mg capsules of niraparib administered orally as single dose in fed condition (high-fat meal) in Period 2. There was a washout period of 7 days between treatment periods.
    Arm type
    Experimental

    Investigational medicinal product name
    Niraparib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Participants received 3x100 milligrams of niraparib as oral dose.

    Arm title
    FE sub-study: Fed/fasted
    Arm description
    Participants received single dose of 3x100 mg capsules of niraparib administered orally following a high-fat meal in Period 1 followed by 3x100 mg capsules of niraparib administered orally as single dose in fasted condition in Period 2. There was a washout period of 7 days between treatment periods.
    Arm type
    Experimental

    Investigational medicinal product name
    Niraparib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Participants received 3x100 milligrams of niraparib as oral dose.

    Arm title
    QTc sub-study: Niraparib
    Arm description
    Participants received Niraparib 300 mg once daily orally.
    Arm type
    Experimental

    Investigational medicinal product name
    Niraparib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Participants received 3x100 milligrams of niraparib as oral dose.

    Number of subjects in period 1 [1]
    gBRCA Niraparib gBRCA Placebo Non-gBRCA Niraparib Non-gBRCA Placebo FE sub-study: Fasted/fed FE sub-study: Fed/fasted QTc sub-study: Niraparib
    Started
    138
    65
    234
    116
    8
    9
    26
    Completed
    0
    0
    0
    0
    7
    8
    0
    Not completed
    138
    65
    234
    116
    1
    1
    26
         Consent withdrawn by subject
    20
    11
    30
    14
    -
    -
    4
         Disease progression
    -
    -
    -
    2
    -
    -
    -
         Subject Moved to Rollover Study
    6
    -
    9
    -
    -
    -
    -
         Adverse event, non-fatal
    -
    -
    -
    -
    -
    1
    -
         Death
    72
    29
    146
    68
    -
    -
    5
         Transferred to other arm/group
    -
    -
    -
    -
    1
    -
    -
         Subject unblinded by sponsor
    27
    20
    33
    26
    -
    -
    -
         Other reasons
    6
    3
    11
    5
    -
    -
    17
         Lost to follow-up
    7
    2
    5
    1
    -
    -
    -
    Notes
    [1] - The number of subjects transferring in and out of the arms in the period are not the same. It is expected the net number of transfers in and out of the arms in a period, will be zero.
    Justification: Subject is transferred to another treatment group

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    gBRCA Niraparib
    Reporting group description
    Participants with germline breast cancer gene (gBRCA) mutation received oral dose of niraparib 300 milligrams (mg) once daily in 28-day cycles until disease progression.

    Reporting group title
    gBRCA Placebo
    Reporting group description
    Participants with germline BRCA mutation received oral dose of placebo matching niraparib once daily in 28-day cycles until disease progression.

    Reporting group title
    Non-gBRCA Niraparib
    Reporting group description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Reporting group title
    Non-gBRCA Placebo
    Reporting group description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Reporting group title
    FE sub-study: Fasted/fed
    Reporting group description
    Participants received a single dose of 3x100 mg capsules of niraparib administered orally following a minimum 10-hour overnight fast in Period 1 followed by 300 mg capsules of niraparib administered orally as single dose in fed condition (high-fat meal) in Period 2. There was a washout period of 7 days between treatment periods.

    Reporting group title
    FE sub-study: Fed/fasted
    Reporting group description
    Participants received single dose of 3x100 mg capsules of niraparib administered orally following a high-fat meal in Period 1 followed by 3x100 mg capsules of niraparib administered orally as single dose in fasted condition in Period 2. There was a washout period of 7 days between treatment periods.

    Reporting group title
    QTc sub-study: Niraparib
    Reporting group description
    Participants received Niraparib 300 mg once daily orally.

    Reporting group values
    gBRCA Niraparib gBRCA Placebo Non-gBRCA Niraparib Non-gBRCA Placebo FE sub-study: Fasted/fed FE sub-study: Fed/fasted QTc sub-study: Niraparib Total
    Number of subjects
    138 65 234 116 8 9 26 596
    Age Categorical
    Units: Participants
        <=18 years
    0 0 0 0 0 0 0 0
        Between 18 and 64 years
    110 49 130 69 5 5 16 384
        >=65 years
    28 16 104 47 3 4 10 212
    Sex: Female, Male
    Units: Participants
        Female
    138 65 234 116 8 9 26 596
        Male
    0 0 0 0 0 0 0 0
    Race/Ethnicity, Customized
    Units: Subjects
        American Indian or Alaska Native
    1 0 0 0 0 0 1 2
        Asian
    2 3 10 4 0 0 1 20
        Native Hawaiian or Other Pacific Islander
    0 0 0 0 1 0 0 1
        Black or African American
    1 1 4 1 1 0 3 11
        White
    123 55 201 101 6 9 21 516
        Unknown or Not Reported
    11 6 19 10 0 0 0 46

    End points

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    End points reporting groups
    Reporting group title
    gBRCA Niraparib
    Reporting group description
    Participants with germline breast cancer gene (gBRCA) mutation received oral dose of niraparib 300 milligrams (mg) once daily in 28-day cycles until disease progression.

    Reporting group title
    gBRCA Placebo
    Reporting group description
    Participants with germline BRCA mutation received oral dose of placebo matching niraparib once daily in 28-day cycles until disease progression.

    Reporting group title
    Non-gBRCA Niraparib
    Reporting group description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Reporting group title
    Non-gBRCA Placebo
    Reporting group description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Reporting group title
    FE sub-study: Fasted/fed
    Reporting group description
    Participants received a single dose of 3x100 mg capsules of niraparib administered orally following a minimum 10-hour overnight fast in Period 1 followed by 300 mg capsules of niraparib administered orally as single dose in fed condition (high-fat meal) in Period 2. There was a washout period of 7 days between treatment periods.

    Reporting group title
    FE sub-study: Fed/fasted
    Reporting group description
    Participants received single dose of 3x100 mg capsules of niraparib administered orally following a high-fat meal in Period 1 followed by 3x100 mg capsules of niraparib administered orally as single dose in fasted condition in Period 2. There was a washout period of 7 days between treatment periods.

    Reporting group title
    QTc sub-study: Niraparib
    Reporting group description
    Participants received Niraparib 300 mg once daily orally.

    Subject analysis set title
    non-gBRCAmut HRD+ Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Niraparib (300 mg) once daily in 28-day cycles until disease progression in participants with homologous recombination deficiency-positive (HRD+) tumors Niraparib vs. Placebo 2:1 ratio

    Subject analysis set title
    non-gBRCAmut HRD+ Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Placebo once daily in 28-day cycles until disease progression patients with homologous recombination deficiency-positive (HRD+) tumors Niraparib vs. Placebo 2:1 ratio

    Subject analysis set title
    non-gBRCA Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Niraparib (300 mg) once daily in 28-day cycles until disease progression in patients without germline BRCA mutation Niraparib vs. Placebo 2:1 ratio

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Placebo once daily in 28-day cycles until disease progression in patients without germline BRCA mutation Niraparib vs. Placebo 2:1 ratio

    Subject analysis set title
    non-gBRCA Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    non-gBRCA Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    non-gBRCA Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    non-gBRCA Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    non-gBRCA Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    non-gBRCA Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    non-gBRCA Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    non-gBRCA Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Subject analysis set title
    non-gBRCA Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    non-gBRCA Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    non-gBRCA Niraparib
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    non-gBRCA Placebo
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    FE Niraparib Fasted
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received Niraparib 300 mg in fasted condition

    Subject analysis set title
    FE Niraparib Fed
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received Niraparib 300 mg in fed condition

    Subject analysis set title
    FE Niraparib Fasted
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received Niraparib 300 mg in fasted condition

    Subject analysis set title
    FE Niraparib Fed
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received Niraparib 300 mg in fed condition

    Subject analysis set title
    gBRCA Niraparib (PSU)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    gBRCA Placebo (PSU)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    Non-gBRCA Niraparib (PSU)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression

    Subject analysis set title
    Non-gBRCA Placebo (PSU)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Primary: Progression-Free Survival (PFS) in Cohort With Germline BReast CAncer gene (BRCA) Mutation (gBRCA)

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    End point title
    Progression-Free Survival (PFS) in Cohort With Germline BReast CAncer gene (BRCA) Mutation (gBRCA) [1]
    End point description
    PFS was defined as the time between randomization and disease progression or death from any cause. Computed tomography or magnetic resonance imaging to assess disease progression was performed at baseline, every 8 weeks through cycle 14, and then every 12 weeks until treatment discontinuation. The objective assessment of disease progression was determined by means of central radiologic and clinical review, according to Response Evaluation Criteria in Solid Tumors (RECIST),version 1.1, which was performed in a blinded fashion. Intent-to-treat population was defined as all randomized participants with participants analyzed according to the study drug assigned via randomization. 99999 indicates Upper limit of confidence interval (CI) was not estimable as upper limits of CI for survivor function were above 0.5 (SAS PROC LIFETEST).
    End point type
    Primary
    End point timeframe
    From date of randomization to the earliest date of disease progression or death from any cause, up to 7 years 7 months and 4 days
    Notes
    [1] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    138 [2]
    65 [3]
    Units: months
        median (confidence interval 95%)
    21 (12.9 to 99999)
    5.5 (3.8 to 7.2)
    Notes
    [2] - Intent-to-treat population
    [3] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    203
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    < 0.0001 [4]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.27
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.173
         upper limit
    0.41
    Notes
    [4] - Two-sided P-value. PFS was independently evaluated in gBRCAmut cohort and non-gBRCAmut cohort.

    Primary: Progression-Free Survival (PFS) in Cohort with No Germline BCRA with homologous recombination deficiency-positive (HRD+) tumors (non-gBRCAmut HRD+)

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    End point title
    Progression-Free Survival (PFS) in Cohort with No Germline BCRA with homologous recombination deficiency-positive (HRD+) tumors (non-gBRCAmut HRD+)
    End point description
    PFS was defined as the time between randomization and disease progression or death from any cause. Computed tomography or magnetic resonance imaging to assess disease progression was performed at baseline, every 8 weeks through cycle 14, and then every 12 weeks until treatment discontinuation. The objective assessment of disease progression was determined by means of central radiologic and clinical review, according to Response Evaluation Criteria in Solid Tumors (RECIST),version 1.1, which was performed in a blinded fashion. PD was defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study.
    End point type
    Primary
    End point timeframe
    From date of randomization to the earliest date of disease progression or death from any cause, up to 7 years, 7 months and 4 days
    End point values
    non-gBRCAmut HRD+ Niraparib non-gBRCAmut HRD+ Placebo
    Number of subjects analysed
    106 [5]
    56 [6]
    Units: months
        median (confidence interval 95%)
    12.9 (8.1 to 15.9)
    3.8 (3.5 to 5.7)
    Notes
    [5] - Intent-to-treat population
    [6] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    non-gBRCAmut HRD+ Niraparib v non-gBRCAmut HRD+ Placebo
    Number of subjects included in analysis
    162
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    < 0.0001 [7]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.38
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.243
         upper limit
    0.586
    Notes
    [7] - Two-sided P-value. PFS was independently evaluated in gBRCAmut cohort and non-gBRCAmut cohort. Hierarchical testing: HRD+ subset tested first. If HRD+ subset demonstrated statistical significance, overall non-gBRCA cohort was then tested

    Primary: Progression-Free Survival (PFS) in Cohort with No Germline BRCA Mutation (non-gBRCA)

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    End point title
    Progression-Free Survival (PFS) in Cohort with No Germline BRCA Mutation (non-gBRCA)
    End point description
    PFS was defined as the time between randomization and disease progression or death from any cause. Computed tomography or magnetic resonance imaging to assess disease progression was performed at baseline, every 8 weeks through cycle 14, and then every 12 weeks until treatment discontinuation. The objective assessment of disease progression was determined by means of central radiologic and clinical review, according to Response Evaluation Criteria in Solid Tumors (RECIST),version 1.1, which was performed in a blinded fashion.
    End point type
    Primary
    End point timeframe
    From date of randomization to the earliest date of disease progression or death from any cause, up to 7 years, 7 months and 4 days
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    234 [8]
    116 [9]
    Units: Months
        median (confidence interval 95%)
    9.3 (7.2 to 11.2)
    3.9 (3.7 to 5.5)
    Notes
    [8] - Intent-to-treat population
    [9] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    350
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    < 0.0001 [10]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.45
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.338
         upper limit
    0.607
    Notes
    [10] - Two-sided P-value. PFS was independently evaluated in gBRCAmut cohort and non-gBRCAmut cohort. Hierarchical testing: HRD+ subset tested first. If HRD+ subset demonstrated statistical significance, overall non-gBRCA cohort was then tested.

    Secondary: Time to First Subsequent Therapy in Cohort With Germline BRCA Mutation (gBRCA)

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    End point title
    Time to First Subsequent Therapy in Cohort With Germline BRCA Mutation (gBRCA) [11]
    End point description
    The TFST was defined as the time from the date of randomization to the start date of the first subsequent anti-cancer therapy or death.
    End point type
    Secondary
    End point timeframe
    From date of randomization to the earliest date of first subsequent therapy or death, up to 7 years, 7 months and 4 days
    Notes
    [11] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    138 [12]
    65 [13]
    Units: Months
        median (confidence interval 95%)
    19.1 (14.6 to 21.9)
    8.6 (6.9 to 12.2)
    Notes
    [12] - Intent-to-treat population
    [13] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    203
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0005 [14]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.57
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.412
         upper limit
    0.783
    Notes
    [14] - Two-sided P-value.

    Secondary: Time to First Subsequent Therapy in Cohort With No Germline BRCA Mutation

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    End point title
    Time to First Subsequent Therapy in Cohort With No Germline BRCA Mutation
    End point description
    The TFST was defined as the time from the date of randomization to the start date of the first subsequent anti-cancer therapy or death
    End point type
    Secondary
    End point timeframe
    From date of randomization to the earliest date of first subsequent therapy or death, up to 7 years, 7 months and 4 days
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    234 [15]
    116 [16]
    Units: Months
        median (confidence interval 95%)
    12.4 (10.9 to 14.5)
    7.4 (5.9 to 8.7)
    Notes
    [15] - Intent-to-treat population
    [16] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    350
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001 [17]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.58
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.454
         upper limit
    0.74
    Notes
    [17] - Two-sided P-value.

    Secondary: Chemotherapy-Free Interval in Cohort With Germline BRCA Mutation (gBRCA)

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    End point title
    Chemotherapy-Free Interval in Cohort With Germline BRCA Mutation (gBRCA) [18]
    End point description
    Chemotherapy-Free Interval was defined as the time from the last platinum therapy prior to randomization to the initiation of the next anti-cancer therapy after maintenance treatment
    End point type
    Secondary
    End point timeframe
    From date of last platinum therapy prior to randomization to the initiation of the next anti-cancer therapy after maintenance treatment, up to 7 years, 7 months and 4 days
    Notes
    [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    138 [19]
    65 [20]
    Units: Months
        median (confidence interval 95%)
    20.0 (16.2 to 23.3)
    9.4 (7.9 to 10.4)
    Notes
    [19] - Intent-to-treat population
    [20] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    203
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001 [21]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.39
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.268
         upper limit
    0.561
    Notes
    [21] - Two-sided P-value.

    Secondary: Progression-Free Survival 2 in Cohort With Germline BRCA Mutation (gBRCA)

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    End point title
    Progression-Free Survival 2 in Cohort With Germline BRCA Mutation (gBRCA) [22]
    End point description
    Progression-Free Survival 2 was defined as the date of randomization in the current study to the earlier date of assessment of progression on the next anti-cancer therapy following study treatment or death due to any cause. Progression was determined by the investigator via clinical and radiographic assessment using the same criteria as used in the current study.
    End point type
    Secondary
    End point timeframe
    From treatment randomization to the earlier of the date of disease progression on the next anti-cancer therapy following study treatment or death due to any cause, up to 7 years, 7 months and 4 days
    Notes
    [22] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    138 [23]
    65 [24]
    Units: Months
        median (confidence interval 95%)
    29.9 (24.8 to 33.4)
    22.7 (19.5 to 25.9)
    Notes
    [23] - Intent-to-treat population
    [24] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    203
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0302 [25]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.5
         upper limit
    0.968
    Notes
    [25] - Two-sided P-value.

    Secondary: Chemotherapy-Free Interval in Cohort With No Germline BRCA Mutation

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    End point title
    Chemotherapy-Free Interval in Cohort With No Germline BRCA Mutation
    End point description
    Chemotherapy-Free Interval was defined as the time from the last platinum therapy prior to randomization to the initiation of the next anti-cancer therapy after maintenance treatment
    End point type
    Secondary
    End point timeframe
    From date of last platinum therapy prior to randomization to the initiation of the next anti-cancer therapy after maintenance treatment, up to 7 years, 7 months and 4 days
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    234 [26]
    116 [27]
    Units: Months
        median (confidence interval 95%)
    13.4 (11.3 to 14.8)
    8.7 (6.9 to 10.0)
    Notes
    [26] - Intent-to-treat population
    [27] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    350
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001 [28]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.56
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.428
         upper limit
    0.727
    Notes
    [28] - Two-sided P-value.

    Secondary: Progression-Free Survival 2 in Cohort With No Germline BRCA Mutation

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    End point title
    Progression-Free Survival 2 in Cohort With No Germline BRCA Mutation
    End point description
    Progression-Free Survival 2 was defined as the date of randomization in the current study to the earlier date of assessment of progression on the next anti-cancer therapy following study treatment or death due to any cause. Progression was determined by the investigator via clinical and radiographic assessment using the same criteria as used in the current study.
    End point type
    Secondary
    End point timeframe
    From treatment randomization to the earlier of the date of disease progression on the next anti-cancer therapy following study treatment or death due to any cause, up to 7 years, 7 months and 4 days
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    234 [29]
    116 [30]
    Units: Months
        median (confidence interval 95%)
    19.5 (17.1 to 22.3)
    16.1 (13.6 to 22.8)
    Notes
    [29] - Intent-to-treat population
    [30] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    350
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0748 [31]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.8
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.627
         upper limit
    1.022
    Notes
    [31] - Two-sided P-value.

    Secondary: Overall Survival in Cohort With Germline BRCA Mutation (gBRCA)

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    End point title
    Overall Survival in Cohort With Germline BRCA Mutation (gBRCA) [32]
    End point description
    Overall survival was defined as the date of randomization to the date of death by any cause.
    End point type
    Secondary
    End point timeframe
    From treatment randomization to date of death by any cause, up to 7 years, 7 months and 4 days
    Notes
    [32] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    138 [33]
    65 [34]
    Units: Months
        median (confidence interval 95%)
    40.9 (34.9 to 52.9)
    38.1 (27.6 to 47.3)
    Notes
    [33] - Intent-to-treat population
    [34] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    203
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.358 [35]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.85
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.606
         upper limit
    1.198
    Notes
    [35] - Two-sided P-value.

    Secondary: Time to Second Subsequent Therapy in Cohort With Germline BRCA Mutation (gBRCA)

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    End point title
    Time to Second Subsequent Therapy in Cohort With Germline BRCA Mutation (gBRCA) [36]
    End point description
    TSST was defined as the date of randomization to the earlier of the start date of second follow-up anti-cancer treatment or death.
    End point type
    Secondary
    End point timeframe
    From the date of randomization to the start date of the second subsequent anti-cancer therapy, up to 7 years, 7 months and 4 days
    Notes
    [36] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    138 [37]
    65 [38]
    Units: Months
        median (confidence interval 95%)
    29.7 (23.3 to 33.4)
    19.6 (14.4 to 25.5)
    Notes
    [37] - Intent-to-treat population
    [38] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    203
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0061 [39]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.63
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.451
         upper limit
    0.878
    Notes
    [39] - Two-sided P-value.

    Secondary: Overall Survival in Cohort With No Germline BRCA Mutation

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    End point title
    Overall Survival in Cohort With No Germline BRCA Mutation
    End point description
    Overall survival was defined as the date of randomization to the date of death by any cause.
    End point type
    Secondary
    End point timeframe
    From treatment randomization to date of death by any cause, up to 7 years, 7 months and 4 days
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    234 [40]
    116 [41]
    Units: Months
        median (confidence interval 95%)
    31.0 (27.8 to 35.6)
    34.8 (27.9 to 41.4)
    Notes
    [40] - Intent-to-treat population
    [41] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    350
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.6868 [42]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.06
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.813
         upper limit
    1.369
    Notes
    [42] - Two-sided P-value.

    Secondary: Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With Germline BRCA at Cycle 6

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    End point title
    Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With Germline BRCA at Cycle 6 [43]
    End point description
    Functional Assessment of Cancer Therapy-Ovarian Symptom Index is a validated, 8-item measure of symptom response to treatment for ovarian cancer. Participantsrespond to their symptom experience over the past 7 days using a 5-point Likert scale score from “not at all” (0) to “very much” (4). The total score was calculated by multiplying the sum of all items scored by 8 and dividing the result by the number of responses. The total symptom index was calculated as the total of the 8 scores, ranging from 0 ("severely symptomatic") to 32 ("asymptomatic"). A positive change from Baseline indicates improvement. Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value. Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (pre-dose on Day 1) and at Cycle 6 (Each cycle was of 28 days)
    Notes
    [43] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    95 [44]
    36 [45]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    0.5 ± 3.77
    -0.5 ± 4.27
    Notes
    [44] - Intent-to-treat population
    [45] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With Germline BRCA at Cycle 4

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    End point title
    Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With Germline BRCA at Cycle 4 [46]
    End point description
    Functional Assessment of Cancer Therapy-Ovarian Symptom Index is a validated, 8-item measure of symptom response to treatment for ovarian cancer. Participantsrespond to their symptom experience over the past 7 days using a 5-point Likert scale score from “not at all” (0) to “very much” (4). The total score was calculated by multiplying the sum of all items scored by 8 and dividing the result by the number of responses. The total symptom index was calculated as the total of the 8 scores, ranging from 0 ("severely symptomatic") to 32 ("asymptomatic"). A positive change from Baseline indicates improvement. Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value. Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and at Cycle 4 (Each cycle was of 28 days)
    Notes
    [46] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    109 [47]
    43 [48]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -0.1 ± 4.07
    -0.3 ± 3.88
    Notes
    [47] - Intent-to-treat population
    [48] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With Germline BRCA at Cycle 2

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    End point title
    Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With Germline BRCA at Cycle 2 [49]
    End point description
    Functional Assessment of Cancer Therapy-Ovarian Symptom Index is a validated, 8-item measure of symptom response to treatment for ovarian cancer. Participants respond to their symptom experience over the past 7 days using a 5-point Likert scale score from “not at all” (0) to “very much” (4). The total score was calculated by multiplying the sum of all items scored by 8 and dividing the result by the number of responses. The total symptom index was calculated as the total of the 8 scores, ranging from 0 ("severely symptomatic") to 32 ("asymptomatic"). A positive change from Baseline indicates improvement. Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value.Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (pre-dose on Day 1) and at Cycle 2 (Each cycle was of 28 days)
    Notes
    [49] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    114 [50]
    55 [51]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -0.8 ± 4.58
    -0.3 ± 3.19
    Notes
    [50] - Intent-to-treat population
    [51] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Time to Second Subsequent Therapy in Cohort With No Germline BRCA Mutation

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    End point title
    Time to Second Subsequent Therapy in Cohort With No Germline BRCA Mutation
    End point description
    TSST was defined as the date of randomization to the earlier of the start date of second follow-up anti-cancer treatment or death.
    End point type
    Secondary
    End point timeframe
    From the date of randomization to the start date of the second subsequent anti-cancer therapy, up to 7 years, 7 months and 4 days
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    234 [52]
    116 [53]
    Units: Months
        median (confidence interval 95%)
    20.3 (18.0 to 23.4)
    16.7 (14.9 to 21.3)
    Notes
    [52] - Intent-to-treat population
    [53] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    350
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.1674 [54]
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.84
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.654
         upper limit
    1.077
    Notes
    [54] - Two-sided P-value.

    Secondary: Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With no Germline BRCA at Cycle 4

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    End point title
    Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With no Germline BRCA at Cycle 4
    End point description
    Functional Assessment of Cancer Therapy-Ovarian Symptom Index is a validated, 8-item measure of symptom response to treatment for ovarian cancer. Participants respond to their symptom experience over the past 7 days using a 5-point Likert scale score from “not at all” (0) to “very much” (4). The total score was calculated by multiplying the sum of all items scored by 8 and dividing the result by the number of responses. The total symptom index was calculated as the total of the 8 scores, ranging from 0 ("severely symptomatic") to 32 ("asymptomatic"). A positive change from Baseline indicates improvement. Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value. Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and at Cycle 4 (Each cycle was of 28 days)
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    150 [55]
    77 [56]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -0.7 ± 4.16
    -0.9 ± 4.23
    Notes
    [55] - Intent-to-treat population
    [56] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With Germline BRCA at post-progression

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    End point title
    Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With Germline BRCA at post-progression [57]
    End point description
    Functional Assessment of Cancer Therapy-Ovarian Symptom Index is a validated, 8-item measure of symptom response to treatment for ovarian cancer. Participants respond to their symptom experience over the past 7 days using a 5-point Likert scale score from “not at all” (0) to “very much” (4). The total score was calculated by multiplying the sum of all items scored by 8 and dividing the result by the number of responses. The total symptom index was calculated as the total of the 8 scores, ranging from 0 ("severely symptomatic") to 32 ("asymptomatic"). A positive change from Baseline indicates improvement. Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value. Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Cycle 1 Day 1, Each cycle was of 28 days) and up to 7 years, 7 months and 4 days
    Notes
    [57] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    80 [58]
    37 [59]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -0.751 ± 4.4342
    -1.324 ± 4.5034
    Notes
    [58] - Intent-to-treat population
    [59] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With no Germline BRCA at Cycle 2

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    End point title
    Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With no Germline BRCA at Cycle 2
    End point description
    Functional Assessment of Cancer Therapy-Ovarian Symptom Index is a validated, 8-item measure of symptom response to treatment for ovarian cancer. Participants respond to their symptom experience over the past 7 days using a 5-point Likert scale score from “not at all” (0) to “very much” (4). The total score was calculated by multiplying the sum of all items scored by 8 and dividing the result by the number of responses. The total symptom index was calculated as the total of the 8 scores, ranging from 0 ("severely symptomatic") to 32 ("asymptomatic"). A positive change from Baseline indicates improvement. Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value. Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and at Cycle 2 (Each cycle was of 28 days)
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    181 [60]
    97 [61]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -1.0 ± 3.79
    -0.3 ± 2.84
    Notes
    [60] - Intent-to-treat population
    [61] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With no Germline BRCA at Cycle 6

    Close Top of page
    End point title
    Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With no Germline BRCA at Cycle 6
    End point description
    Functional Assessment of Cancer Therapy-Ovarian Symptom Index is a validated, 8-item measure of symptom response to treatment for ovarian cancer. Participants respond to their symptom experience over the past 7 days using a 5-point Likert scale score from “not at all” (0) to “very much” (4). The total score was calculated by multiplying the sum of all items scored by 8 and dividing the result by the number of responses. The total symptom index was calculated as the total of the 8 scores, ranging from 0 ("severely symptomatic") to 32 ("asymptomatic"). A positive change from Baseline indicates improvement. Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value. Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and at Cycle 6 (Each cycle was of 28 days)
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    124 [62]
    50 [63]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -0.2 ± 3.76
    -0.9 ± 3.43
    Notes
    [62] - Intent-to-treat population
    [63] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in EQ-5D-5L in Cohort With Germline BRCA at Cycle 4

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    End point title
    Change From Baseline in EQ-5D-5L in Cohort With Germline BRCA at Cycle 4 [64]
    End point description
    EQ-5D-5L is a well-validated, general preference-based, health-related Quality of Life (QoL) instrument. The EQ-5D-5L encompasses 5 domains, asking participants to rate their perceived health state today on the following dimensions: Mobility, Self-Care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each domain has 5 possible levels: "no problems" (Level 1), "slight problems" (Level 2), "moderate problems" (Level 3), "severe problems" (Level 4), and "extreme problems" (Level 5). Responses for 5 dimensions together formed a 5-figure description of health state (e.g.11111 indicates no problems in all 5 dimensions). Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value.Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and at Cycle 4 (Each cycle was of 28 days)
    Notes
    [64] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    113 [65]
    44 [66]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -0.010 ± 0.1225
    -0.035 ± 0.1156
    Notes
    [65] - Intent-to-treat population
    [66] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in EQ-5D-5L in Cohort With Germline BRCA at Cycle 6

    Close Top of page
    End point title
    Change From Baseline in EQ-5D-5L in Cohort With Germline BRCA at Cycle 6 [67]
    End point description
    EQ-5D-5L is a well-validated, general preference-based, health-related Quality of Life (QoL) instrument. The EQ-5D-5L encompasses 5 domains, asking participants to rate their perceived health state today on the following dimensions: Mobility, Self-Care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each domain has 5 possible levels: "no problems" (Level 1), "slight problems" (Level 2), "moderate problems" (Level 3), "severe problems" (Level 4), and "extreme problems" (Level 5). Responses for 5 dimensions together formed a 5-figure description of health state (e.g.11111 indicates no problems in all 5 dimensions). Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value.Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and at Cycle 6 (Each cycle was of 28 days)
    Notes
    [67] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    99 [68]
    36 [69]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    0.002 ± 0.1116
    -0.004 ± 0.1463
    Notes
    [68] - Intent-to-treat population
    [69] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in European Quality of Life Scale, 5-Dimensions (EQ-5D-5L) in Cohort With Germline BRCA at Cycle 2

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    End point title
    Change From Baseline in European Quality of Life Scale, 5-Dimensions (EQ-5D-5L) in Cohort With Germline BRCA at Cycle 2 [70]
    End point description
    EQ-5D-5L is a well-validated, general preference-based, health-related Quality of Life (QoL) instrument. The EQ-5D-5L encompasses 5 domains, asking participants to rate their perceived health state today on the following dimensions: Mobility, Self-Care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each domain has 5 possible levels: "no problems" (Level 1), "slight problems" (Level 2), "moderate problems" (Level 3), "severe problems" (Level 4), and "extreme problems" (Level 5). Responses for 5 dimensions together formed a 5-figure description of health state (e.g.11111 indicates no problems in all 5 dimensions). Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value.Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and at Cycle 2 (Each cycle was of 28 days)
    Notes
    [70] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    118 [71]
    59 [72]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -0.008 ± 0.1092
    -0.008 ± 0.1354
    Notes
    [71] - Intent-to-treat population
    [72] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With no Germline BRCA at post-progression

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    End point title
    Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With no Germline BRCA at post-progression
    End point description
    Functional Assessment of Cancer Therapy-Ovarian Symptom Index is a validated, 8-item measure of symptom response to treatment for ovarian cancer. Participants respond to their symptom experience over the past 7 days using a 5-point Likert scale score from “not at all” (0) to “very much” (4). The total score was calculated by multiplying the sum of all items scored by 8 and dividing the result by the number of responses. The total symptom index was calculated as the total of the 8 scores, ranging from 0 ("severely symptomatic") to 32 ("asymptomatic"). A positive change from Baseline indicates improvement. Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value. Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and up to 7 years, 7 months and 4 days
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    146 [73]
    82 [74]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -2.595 ± 5.5700
    -1.801 ± 4.0290
    Notes
    [73] - Intent-to-treat population
    [74] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in EQ-5D-5L in Cohort With no Germline BRCA at post-progression

    Close Top of page
    End point title
    Change From Baseline in EQ-5D-5L in Cohort With no Germline BRCA at post-progression
    End point description
    EQ-5D-5L is a well-validated, general preference-based, health-related Quality of Life (QoL) instrument. The EQ-5D-5L encompasses 5 domains, asking participants to rate their perceived health state today on the following dimensions: Mobility, Self-Care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each domain has 5 possible levels: "no problems" (Level 1), "slight problems" (Level 2), "moderate problems" (Level 3), "severe problems" (Level 4), and "extreme problems" (Level 5). Responses for 5 dimensions together formed a 5-figure description of health state (e.g.11111 indicates no problems in all 5 dimensions). Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value.Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and up to 7 years, 7 months and 4 days
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    149 [75]
    84 [76]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -0.047 ± 0.1355
    -0.050 ± 0.1351
    Notes
    [75] - Intent-to-treat population
    [76] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in EQ-5D-5L in Cohort With no Germline BRCA at Cycle 6

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    End point title
    Change From Baseline in EQ-5D-5L in Cohort With no Germline BRCA at Cycle 6
    End point description
    EQ-5D-5L is a well-validated, general preference-based, health-related Quality of Life (QoL) instrument. The EQ-5D-5L encompasses 5 domains, asking participants to rate their perceived health state today on the following dimensions: Mobility, Self-Care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each domain has 5 possible levels: "no problems" (Level 1), "slight problems" (Level 2), "moderate problems" (Level 3), "severe problems" (Level 4), and "extreme problems" (Level 5). Responses for 5 dimensions together formed a 5-figure description of health state (e.g.11111 indicates no problems in all 5 dimensions). Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value.Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and at Cycle 6 (Each cycle was of 28 days)
    End point values
    non-gBRCA Placebo non-gBRCA Niraparib
    Number of subjects analysed
    50 [77]
    127 [78]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -0.011 ± 0.0949
    0.005 ± 0.1097
    Notes
    [77] - Intent-to-treat population
    [78] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in EQ-5D-5L in Cohort With no Germline BRCA at Cycle 4

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    End point title
    Change From Baseline in EQ-5D-5L in Cohort With no Germline BRCA at Cycle 4
    End point description
    EQ-5D-5L is a well-validated, general preference-based, health-related Quality of Life (QoL) instrument. The EQ-5D-5L encompasses 5 domains, asking participants to rate their perceived health state today on the following dimensions: Mobility, Self-Care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each domain has 5 possible levels: "no problems" (Level 1), "slight problems" (Level 2), "moderate problems" (Level 3), "severe problems" (Level 4), and "extreme problems" (Level 5). Responses for 5 dimensions together formed a 5-figure description of health state (e.g.11111 indicates no problems in all 5 dimensions). Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value.Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and at Cycle 4 (Each cycle was of 28 days)
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    155 [79]
    80 [80]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -0.004 ± 0.1077
    -0.014 ± 0.0870
    Notes
    [79] - Intent-to-treat population
    [80] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in EQ-5D-5L in Cohort With Germline BRCA at post-progression

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    End point title
    Change From Baseline in EQ-5D-5L in Cohort With Germline BRCA at post-progression [81]
    End point description
    EQ-5D-5L is a well-validated, general preference-based, health-related Quality of Life (QoL) instrument. The EQ-5D-5L encompasses 5 domains, asking participants to rate their perceived health state today on the following dimensions: Mobility, Self-Care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each domain has 5 possible levels: "no problems" (Level 1), "slight problems" (Level 2), "moderate problems" (Level 3), "severe problems" (Level 4), and "extreme problems" (Level 5). Responses for 5 dimensions together formed a 5-figure description of health state (e.g.11111 indicates no problems in all 5 dimensions). Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value.Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and up to 7 years, 7 months and 4 days
    Notes
    [81] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    81 [82]
    38 [83]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -0.041 ± 0.1192
    -0.013 ± 0.1580
    Notes
    [82] - Intent-to-treat population
    [83] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Change From Baseline in EQ-5D-5L in Cohort With no Germline BRCA at Cycle 2

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    End point title
    Change From Baseline in EQ-5D-5L in Cohort With no Germline BRCA at Cycle 2
    End point description
    EQ-5D-5L is a well-validated, general preference-based, health-related Quality of Life (QoL) instrument. The EQ-5D-5L encompasses 5 domains, asking participants to rate their perceived health state today on the following dimensions: Mobility, Self-Care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each domain has 5 possible levels: "no problems" (Level 1), "slight problems" (Level 2), "moderate problems" (Level 3), "severe problems" (Level 4), and "extreme problems" (Level 5). Responses for 5 dimensions together formed a 5-figure description of health state (e.g.11111 indicates no problems in all 5 dimensions). Baseline was latest non-missing pre-dose assessment on or before randomization date. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value.Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Baseline (Pre-dose on Day 1) and at Cycle 2 (Each cycle was of 28 days)
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    185 [84]
    96 [85]
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    -0.007 ± 0.1013
    -0.011 ± 0.1015
    Notes
    [84] - Intent-to-treat population
    [85] - Intent-to-treat population
    No statistical analyses for this end point

    Secondary: Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at Baseline

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    End point title
    Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at Baseline [86]
    End point description
    A Neuropathy Questionnaire measures the participant's symptom experience over the past 7 days using a 5-point Likert scale of “not at all” (0) to “very much” (4). There are 2 items that ask if the participant’s feet (item 1) or hands (item 2) feel numb or have prickling/tingling feelings. The Neuropathy Questionnaire was used to determine the chemotherapy-induced peripheral neuropathy (CIPN) status of each participant as well as provide an anchor for interpreting the impact of CIPN on participant’s QoL. Two thresholds were used. For the first, a participant was determined to have CIPN if a score greater than 0 (“not at all”) was recorded for either item. For the second, CIPN was assigned if a participant recorded a score greater than 1 (“a little bit”). Baseline was latest non-missing pre-dose assessment on or before randomization date.
    End point type
    Secondary
    End point timeframe
    At Baseline
    Notes
    [86] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    138 [87]
    65 [88]
    Units: Participants
        Feet, 0-Not at all
    47
    26
        Feet, 1-A little bit
    32
    12
        Feet, 2-Somewhat
    24
    9
        Feet, 3-Quite a bit
    21
    10
        Feet, 4-Very much
    9
    6
        Hands, 0-Not at all
    80
    37
        Hands, 1-A little bit
    28
    13
        Hands, 2-Somewhat
    8
    6
        Hands, 3-Quite a bit
    14
    5
        Hands, 4-Very much
    3
    2
    Notes
    [87] - Intent-to-treat population
    [88] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Hands
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    203
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.8794
    Method
    Pearson's Chi-squared test
    Confidence interval
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Feet
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    203
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.7969
    Method
    Pearson's Chi-squared test
    Confidence interval

    Secondary: Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at Cycle 2

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    End point title
    Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at Cycle 2 [89]
    End point description
    A Neuropathy Questionnaire measures participant's symptom experience over past 7 days using 5-point Likert scale of “not at all” (0) to “very much” (4). There are 2 items that ask if participant’s feet (item 1) or hands (item 2) feel numb or have prickling/tingling feelings. Neuropathy Questionnaire was used to determine chemotherapy-induced peripheral neuropathy (CIPN) status of each participant as well as provide an anchor for interpreting the impact of CIPN on participant’s QoL. Two thresholds were used. For first, participant was determined to have CIPN if a score greater than 0 (“not at all”) was recorded for either item. For second, CIPN was assigned if participant recorded a score greater than 1 (“a little bit”). Only those participants with data available at indicated time points were analyzed
    End point type
    Secondary
    End point timeframe
    At Cycle 2 (Each cycle was of 28 days)
    Notes
    [89] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    132 [90]
    64 [91]
    Units: Participants
        Feet, 0-Not at all
    48
    25
        Feet, 1-A little bit
    22
    5
        Feet, 2-Somewhat
    17
    15
        Feet, 3-Quite a bit
    20
    10
        Feet, 4-Very much
    8
    3
        Hands, 0-Not at all
    73
    31
        Hands, 1-A little bit
    19
    16
        Hands, 2-Somewhat
    13
    6
        Hands, 3-Quite a bit
    7
    2
        Hands, 4-Very much
    3
    2
    Notes
    [90] - Intent-to-treat population
    [91] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Feet
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    196
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.2399
    Method
    Pearson's Chi-squared test
    Confidence interval
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Hands
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    196
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.4584
    Method
    Pearson's Chi-squared test
    Confidence interval

    Secondary: Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at Cycle 4

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    End point title
    Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at Cycle 4 [92]
    End point description
    A Neuropathy Questionnaire measures participant's symptom experience over past 7 days using 5-point Likert scale of “not at all” (0) to “very much” (4). There are 2 items that ask if participant’s feet (item 1) or hands (item 2) feel numb or have prickling/tingling feelings. Neuropathy Questionnaire was used to determine chemotherapy-induced peripheral neuropathy (CIPN) status of each participant as well as provide an anchor for interpreting the impact of CIPN on participant’s QoL. Two thresholds were used. For first, participant was determined to have CIPN if a score greater than 0 (“not at all”) was recorded for either item. For second, CIPN was assigned if participant recorded a score greater than 1 (“a little bit”). Only those participants with data available at indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Cycle 4 (Each cycle was of 28 days)
    Notes
    [92] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    120 [93]
    54 [94]
    Units: Participants
        Feet, 0-Not at all
    47
    20
        Feet, 1-A little bit
    22
    6
        Feet, 2-Somewhat
    20
    7
        Feet, 3-Quite a bit
    15
    8
        Feet, 4-Very much
    6
    2
        Hands, 0-Not at all
    70
    29
        Hands, 1-A little bit
    18
    6
        Hands, 2-Somewhat
    16
    3
        Hands, 3-Quite a bit
    4
    4
        Hands, 4-Very much
    2
    1
    Notes
    [93] - Intent-to-treat population
    [94] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Hands
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    174
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.4705
    Method
    Pearson's Chi-squared test
    Confidence interval
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Feet
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    174
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.8566
    Method
    Pearson's Chi-squared test
    Confidence interval

    Secondary: Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at Cycle 6

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    End point title
    Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at Cycle 6 [95]
    End point description
    A Neuropathy Questionnaire measures participant's symptom experience over past 7 days using 5-point Likert scale of “not at all” (0) to “very much” (4). There are 2 items that ask if participant’s feet (item 1) or hands (item 2) feel numb or have prickling/tingling feelings. Neuropathy Questionnaire was used to determine chemotherapy-induced peripheral neuropathy (CIPN) status of each participant as well as provide an anchor for interpreting the impact of CIPN on participant’s QoL. Two thresholds were used. For first, participant was determined to have CIPN if a score greater than 0 (“not at all”) was recorded for either item. For second, CIPN was assigned if participant recorded a score greater than 1 (“a little bit”). Only those participants with data available at indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Cycle 6 (Each cycle was of 28 days)
    Notes
    [95] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    105 [96]
    41 [97]
    Units: Participants
        Feet, 0-Not at all
    44
    17
        Feet, 1-A little bit
    17
    5
        Feet, 2-Somewhat
    13
    7
        Feet, 3-Quite a bit
    15
    5
        Feet, 4-Very much
    9
    2
        Hands, 0-Not at all
    54
    21
        Hands, 1-A little bit
    25
    8
        Hands, 2-Somewhat
    10
    4
        Hands, 3-Quite a bit
    6
    2
        Hands, 4-Very much
    2
    1
    Notes
    [96] - Intent-to-treat population
    [97] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Hands
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    146
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.9923
    Method
    Pearson's Chi-squared test
    Confidence interval
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Feet
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    146
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.8521
    Method
    Pearson's Chi-squared test
    Confidence interval

    Secondary: Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at post-progression

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    End point title
    Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at post-progression [98]
    End point description
    A Neuropathy Questionnaire measures participant's symptom experience over past 7 days using 5-point Likert scale of “not at all” (0) to “very much” (4). There are 2 items that ask if participant’s feet (item 1) or hands (item 2) feel numb or have prickling/tingling feelings. Neuropathy Questionnaire was used to determine chemotherapy-induced peripheral neuropathy (CIPN) status of each participant as well as provide an anchor for interpreting the impact of CIPN on participant’s QoL. Two thresholds were used. For first, participant was determined to have CIPN if a score greater than 0 (“not at all”) was recorded for either item. For second, CIPN was assigned if participant recorded a score greater than 1 (“a little bit”). Only those participants with data available at indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Up to 7 years, 7 months and 4 days
    Notes
    [98] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo
    Number of subjects analysed
    104 [99]
    49 [100]
    Units: Participants
        Feet, 0-Not at all
    31
    15
        Feet, 1-A little bit
    20
    9
        Feet, 2-Somewhat
    7
    3
        Feet, 3-Quite a bit
    15
    7
        Feet, 4-Very much
    7
    3
        Hands, 0-Not at all
    44
    26
        Hands, 1-A little bit
    18
    4
        Hands, 2-Somewhat
    8
    3
        Hands, 3-Quite a bit
    7
    4
        Hands, 4-Very much
    3
    0
    Notes
    [99] - Intent-to-treat population
    [100] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Hands
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    153
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.3518
    Method
    Pearson's Chi-squared test
    Confidence interval
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Feet
    Comparison groups
    gBRCA Niraparib v gBRCA Placebo
    Number of subjects included in analysis
    153
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.9997
    Method
    Pearson's Chi-squared test
    Confidence interval

    Secondary: Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at Baseline

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    End point title
    Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at Baseline
    End point description
    A Neuropathy Questionnaire measures the participant's symptom experience over the past 7 days using a 5-point Likert scale of “not at all” (0) to “very much” (4). There are 2 items that ask if the participant’s feet (item 1) or hands (item 2) feel numb or have prickling/tingling feelings. The Neuropathy Questionnaire was used to determine the chemotherapy-induced peripheral neuropathy (CIPN) status of each participant as well as provide an anchor for interpreting the impact of CIPN on participant’s QoL. Two thresholds were used. For the first, a participant was determined to have CIPN if a score greater than 0 (“not at all”) was recorded for either item. For the second, CIPN was assigned if a participant recorded a score greater than 1 (“a little bit”). Baseline was latest non-missing pre-dose assessment on or before randomization date.
    End point type
    Secondary
    End point timeframe
    At Baseline
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    234 [101]
    116 [102]
    Units: Participants
        Feet, 0-Not at all
    71
    40
        Feet, 1-A little bit
    58
    26
        Feet, 2-Somewhat
    37
    16
        Feet, 3-Quite a bit
    43
    21
        Feet, 4-Very much
    18
    9
        Hands, 0-Not at all
    120
    48
        Hands, 1-A little bit
    56
    37
        Hands, 2-Somewhat
    28
    12
        Hands, 3-Quite a bit
    15
    11
        Hands, 4-Very much
    8
    2
    Notes
    [101] - Intent-to-treat population
    [102] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Feet
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    350
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.9367
    Method
    Pearson's Chi-squared test
    Confidence interval
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Hands
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    350
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.2502
    Method
    Pearson's Chi-squared test
    Confidence interval

    Secondary: Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at Cycle 2

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    End point title
    Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at Cycle 2
    End point description
    A Neuropathy Questionnaire measures participant's symptom experience over past 7 days using 5-point Likert scale of “not at all” (0) to “very much” (4). There are 2 items that ask if participant’s feet (item 1) or hands (item 2) feel numb or have prickling/tingling feelings. Neuropathy Questionnaire was used to determine chemotherapy-induced peripheral neuropathy (CIPN) status of each participant as well as provide an anchor for interpreting the impact of CIPN on participant’s QoL. Two thresholds were used. For first, participant was determined to have CIPN if a score greater than 0 (“not at all”) was recorded for either item. For second, CIPN was assigned if participant recorded a score greater than 1 (“a little bit”). Only those participants with data available at indicated time points were analyzed
    End point type
    Secondary
    End point timeframe
    At Cycle 2 (Each cycle was of 28 days)
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    212 [103]
    113 [104]
    Units: Participants
        Feet, 0-Not at all
    69
    32
        Feet, 1-A little bit
    39
    17
        Feet, 2-Somewhat
    30
    22
        Feet, 3-Quite a bit
    34
    18
        Feet, 4-Very much
    9
    8
        Hands, 0-Not at all
    100
    44
        Hands, 1-A little bit
    38
    24
        Hands, 2-Somewhat
    20
    19
        Hands, 3-Quite a bit
    17
    5
        Hands, 4-Very much
    4
    3
    Notes
    [103] - Intent-to-treat population
    [104] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Hands
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    325
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.164
    Method
    Pearson's Chi-squared test
    Confidence interval
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Feet
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    325
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.5037
    Method
    Pearson's Chi-squared test
    Confidence interval

    Secondary: Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at Cycle 4

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    End point title
    Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at Cycle 4
    End point description
    A Neuropathy Questionnaire measures participant's symptom experience over past 7 days using 5-point Likert scale of “not at all” (0) to “very much” (4). There are 2 items that ask if participant’s feet (item 1) or hands (item 2) feel numb or have prickling/tingling feelings. Neuropathy Questionnaire was used to determine chemotherapy-induced peripheral neuropathy (CIPN) status of each participant as well as provide an anchor for interpreting the impact of CIPN on participant’s QoL. Two thresholds were used. For first, participant was determined to have CIPN if a score greater than 0 (“not at all”) was recorded for either item. For second, CIPN was assigned if participant recorded a score greater than 1 (“a little bit”). Change from Baseline was calculated as on-treatment visit value minus Baseline value. Baseline was latest non-missing pre-dose assessment on or before randomization date.Only those participants with data available at indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Cycle 4 (Each cycle was of 28 days)
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    181 [105]
    95 [106]
    Units: Participants
        Feet, 0-Not at all
    54
    31
        Feet, 1-A little bit
    37
    16
        Feet, 2-Somewhat
    34
    17
        Feet, 3-Quite a bit
    20
    11
        Feet, 4-Very much
    9
    5
        Hands, 0-Not at all
    89
    43
        Hands, 1-A little bit
    29
    21
        Hands, 2-Somewhat
    14
    10
        Hands, 3-Quite a bit
    14
    3
        Hands, 4-Very much
    6
    1
    Notes
    [105] - Intent-to-treat population
    [106] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Hands
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    276
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.247
    Method
    Pearson's Chi-squared test
    Confidence interval
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Feet
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    276
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.9599
    Method
    Pearson's Chi-squared test
    Confidence interval

    Secondary: Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at Cycle 6

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    End point title
    Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at Cycle 6
    End point description
    A Neuropathy Questionnaire measures participant's symptom experience over past 7 days using 5-point Likert scale of “not at all” (0) to “very much” (4). There are 2 items that ask if participant’s feet (item 1) or hands (item 2) feel numb or have prickling/tingling feelings. Neuropathy Questionnaire was used to determine chemotherapy-induced peripheral neuropathy (CIPN) status of each participant as well as provide an anchor for interpreting the impact of CIPN on participant’s QoL. Two thresholds were used. For first, participant was determined to have CIPN if a score greater than 0 (“not at all”) was recorded for either item. For second, CIPN was assigned if participant recorded a score greater than 1 (“a little bit”). Only those participants with data available at indicated time points were analyzed
    End point type
    Secondary
    End point timeframe
    At Cycle 6 (Each cycle was of 28 days)
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    144 [107]
    56 [108]
    Units: Participants
        Feet, 0-Not at all
    43
    16
        Feet, 1-A little bit
    29
    10
        Feet, 2-Somewhat
    30
    11
        Feet, 3-Quite a bit
    18
    9
        Feet, 4-Very much
    5
    5
        Hands, 0-Not at all
    68
    29
        Hands, 1-A little bit
    30
    10
        Hands, 2-Somewhat
    13
    6
        Hands, 3-Quite a bit
    9
    5
        Hands, 4-Very much
    3
    0
    Notes
    [107] - Intent-to-treat population
    [108] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Hands
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    200
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.7459
    Method
    Pearson's Chi-squared test
    Confidence interval
    Statistical analysis title
    Statistical Analysis 1
    Statistical analysis description
    Analysis for gBRCA Niraparib vs gBRCA Placebo-Feet
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    200
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.5921
    Method
    Pearson's Chi-squared test
    Confidence interval

    Secondary: Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at post-progression

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    End point title
    Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at post-progression
    End point description
    A Neuropathy Questionnaire measures participant's symptom experience over past 7 days using 5-point Likert scale of “not at all” (0) to “very much” (4). There are 2 items that ask if participant’s feet (item 1) or hands (item 2) feel numb or have prickling/tingling feelings. Neuropathy Questionnaire was used to determine chemotherapy-induced peripheral neuropathy (CIPN) status of each participant as well as provide an anchor for interpreting the impact of CIPN on participant’s QoL. Two thresholds were used. For first, participant was determined to have CIPN if a score greater than 0 (“not at all”) was recorded for either item. For second, CIPN was assigned if participant recorded a score greater than 1 (“a little bit”). Only those participants with data available at indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Up to 7 years, 7 months and 4 days
    End point values
    non-gBRCA Niraparib non-gBRCA Placebo
    Number of subjects analysed
    185 [109]
    105 [110]
    Units: Participants
        Feet, 0-Not at all
    57
    32
        Feet, 1-A little bit
    45
    12
        Feet, 2-Somewhat
    23
    16
        Feet, 3-Quite a bit
    19
    16
        Feet, 4-Very much
    5
    8
        Hands, 0-Not at all
    88
    48
        Hands, 1-A little bit
    35
    15
        Hands, 2-Somewhat
    13
    9
        Hands, 3-Quite a bit
    7
    10
        Hands, 4-Very much
    3
    1
    Notes
    [109] - Intent-to-treat population
    [110] - Intent-to-treat population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    290
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.2798
    Method
    Pearson's Chi-squared test
    Confidence interval
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    non-gBRCA Niraparib v non-gBRCA Placebo
    Number of subjects included in analysis
    290
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0259
    Method
    Pearson's Chi-squared test
    Confidence interval

    Secondary: Number of participants with non-serious adverse events (AEs) and serious AEs (SAEs)

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    End point title
    Number of participants with non-serious adverse events (AEs) and serious AEs (SAEs) [111]
    End point description
    An AE is any untoward medical occurrence that occurs in a participants or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. A SAE is defined as any untoward medical occurrence that at any dose which results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, is an important medical event(s) as per medical and scientific judgment. Adverse events which were not serious adverse events were considered as non serious adverse events. Data presented for this outcome measure is based on the data cut-off date of 31-March-2021, which aligns with the time of the study unblinding. Safety Population consisted of all participants who ingested any amount of study drug.
    End point type
    Secondary
    End point timeframe
    Up to 7 years, 7 months and 6 days
    Notes
    [111] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    gBRCA Niraparib gBRCA Placebo Non-gBRCA Niraparib Non-gBRCA Placebo
    Number of subjects analysed
    136 [112]
    65 [113]
    231 [114]
    114 [115]
    Units: Participants
        Non-serious AEs
    136
    62
    231
    110
        SAEs
    51
    9
    76
    20
    Notes
    [112] - Safety Population
    [113] - Safety Population
    [114] - Safety Population
    [115] - Safety Population
    No statistical analyses for this end point

    Secondary: Number of participants with non-serious AEs and SAEs (Post-study unblinding)

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    End point title
    Number of participants with non-serious AEs and SAEs (Post-study unblinding)
    End point description
    An AE is any untoward medical occurrence that occurs in a participants or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. A SAE is defined as any untoward medical occurrence that at any dose which results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, is an important medical event(s) as per medical and scientific judgment. Adverse events which were not serious adverse events were considered as non serious adverse events. The data is presented for post-study unblinding duration 01-Apr-2021 to 26-Dec-2021
    End point type
    Secondary
    End point timeframe
    Up to 8 months, 26 days
    End point values
    gBRCA Niraparib (PSU) gBRCA Placebo (PSU) Non-gBRCA Niraparib (PSU) Non-gBRCA Placebo (PSU)
    Number of subjects analysed
    22 [116]
    8 [117]
    31 [118]
    13 [119]
    Units: Participants
        Non-serious AEs
    0
    0
    0
    0
        SAEs
    0
    0
    0
    0
    Notes
    [116] - Safety Population
    [117] - Safety Population
    [118] - Safety Population
    [119] - Safety Population
    No statistical analyses for this end point

    Secondary: Number of participants with non-serious AEs and SAEs in QTc sub-study

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    End point title
    Number of participants with non-serious AEs and SAEs in QTc sub-study [120]
    End point description
    An AE is any untoward medical occurrence that occurs in a participants or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. A SAE is defined as any untoward medical occurrence that at any dose which results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, is an important medical event(s) as per medical and scientific judgment. Adverse events which were not serious adverse events were considered as non serious adverse events.
    End point type
    Secondary
    End point timeframe
    Up to 5 years 10 months and 22 days
    Notes
    [120] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    QTc sub-study: Niraparib
    Number of subjects analysed
    26 [121]
    Units: Participants
        Non-serious AEs
    24
        SAEs
    12
    Notes
    [121] - Safety Population
    No statistical analyses for this end point

    Secondary: Number of participants with non-serious AEs and SAEs in FE sub-study

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    End point title
    Number of participants with non-serious AEs and SAEs in FE sub-study
    End point description
    An AE is any untoward medical occurrence that occurs in a participants or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. A SAE is defined as any untoward medical occurrence that at any dose which results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, is an important medical event(s) as per medical and scientific judgment. Adverse events which were not serious adverse events were considered as non serious adverse events.
    End point type
    Secondary
    End point timeframe
    Up to 2 years 3 months and 11 days
    End point values
    FE Niraparib Fasted FE Niraparib Fed
    Number of subjects analysed
    16 [122]
    16 [123]
    Units: Participants
        Non-serious AEs
    4
    6
        SAEs
    1
    0
    Notes
    [122] - Safety Population
    [123] - Safety Population
    No statistical analyses for this end point

    Secondary: Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC[0-last]) following administration of Niraparib (FE sub-study)

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    End point title
    Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC[0-last]) following administration of Niraparib (FE sub-study)
    End point description
    Blood samples were collected at indicated time points to analyze the AUC(0-last) of niraparib. Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Pre-dose (Day -1) and at 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours post dose
    End point values
    FE Niraparib Fasted FE Niraparib Fed
    Number of subjects analysed
    16 [124]
    15
    Units: Nanograms*hour per milliliter
        arithmetic mean (standard deviation)
    28638.1 ± 17911.86
    27186.4 ± 14111.37
    Notes
    [124] - Pharmacokinetic population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    FE Niraparib Fasted v FE Niraparib Fed
    Number of subjects included in analysis
    31
    Analysis specification
    Pre-specified
    Analysis type
    Method
    Parameter type
    Ratio of Least square mean
    Point estimate
    1.068
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    0.978
         upper limit
    1.166

    Secondary: Area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC[0-infinity]) following administration of Niraparib (FE sub-study)

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    End point title
    Area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC[0-infinity]) following administration of Niraparib (FE sub-study)
    End point description
    Blood samples were collected at indicated time points to analyze AUC(0-infinity) of niraparib. Pharmacokinetic population consisted of all participants who received at least one dose of study drug, with sufficient data available to calculate parameters. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Pre-dose and at 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours post dose
    End point values
    FE Niraparib Fasted FE Niraparib Fed
    Number of subjects analysed
    15 [125]
    14 [126]
    Units: Nanograms*hour per milliliter
        arithmetic mean (standard deviation)
    29016.1 ± 18405.23
    31194 ± 16894.88
    Notes
    [125] - Pharmacokinetic population
    [126] - Pharmacokinetic population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    FE Niraparib Fasted v FE Niraparib Fed
    Number of subjects included in analysis
    29
    Analysis specification
    Pre-specified
    Analysis type
    Method
    Parameter type
    Ratio of Least square mean
    Point estimate
    1.1
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    0.997
         upper limit
    1.216

    Secondary: Terminal elimination half-life (t1/2) following administration of Niraparib (FE sub-study)

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    End point title
    Terminal elimination half-life (t1/2) following administration of Niraparib (FE sub-study)
    End point description
    Blood samples were collected at indicated time points to analyze the t1/2 of niraparib. Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Pre-dose (Day -1) and at 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours post dose
    End point values
    FE Niraparib Fasted FE Niraparib Fed
    Number of subjects analysed
    16 [127]
    14 [128]
    Units: Hour
        arithmetic mean (standard deviation)
    50.5 ± 17.87
    47.9 ± 17.54
    Notes
    [127] - Pharmacokinetic population
    [128] - Pharmacokinetic population
    No statistical analyses for this end point

    Secondary: Maximum observed plasma concentration (Cmax) following administration of Niraparib (FE sub-study)

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    End point title
    Maximum observed plasma concentration (Cmax) following administration of Niraparib (FE sub-study)
    End point description
    Blood samples were collected at indicated time points to analyze the maximum observed plasma concentration of niraparib. Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Pre-dose (Day -1) and at 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours post dose
    End point values
    FE Niraparib Fasted FE Niraparib Fed
    Number of subjects analysed
    16 [129]
    15
    Units: Nanograms per milliliter
        arithmetic mean (standard deviation)
    803.7 ± 403.35
    582.1 ± 228.57
    Notes
    [129] - Pharmacokinetic population
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    FE Niraparib Fasted v FE Niraparib Fed
    Number of subjects included in analysis
    31
    Analysis specification
    Pre-specified
    Analysis type
    Method
    Parameter type
    Ratio of Least square mean
    Point estimate
    0.785
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    0.695
         upper limit
    0.886

    Secondary: Time to reach maximum (tmax) following administration of Niraparib (FE sub-study)

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    End point title
    Time to reach maximum (tmax) following administration of Niraparib (FE sub-study)
    End point description
    Blood samples were collected at indicated time points to analyze the tmax of niraparib. Only those participants with data available at the indicated time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Pre-dose (Day -1) and at 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours post dose
    End point values
    FE Niraparib Fasted FE Niraparib Fed
    Number of subjects analysed
    16 [130]
    15
    Units: Hour
        median (full range (min-max))
    3.1 (1.7 to 6.1)
    6.1 (1.2 to 23)
    Notes
    [130] - Pharmacokinetic population
    No statistical analyses for this end point

    Secondary: Number of participants with maximum post-Baseline QT Interval Corrected by Fridericia's Formula (QTcF) greater than pre-specified thresholds

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    End point title
    Number of participants with maximum post-Baseline QT Interval Corrected by Fridericia's Formula (QTcF) greater than pre-specified thresholds [131]
    End point description
    12-lead electrocardiogram was obtained at indicated time points using an automated electrocardiogram machine that measured QTcF interval. The number of participants with maximum post-Baseline ECG value exceeding the following limits have been reported: QTcF interval >450 and <= 480 milliseconds (msec) and >500 msec.
    End point type
    Secondary
    End point timeframe
    At Baseline (Cycle 1 Day 1, each cycle was of 28 days)
    Notes
    [131] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only reporting on a subset of the arms that are contained in the baseline period
    End point values
    QTc sub-study: Niraparib
    Number of subjects analysed
    26 [132]
    Units: Participants
        >450 msec
    2
        >480 msec
    0
        >500 msec
    0
    Notes
    [132] - Safety Population
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    All-cause mortality, non-serious AEs (non-SAEs) and SAEs were collected up to 8 years, 6 months and 6 days
    Adverse event reporting additional description
    Safety Population was used to assess SAEs and non-SAEs, which comprised of all participants who ingested any amount of study drug. The data is presented in separate arms for adverse events before unblinding (data cut-off date of 31-March-2021) and post-study unblinding until the end of study (01-April-2021 to 26-December-2021).
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    23.0
    Reporting groups
    Reporting group title
    gBRCA Niraparib
    Reporting group description
    Participants with germline breast cancer gene (gBRCA) mutation received oral dose of niraparib 300 milligrams (mg) once daily in 28-day cycles until disease progression.

    Reporting group title
    gBRCA Placebo
    Reporting group description
    Participants with germline BRCA mutation received oral dose of placebo matching niraparib once daily in 28-day cycles until disease progression

    Reporting group title
    Non-gBRCA Niraparib
    Reporting group description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression.

    Reporting group title
    Non-gBRCA Placebo
    Reporting group description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression

    Reporting group title
    FE Niraparib Fasted
    Reporting group description
    Participants received Niraparib 300 mg in fasted condition

    Reporting group title
    Non-gBRCA Placebo (PSU)
    Reporting group description
    Participants without germline BRCA mutation received matching placebo once daily orally in 28-day cycles until disease progression. This arm presents data for post-study unblinding duration 1-Apr-2021 to 26-Dec-2021.

    Reporting group title
    QTc sub-study: Niraparib
    Reporting group description
    Participants received Niraparib 300 mg once daily orally.

    Reporting group title
    gBRCA Niraparib (PSU)
    Reporting group description
    Participants with germline breast cancer gene (gBRCA) mutation received oral dose of niraparib 300 milligrams (mg) once daily in 28-day cycles until disease progression. This arm presents data for post-study unblinding duration 1-Apr-2021 to 26-Dec-2021

    Reporting group title
    gBRCA Placebo (PSU)
    Reporting group description
    Participants with germline BRCA mutation received oral dose of placebo matching niraparib once daily in 28-day cycles until disease progression. This arm presents data for post-study unblinding duration 1-Apr-2021 to 26-Dec-2021.

    Reporting group title
    Non-gBRCA Niraparib (PSU)
    Reporting group description
    Participants without germline BRCA mutation received oral dose of niraparib 300 mg once daily orally in 28-day cycles until disease progression. This arm presents data for post-study unblinding duration 1-Apr-2021 to 26-Dec-2021.

    Reporting group title
    FE Niraparib Fed
    Reporting group description
    Participants received Niraparib 300 mg in fed condition

    Serious adverse events
    gBRCA Niraparib gBRCA Placebo Non-gBRCA Niraparib Non-gBRCA Placebo FE Niraparib Fasted Non-gBRCA Placebo (PSU) QTc sub-study: Niraparib gBRCA Niraparib (PSU) gBRCA Placebo (PSU) Non-gBRCA Niraparib (PSU) FE Niraparib Fed
    Total subjects affected by serious adverse events
         subjects affected / exposed
    51 / 136 (37.50%)
    9 / 65 (13.85%)
    76 / 231 (32.90%)
    20 / 114 (17.54%)
    1 / 16 (6.25%)
    0 / 13 (0.00%)
    12 / 26 (46.15%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         number of deaths (all causes)
    72
    29
    146
    68
    0
    0
    5
    0
    0
    0
    0
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Metastases to central nervous system
         subjects affected / exposed
    1 / 136 (0.74%)
    1 / 65 (1.54%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myelodysplastic syndrome
         subjects affected / exposed
    5 / 136 (3.68%)
    1 / 65 (1.54%)
    2 / 231 (0.87%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    5 / 5
    0 / 1
    2 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    2 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Acute myeloid leukaemia
         subjects affected / exposed
    6 / 136 (4.41%)
    1 / 65 (1.54%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    6 / 6
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    2 / 2
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Acute erythroid leukaemia
         subjects affected / exposed
    0 / 136 (0.00%)
    1 / 65 (1.54%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metastases to peritoneum
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Undifferentiated sarcoma
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Squamous cell carcinoma
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intraductal proliferative breast lesion
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ovarian cancer recurrent
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Breast cancer
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Hypertensive crisis
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peripheral artery thrombosis
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Non-cardiac chest pain
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Mucosal inflammation
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    2 / 136 (1.47%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pain
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Disease progression
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    2 / 231 (0.87%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    Anaphylactoid reaction
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Breast disorder
         subjects affected / exposed
    0 / 136 (0.00%)
    1 / 65 (1.54%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pleural effusion
         subjects affected / exposed
    1 / 136 (0.74%)
    1 / 65 (1.54%)
    2 / 231 (0.87%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 2
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Acute pulmonary oedema
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Dyspnoea
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory disorder
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pleuritic pain
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Asthma
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonitis
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    1 / 26 (3.85%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Suicide attempt
         subjects affected / exposed
    0 / 136 (0.00%)
    1 / 65 (1.54%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Behaviour disorder
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Anxiety
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hallucination
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Depression
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Product issues
    Thrombosis in device
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Neutrophil count decreased
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Troponin increased
         subjects affected / exposed
    0 / 136 (0.00%)
    1 / 65 (1.54%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Platelet count decreased
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    2 / 231 (0.87%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    2 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Transaminases increased
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Hip fracture
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    1 / 26 (3.85%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Incisional hernia
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Post procedural discomfort
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Transfusion reaction
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Procedural complication
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    1 / 26 (3.85%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Product use complaint
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    1 / 26 (3.85%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Cardiac failure
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tachycardia
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Angina pectoris
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sinus tachycardia
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pericardial effusion
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Coronary artery stenosis
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Depressed level of consciousness
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Transient ischaemic attack
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Thrombocytopenia
         subjects affected / exposed
    18 / 136 (13.24%)
    0 / 65 (0.00%)
    23 / 231 (9.96%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    3 / 26 (11.54%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    38 / 38
    0 / 0
    36 / 36
    0 / 0
    0 / 0
    0 / 0
    9 / 9
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pancytopenia
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    2 / 231 (0.87%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    3 / 3
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Anaemia
         subjects affected / exposed
    4 / 136 (2.94%)
    0 / 65 (0.00%)
    13 / 231 (5.63%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    6 / 6
    0 / 0
    15 / 15
    0 / 0
    0 / 0
    0 / 0
    2 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Febrile neutropenia
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Small intestinal obstruction
         subjects affected / exposed
    3 / 136 (2.21%)
    0 / 65 (0.00%)
    6 / 231 (2.60%)
    4 / 114 (3.51%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    1 / 26 (3.85%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 7
    0 / 5
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ascites
         subjects affected / exposed
    2 / 136 (1.47%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    2 / 114 (1.75%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    1 / 26 (3.85%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    3 / 231 (1.30%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 3
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal pain upper
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal pain
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    1 / 26 (3.85%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 2
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    1 / 136 (0.74%)
    2 / 65 (3.08%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ileus paralytic
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pancreatitis
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Subileus
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    2 / 231 (0.87%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal hernia
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal pain lower
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Impaired gastric emptying
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Malignant gastrointestinal obstruction
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Obstruction gastric
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    2 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Oesophagitis
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    1 / 26 (3.85%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ileus
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    2 / 114 (1.75%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal distension
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholecystitis
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cholestasis
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatic failure
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nephrolithiasis
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hydronephrosis
         subjects affected / exposed
    0 / 136 (0.00%)
    1 / 65 (1.54%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract obstruction
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal failure
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    1 / 26 (3.85%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Arthropathy
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Erysipelas
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 136 (0.74%)
    1 / 65 (1.54%)
    2 / 231 (0.87%)
    1 / 114 (0.88%)
    1 / 16 (6.25%)
    0 / 13 (0.00%)
    1 / 26 (3.85%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 2
    0 / 1
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infection
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    3 / 231 (1.30%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    1 / 4
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyelonephritis
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Empyema
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Device related infection
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Wound infection
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Upper respiratory tract infection
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tracheobronchitis
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    1 / 231 (0.43%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Influenza
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hyperglycaemia
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypomagnesaemia
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Type 2 diabetes mellitus
         subjects affected / exposed
    1 / 136 (0.74%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Decreased appetite
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    gBRCA Niraparib gBRCA Placebo Non-gBRCA Niraparib Non-gBRCA Placebo FE Niraparib Fasted Non-gBRCA Placebo (PSU) QTc sub-study: Niraparib gBRCA Niraparib (PSU) gBRCA Placebo (PSU) Non-gBRCA Niraparib (PSU) FE Niraparib Fed
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    136 / 136 (100.00%)
    62 / 65 (95.38%)
    231 / 231 (100.00%)
    110 / 114 (96.49%)
    4 / 16 (25.00%)
    0 / 13 (0.00%)
    24 / 26 (92.31%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    6 / 16 (37.50%)
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    2
    0
    0
    0
    0
    Hypertension
         subjects affected / exposed
    38 / 136 (27.94%)
    5 / 65 (7.69%)
    46 / 231 (19.91%)
    4 / 114 (3.51%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    4 / 26 (15.38%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    123
    6
    207
    5
    0
    0
    4
    0
    0
    0
    0
    Hot flush
         subjects affected / exposed
    10 / 136 (7.35%)
    3 / 65 (4.62%)
    24 / 231 (10.39%)
    6 / 114 (5.26%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    11
    3
    43
    8
    0
    0
    0
    0
    0
    0
    0
    General disorders and administration site conditions
    Pain
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    2
    0
    0
    0
    0
    Fatigue
         subjects affected / exposed
    66 / 136 (48.53%)
    19 / 65 (29.23%)
    110 / 231 (47.62%)
    38 / 114 (33.33%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    13 / 26 (50.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    134
    37
    189
    53
    0
    0
    20
    0
    0
    0
    1
    Catheter site pain
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    1 / 16 (6.25%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    0
    Asthenia
         subjects affected / exposed
    27 / 136 (19.85%)
    3 / 65 (4.62%)
    36 / 231 (15.58%)
    13 / 114 (11.40%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    75
    3
    81
    17
    0
    0
    0
    0
    0
    0
    0
    Oedema peripheral
         subjects affected / exposed
    12 / 136 (8.82%)
    2 / 65 (3.08%)
    15 / 231 (6.49%)
    6 / 114 (5.26%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    5 / 26 (19.23%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    15
    3
    23
    10
    0
    0
    5
    0
    0
    0
    0
    Pyrexia
         subjects affected / exposed
    11 / 136 (8.09%)
    4 / 65 (6.15%)
    16 / 231 (6.93%)
    7 / 114 (6.14%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    17
    5
    23
    8
    0
    0
    0
    0
    0
    0
    1
    Influenza like illness
         subjects affected / exposed
    8 / 136 (5.88%)
    1 / 65 (1.54%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    11
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Mucosal inflammation
         subjects affected / exposed
    7 / 136 (5.15%)
    1 / 65 (1.54%)
    19 / 231 (8.23%)
    2 / 114 (1.75%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    9
    1
    23
    2
    0
    0
    0
    0
    0
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    26 / 136 (19.12%)
    2 / 65 (3.08%)
    42 / 231 (18.18%)
    8 / 114 (7.02%)
    1 / 16 (6.25%)
    0 / 13 (0.00%)
    4 / 26 (15.38%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    36
    4
    60
    9
    1
    0
    6
    0
    0
    0
    0
    Nasal congestion
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    Dysphonia
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    Dyspnoea
         subjects affected / exposed
    23 / 136 (16.91%)
    3 / 65 (4.62%)
    49 / 231 (21.21%)
    12 / 114 (10.53%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    4 / 26 (15.38%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    34
    4
    62
    14
    0
    0
    4
    0
    0
    0
    0
    Epistaxis
         subjects affected / exposed
    7 / 136 (5.15%)
    0 / 65 (0.00%)
    12 / 231 (5.19%)
    4 / 114 (3.51%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    9
    0
    15
    4
    0
    0
    0
    0
    0
    0
    0
    Oropharyngeal pain
         subjects affected / exposed
    11 / 136 (8.09%)
    2 / 65 (3.08%)
    16 / 231 (6.93%)
    3 / 114 (2.63%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    19
    2
    21
    4
    0
    0
    0
    0
    0
    0
    0
    Psychiatric disorders
    Insomnia
         subjects affected / exposed
    26 / 136 (19.12%)
    6 / 65 (9.23%)
    67 / 231 (29.00%)
    10 / 114 (8.77%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    3 / 26 (11.54%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    36
    7
    88
    11
    0
    0
    3
    0
    0
    0
    0
    Anxiety
         subjects affected / exposed
    12 / 136 (8.82%)
    7 / 65 (10.77%)
    21 / 231 (9.09%)
    5 / 114 (4.39%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    27
    11
    27
    5
    0
    0
    0
    0
    0
    0
    0
    Depression
         subjects affected / exposed
    9 / 136 (6.62%)
    2 / 65 (3.08%)
    14 / 231 (6.06%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    14
    3
    21
    1
    0
    0
    0
    0
    0
    0
    0
    Investigations
    White blood cell count decreased
         subjects affected / exposed
    20 / 136 (14.71%)
    5 / 65 (7.69%)
    22 / 231 (9.52%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    42
    14
    64
    0
    0
    0
    5
    0
    0
    0
    0
    Platelet count decreased
         subjects affected / exposed
    34 / 136 (25.00%)
    1 / 65 (1.54%)
    45 / 231 (19.48%)
    2 / 114 (1.75%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    3 / 26 (11.54%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    85
    1
    132
    2
    0
    0
    8
    0
    0
    0
    0
    Neutrophil count decreased
         subjects affected / exposed
    23 / 136 (16.91%)
    3 / 65 (4.62%)
    31 / 231 (13.42%)
    2 / 114 (1.75%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    4 / 26 (15.38%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    64
    5
    79
    2
    0
    0
    6
    0
    0
    0
    0
    Blood creatinine increased
         subjects affected / exposed
    11 / 136 (8.09%)
    3 / 65 (4.62%)
    15 / 231 (6.49%)
    3 / 114 (2.63%)
    1 / 16 (6.25%)
    0 / 13 (0.00%)
    4 / 26 (15.38%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    29
    4
    32
    3
    1
    0
    6
    0
    0
    0
    0
    Blood alkaline phosphatase increased
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    13 / 231 (5.63%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    19
    1
    0
    0
    0
    0
    0
    0
    0
    Aspartate aminotransferase increased
         subjects affected / exposed
    7 / 136 (5.15%)
    0 / 65 (0.00%)
    15 / 231 (6.49%)
    2 / 114 (1.75%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    15
    0
    27
    2
    0
    0
    0
    0
    0
    0
    0
    Alanine aminotransferase increased
         subjects affected / exposed
    7 / 136 (5.15%)
    0 / 65 (0.00%)
    13 / 231 (5.63%)
    2 / 114 (1.75%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    10
    0
    21
    4
    0
    0
    0
    0
    0
    0
    0
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    7 / 136 (5.15%)
    3 / 65 (4.62%)
    20 / 231 (8.66%)
    5 / 114 (4.39%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    17
    3
    48
    9
    0
    0
    2
    0
    0
    0
    0
    Weight decreased
         subjects affected / exposed
    9 / 136 (6.62%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    15
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    7 / 136 (5.15%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    10
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Contusion
         subjects affected / exposed
    10 / 136 (7.35%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    12
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    1 / 16 (6.25%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    0
    Palpitations
         subjects affected / exposed
    14 / 136 (10.29%)
    1 / 65 (1.54%)
    27 / 231 (11.69%)
    4 / 114 (3.51%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    19
    1
    35
    4
    0
    0
    0
    0
    0
    0
    0
    Tachycardia
         subjects affected / exposed
    11 / 136 (8.09%)
    1 / 65 (1.54%)
    14 / 231 (6.06%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    13
    1
    20
    1
    0
    0
    2
    0
    0
    0
    0
    Nervous system disorders
    Neuropathy peripheral
         subjects affected / exposed
    13 / 136 (9.56%)
    4 / 65 (6.15%)
    14 / 231 (6.06%)
    8 / 114 (7.02%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    17
    4
    19
    9
    0
    0
    2
    0
    0
    0
    0
    Headache
         subjects affected / exposed
    52 / 136 (38.24%)
    7 / 65 (10.77%)
    52 / 231 (22.51%)
    14 / 114 (12.28%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    5 / 26 (19.23%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    76
    12
    97
    21
    0
    0
    7
    0
    0
    0
    0
    Dizziness
         subjects affected / exposed
    26 / 136 (19.12%)
    7 / 65 (10.77%)
    43 / 231 (18.61%)
    9 / 114 (7.89%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    4 / 26 (15.38%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    39
    14
    53
    12
    0
    0
    5
    0
    0
    0
    0
    Amnesia
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    3 / 26 (11.54%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    3
    0
    0
    0
    0
    Dysgeusia
         subjects affected / exposed
    12 / 136 (8.82%)
    1 / 65 (1.54%)
    14 / 231 (6.06%)
    3 / 114 (2.63%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    13
    1
    18
    3
    0
    0
    0
    0
    0
    0
    1
    Peripheral sensory neuropathy
         subjects affected / exposed
    7 / 136 (5.15%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    7
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Paraesthesia
         subjects affected / exposed
    11 / 136 (8.09%)
    1 / 65 (1.54%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    31
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    74 / 136 (54.41%)
    5 / 65 (7.69%)
    111 / 231 (48.05%)
    7 / 114 (6.14%)
    1 / 16 (6.25%)
    0 / 13 (0.00%)
    12 / 26 (46.15%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    259
    5
    328
    11
    1
    0
    23
    0
    0
    0
    0
    Neutropenia
         subjects affected / exposed
    24 / 136 (17.65%)
    3 / 65 (4.62%)
    42 / 231 (18.18%)
    3 / 114 (2.63%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    10 / 26 (38.46%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    77
    7
    128
    14
    0
    0
    19
    0
    0
    0
    0
    Thrombocytopenia
         subjects affected / exposed
    73 / 136 (53.68%)
    2 / 65 (3.08%)
    93 / 231 (40.26%)
    4 / 114 (3.51%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    13 / 26 (50.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    226
    3
    256
    4
    0
    0
    36
    0
    0
    0
    0
    Leukopenia
         subjects affected / exposed
    11 / 136 (8.09%)
    4 / 65 (6.15%)
    17 / 231 (7.36%)
    5 / 114 (4.39%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    38
    6
    52
    17
    0
    0
    0
    0
    0
    0
    0
    Eye disorders
    Dry eye
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    1 / 16 (6.25%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    0
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    56 / 136 (41.18%)
    12 / 65 (18.46%)
    96 / 231 (41.56%)
    23 / 114 (20.18%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    9 / 26 (34.62%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    105
    14
    163
    30
    0
    0
    12
    0
    0
    0
    1
    Ascites
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    2
    0
    0
    0
    0
    Abdominal pain lower
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    2
    0
    0
    0
    0
    Abdominal pain
         subjects affected / exposed
    34 / 136 (25.00%)
    17 / 65 (26.15%)
    63 / 231 (27.27%)
    39 / 114 (34.21%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    7 / 26 (26.92%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    50
    24
    93
    50
    0
    0
    8
    0
    0
    0
    0
    Stomatitis
         subjects affected / exposed
    5 / 136 (3.68%)
    4 / 65 (6.15%)
    11 / 231 (4.76%)
    7 / 114 (6.14%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    5
    4
    18
    11
    0
    0
    2
    0
    0
    0
    0
    Flatulence
         subjects affected / exposed
    7 / 136 (5.15%)
    3 / 65 (4.62%)
    12 / 231 (5.19%)
    9 / 114 (7.89%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    9
    3
    17
    10
    0
    0
    2
    0
    0
    0
    0
    Nausea
         subjects affected / exposed
    106 / 136 (77.94%)
    23 / 65 (35.38%)
    168 / 231 (72.73%)
    41 / 114 (35.96%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    13 / 26 (50.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    205
    46
    304
    59
    0
    0
    16
    0
    0
    0
    0
    Diarrhoea
         subjects affected / exposed
    40 / 136 (29.41%)
    15 / 65 (23.08%)
    44 / 231 (19.05%)
    23 / 114 (20.18%)
    1 / 16 (6.25%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    71
    28
    76
    34
    2
    0
    2
    0
    0
    0
    0
    Vomiting
         subjects affected / exposed
    57 / 136 (41.91%)
    10 / 65 (15.38%)
    74 / 231 (32.03%)
    21 / 114 (18.42%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    10 / 26 (38.46%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    96
    13
    126
    31
    0
    0
    11
    0
    0
    0
    1
    Abdominal pain upper
         subjects affected / exposed
    17 / 136 (12.50%)
    9 / 65 (13.85%)
    24 / 231 (10.39%)
    9 / 114 (7.89%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    26
    12
    36
    17
    0
    0
    0
    0
    0
    0
    0
    Abdominal distension
         subjects affected / exposed
    4 / 136 (2.94%)
    6 / 65 (9.23%)
    23 / 231 (9.96%)
    15 / 114 (13.16%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    6
    7
    29
    17
    0
    0
    0
    0
    0
    0
    0
    Dyspepsia
         subjects affected / exposed
    23 / 136 (16.91%)
    10 / 65 (15.38%)
    22 / 231 (9.52%)
    9 / 114 (7.89%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    37
    11
    25
    10
    0
    0
    0
    0
    0
    0
    0
    Dry mouth
         subjects affected / exposed
    19 / 136 (13.97%)
    2 / 65 (3.08%)
    19 / 231 (8.23%)
    5 / 114 (4.39%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    38
    5
    27
    6
    0
    0
    0
    0
    0
    0
    0
    Haemorrhoids
         subjects affected / exposed
    7 / 136 (5.15%)
    2 / 65 (3.08%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    7
    2
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    22 / 231 (9.52%)
    4 / 114 (3.51%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    25
    4
    0
    0
    0
    0
    0
    0
    0
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    14 / 136 (10.29%)
    1 / 65 (1.54%)
    16 / 231 (6.93%)
    5 / 114 (4.39%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    16
    1
    20
    5
    0
    0
    2
    0
    0
    0
    0
    Photosensitivity reaction
         subjects affected / exposed
    11 / 136 (8.09%)
    0 / 65 (0.00%)
    25 / 231 (10.82%)
    1 / 114 (0.88%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    13
    0
    37
    1
    0
    0
    2
    0
    0
    0
    0
    Petechiae
         subjects affected / exposed
    9 / 136 (6.62%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    10
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Pruritus
         subjects affected / exposed
    12 / 136 (8.82%)
    3 / 65 (4.62%)
    5 / 231 (2.16%)
    8 / 114 (7.02%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    13
    3
    5
    8
    0
    0
    0
    0
    0
    0
    0
    Alopecia
         subjects affected / exposed
    15 / 136 (11.03%)
    6 / 65 (9.23%)
    20 / 231 (8.66%)
    8 / 114 (7.02%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    17
    6
    21
    9
    0
    0
    0
    0
    0
    0
    0
    Dry skin
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    18 / 231 (7.79%)
    5 / 114 (4.39%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    30
    7
    0
    0
    0
    0
    0
    0
    0
    Renal and urinary disorders
    Dysuria
         subjects affected / exposed
    7 / 136 (5.15%)
    1 / 65 (1.54%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    11
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Musculoskeletal and connective tissue disorders
    Joint swelling
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    3 / 26 (11.54%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    3
    0
    0
    0
    0
    Muscle spasms
         subjects affected / exposed
    16 / 136 (11.76%)
    2 / 65 (3.08%)
    14 / 231 (6.06%)
    5 / 114 (4.39%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    24
    2
    15
    5
    0
    0
    0
    0
    0
    0
    0
    Pain in extremity
         subjects affected / exposed
    19 / 136 (13.97%)
    4 / 65 (6.15%)
    16 / 231 (6.93%)
    13 / 114 (11.40%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    27
    4
    19
    14
    0
    0
    0
    0
    0
    0
    0
    Back pain
         subjects affected / exposed
    29 / 136 (21.32%)
    9 / 65 (13.85%)
    33 / 231 (14.29%)
    16 / 114 (14.04%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    40
    9
    38
    38
    0
    0
    0
    0
    0
    0
    0
    Arthralgia
         subjects affected / exposed
    29 / 136 (21.32%)
    10 / 65 (15.38%)
    27 / 231 (11.69%)
    14 / 114 (12.28%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    44
    11
    40
    20
    0
    0
    0
    0
    0
    0
    0
    Myalgia
         subjects affected / exposed
    15 / 136 (11.03%)
    6 / 65 (9.23%)
    21 / 231 (9.09%)
    12 / 114 (10.53%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    18
    7
    24
    13
    0
    0
    0
    0
    0
    0
    0
    Musculoskeletal pain
         subjects affected / exposed
    11 / 136 (8.09%)
    2 / 65 (3.08%)
    12 / 231 (5.19%)
    3 / 114 (2.63%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    14
    2
    23
    3
    0
    0
    0
    0
    0
    0
    0
    Musculoskeletal chest pain
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    8 / 231 (3.46%)
    7 / 114 (6.14%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    9
    11
    0
    0
    0
    0
    0
    0
    0
    Infections and infestations
    Urinary tract infection
         subjects affected / exposed
    20 / 136 (14.71%)
    6 / 65 (9.23%)
    26 / 231 (11.26%)
    5 / 114 (4.39%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    25
    11
    40
    5
    0
    0
    2
    0
    0
    0
    0
    Bronchitis
         subjects affected / exposed
    6 / 136 (4.41%)
    4 / 65 (6.15%)
    15 / 231 (6.49%)
    2 / 114 (1.75%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    8
    4
    19
    2
    0
    0
    0
    0
    0
    0
    0
    Sinusitis
         subjects affected / exposed
    10 / 136 (7.35%)
    1 / 65 (1.54%)
    15 / 231 (6.49%)
    2 / 114 (1.75%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    13
    1
    19
    2
    0
    0
    0
    0
    0
    0
    0
    Upper respiratory tract infection
         subjects affected / exposed
    15 / 136 (11.03%)
    3 / 65 (4.62%)
    14 / 231 (6.06%)
    4 / 114 (3.51%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    18
    5
    18
    5
    0
    0
    0
    0
    0
    0
    0
    Nasopharyngitis
         subjects affected / exposed
    21 / 136 (15.44%)
    4 / 65 (6.15%)
    29 / 231 (12.55%)
    11 / 114 (9.65%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    0 / 26 (0.00%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    33
    7
    40
    17
    0
    0
    0
    0
    0
    0
    0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    30 / 136 (22.06%)
    9 / 65 (13.85%)
    67 / 231 (29.00%)
    18 / 114 (15.79%)
    1 / 16 (6.25%)
    0 / 13 (0.00%)
    6 / 26 (23.08%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    49
    12
    94
    22
    1
    0
    6
    0
    0
    0
    0
    Dehydration
         subjects affected / exposed
    0 / 136 (0.00%)
    0 / 65 (0.00%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    2
    0
    0
    0
    0
    Hyperglycaemia
         subjects affected / exposed
    7 / 136 (5.15%)
    5 / 65 (7.69%)
    0 / 231 (0.00%)
    0 / 114 (0.00%)
    0 / 16 (0.00%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    8
    10
    0
    0
    0
    0
    2
    0
    0
    0
    0
    Hypomagnesaemia
         subjects affected / exposed
    15 / 136 (11.03%)
    8 / 65 (12.31%)
    18 / 231 (7.79%)
    6 / 114 (5.26%)
    1 / 16 (6.25%)
    0 / 13 (0.00%)
    2 / 26 (7.69%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    40
    18
    28
    14
    1
    0
    2
    0
    0
    0
    0
    Hypokalaemia
         subjects affected / exposed
    11 / 136 (8.09%)
    5 / 65 (7.69%)
    15 / 231 (6.49%)
    4 / 114 (3.51%)
    1 / 16 (6.25%)
    0 / 13 (0.00%)
    4 / 26 (15.38%)
    0 / 22 (0.00%)
    0 / 8 (0.00%)
    0 / 31 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    14
    10
    26
    5
    1
    0
    5
    0
    0
    0
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    03 May 2013
    Protocol amendment 01: Addition of defined clinical criteria for disease progression, clarification of definition of platinum sensitivity.
    09 Apr 2014
    Protocol amendment 03: Clarified the following: -assignment of participants to cohort based on Myriad Breast Cancer gene (BRCA) test, -exclusion for immunocompromised participants, -approach to dose modification and discontinuation due to hematologic events. Added Cycle 1 visit for complete blood count (CBC) to allow early detection of hematologic abnormalities
    04 Dec 2014
    Protocol amendment 04: Addition of centralized homologous recombination deficiency (HRD) testing and associated end points and sample size changes. Clarifying that dose modifications could be made at any time for intolerable toxicity
    11 Sep 2015
    Protocol amendment 05: Clarification of exclusion criteria of corrected QT interval (QTc)-prolonging medications. Updated guidance on monitoring and following participants for potential risk for myelodysplastic syndrome (MDS)/ acute myeloid leukemia (AML). Clarifying that progression is not considered an adverse event (AE).
    09 Mar 2016
    Protocol amendment 06: Clarification of HRD+ definition and primary endpoint, addition of secondary objectives, and removal of an interim analysis.
    31 May 2017
    Protocol amendment 07: Alignment with unblinding standard operating procedure (SOP) and updated standard niraparib safety language for AEs, serious AEs (SAEs), and adverse events of specific interests (AESIs) reporting. Addition of primary analysis data to replace Phase 1 data. Additional guidance for blood pressure monitoring. Introduction of Extended Visit Cycle to minimize participant burden.
    29 Jan 2019
    Protocol amendment 08: Clarifying survival assessment and decreasing data collection burden in follow-up. Alignment of safety language with updated niraparib risk management plan and General Data Protection Regulation

    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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