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    Clinical Trial Results:
    A phase II randomized, placebo-controlled, double-blind, dose controlled trial in patients suffering from early, newly developing abdominal or pulmonary derived septic organ dysfunction to evaluate safety, pharmacokinetics, pharmacodynamics and to estimate efficacy of the new humanized monoclonal i.v. administered antibody IFX-1

    Summary
    EudraCT number
    2013-001037-40
    Trial protocol
    DE  
    Global end of trial date
    03 Dec 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    28 Jun 2021
    First version publication date
    28 Jun 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    IFX-1-P2.1
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    InflaRx GmbH
    Sponsor organisation address
    Winzerlaer Str.2, Jena, Germany, 07745
    Public contact
    Trial Coordination, ZKS Leipzig - KKS, 49 3419716154, SCIENS@zks.uni-leipzig.de
    Scientific contact
    Trial Coordination, ZKS Leipzig - KKS, 49 3419716154, SCIENS@zks.uni-leipzig.de
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    23 Sep 2016
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    03 Dec 2015
    Global end of trial reached?
    Yes
    Global end of trial date
    03 Dec 2015
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of this trial was to characterize the safety and tolerability of three dose regimens of IFX-1 and also to perform an assessment of the pharmacokinetics and pharmacodynamics of IFX-1.
    Protection of trial subjects
    This study was carried out in accordance with the ICH (International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use) Good Clinical Practice guidelines, the Declaration of Helsinki (Version of 1996), and standard operating procedures for clinical research and development at InflaRx GmbH and the Clinical Research Organizations involved. Before admitting a subject into this study the subject had to provide written consent to participate in the study. The investigator was responsible to obtain informed consent in accordance with local laws.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Mar 2014
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 72
    Worldwide total number of subjects
    72
    EEA total number of subjects
    72
    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)
    30
    From 65 to 84 years
    36
    85 years and over
    6

    Subject disposition

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    Recruitment
    Recruitment details
    The study included male or female patients of 18 years or older with occurrence of at least 2 criteria of a systemic inflammatory response syndrome and a suspected or confirmed abdominal or pulmonary infection. Between 25 April 2014 and 3 December 2015, 72 subjects were screened in 17 centers in Germany.

    Pre-assignment
    Screening details
    Of 2783 pre-screened patients, 72 patients were screened for eligibility before participating in the active treatment phase of the study. Subjects were not to be entered to the trial treatment if any of the eligibility criteria were violated. All of the 72 enrolled patients were randomized and treated.

    Period 1
    Period 1 title
    Overall period
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Carer, Assessor
    Blinding implementation details
    All study participants were blinded with respect to IFX-1 and placebo. Standard measures were taken for the investigational medical product to ensure adequate blinding (e.g., same container/closure system, storage conditions, color, and foaming property).

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo Combined
    Arm description
    Intravenous administration of placebo in any of the three cohorts corresponding to the Verum Cohorts 1, 2 and 3. The ratio between IFX-1 and placebo within one dose cohort was 2:1. One patient completed the study at Day 28 after first treatment but stayed in hospital and had a serious fatal adverse event 4 weeks after study completion.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    The placebo is a phosphat buffered saline solution with polysorbate 80. Administration was following the same treatment schedule as IFX-1: Cohort 1: 2 x 2 mg/kg body weight (b.w.) on 0 h and 12 h Cohort 2: 2 x 4 mg/kg b.w. on 0 h and 24 h Cohort 3: 3 x 4 mg/kg b.w. on 0 h, 24 h, and 72 h For patients wighing more than 100 kg the dose calculation was based on 100 kg b.w.

    Arm title
    Verum Cohort 1
    Arm description
    Intravenous administration of IFX-1 according to the following schedule: 2 x 2 mg/kg body weight (b.w.) on 0 h and 12 h. For subjects weighing more than 100 kg the dose calculation was based on 100 kg b.w.
    Arm type
    Experimental

    Investigational medicinal product name
    IFX-1
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    The amount of study drug for a single infusion was based on the body weight (b.w.) of the subject (mg/kg) and the treatment arm: Cohort 1: 2 x 2 mg/kg body weight (b.w.) on 0 h and 12 h Cohort 2: 2 x 4 mg/kg b.w. on 0 h and 24 h Cohort 3: 3 x 4 mg/kg b.w. on 0 h, 24 h, and 72 h For patients wighing more than 100 kg the dose calculation was based on 100 kg b.w.. The volume of the administered IMP was calculated according to the following formula: Volume of IMP (in mL) = dose group (in mg/kg) x body weight (in kg) / 10 mg/mL. Afterwards the volume of IMP was filled up with sterile NaCl 0.9% solution used for injection to a total volume of 50 mL into a 50 mL infusion pump syringe. IFX-1 was supplied in 10 mL glass vials in strength of 10 mg/mL and is a monoclonal IgG4 anti-human C5a immunoglobulin.

    Arm title
    Verum Cohort 2
    Arm description
    Intravenous administration of IFX-1 according to the following schedule: 2 x 4 mg/kg body weight (b.w.) on 0 h and 24 h. For subjects weighing more than 100 kg the dose calculation was based on 100 kg b.w.
    Arm type
    Experimental

    Investigational medicinal product name
    IFX-1
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    The amount of study drug for a single infusion was based on the body weight (b.w.) of the subject (mg/kg) and the treatment arm: Cohort 1: 2 x 2 mg/kg body weight (b.w.) on 0 h and 12 h Cohort 2: 2 x 4 mg/kg b.w. on 0 h and 24 h Cohort 3: 3 x 4 mg/kg b.w. on 0 h, 24 h, and 72 h For patients wighing more than 100 kg the dose calculation was based on 100 kg b.w.. The volume of the administered IMP was calculated according to the following formula: Volume of IMP (in mL) = dose group (in mg/kg) x body weight (in kg) / 10 mg/mL. Afterwards the volume of IMP was filled up with sterile NaCl 0.9% solution used for injection to a total volume of 50 mL into a 50 mL infusion pump syringe. IFX-1 was supplied in 10 mL glass vials in strength of 10 mg/mL and is a monoclonal IgG4 anti-human C5a immunoglobulin.

    Arm title
    Verum Cohort 3
    Arm description
    Intravenous administration of IFX-1 according to the following schedule: 3 x 4 mg/kg body weight (b.w.) on 0 h, 24 h and 72 h. For subjects weighing more than 100 kg the dose calculation was based on 100 kg b.w.
    Arm type
    Experimental

    Investigational medicinal product name
    IFX-1
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    The amount of study drug for a single infusion was based on the body weight (b.w.) of the subject (mg/kg) and the treatment arm: Cohort 1: 2 x 2 mg/kg body weight (b.w.) on 0 h and 12 h Cohort 2: 2 x 4 mg/kg b.w. on 0 h and 24 h Cohort 3: 3 x 4 mg/kg b.w. on 0 h, 24 h, and 72 h For patients wighing more than 100 kg the dose calculation was based on 100 kg b.w.. The volume of the administered IMP was calculated according to the following formula: Volume of IMP (in mL) = dose group (in mg/kg) x body weight (in kg) / 10 mg/mL. Afterwards the volume of IMP was filled up with sterile NaCl 0.9% solution used for injection to a total volume of 50 mL into a 50 mL infusion pump syringe. IFX-1 was supplied in 10 mL glass vials in strength of 10 mg/mL and is a monoclonal IgG4 anti-human C5a immunoglobulin.

    Number of subjects in period 1
    Placebo Combined Verum Cohort 1 Verum Cohort 2 Verum Cohort 3
    Started
    24
    16
    16
    16
    Completed
    20
    10
    13
    14
    Not completed
    4
    6
    3
    2
         Adverse event, serious fatal
    3
    6
    3
    2
         Refusal of informed consent
    1
    -
    -
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Placebo Combined
    Reporting group description
    Intravenous administration of placebo in any of the three cohorts corresponding to the Verum Cohorts 1, 2 and 3. The ratio between IFX-1 and placebo within one dose cohort was 2:1. One patient completed the study at Day 28 after first treatment but stayed in hospital and had a serious fatal adverse event 4 weeks after study completion.

    Reporting group title
    Verum Cohort 1
    Reporting group description
    Intravenous administration of IFX-1 according to the following schedule: 2 x 2 mg/kg body weight (b.w.) on 0 h and 12 h. For subjects weighing more than 100 kg the dose calculation was based on 100 kg b.w.

    Reporting group title
    Verum Cohort 2
    Reporting group description
    Intravenous administration of IFX-1 according to the following schedule: 2 x 4 mg/kg body weight (b.w.) on 0 h and 24 h. For subjects weighing more than 100 kg the dose calculation was based on 100 kg b.w.

    Reporting group title
    Verum Cohort 3
    Reporting group description
    Intravenous administration of IFX-1 according to the following schedule: 3 x 4 mg/kg body weight (b.w.) on 0 h, 24 h and 72 h. For subjects weighing more than 100 kg the dose calculation was based on 100 kg b.w.

    Reporting group values
    Placebo Combined Verum Cohort 1 Verum Cohort 2 Verum Cohort 3 Total
    Number of subjects
    24 16 16 16 72
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    12 7 7 4 30
        From 65-84 years
    10 8 6 12 36
        85 years and over
    2 1 3 0 6
    Gender categorical
    Units: Subjects
        Female
    8 6 7 5 26
        Male
    16 10 9 11 46

    End points

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    End points reporting groups
    Reporting group title
    Placebo Combined
    Reporting group description
    Intravenous administration of placebo in any of the three cohorts corresponding to the Verum Cohorts 1, 2 and 3. The ratio between IFX-1 and placebo within one dose cohort was 2:1. One patient completed the study at Day 28 after first treatment but stayed in hospital and had a serious fatal adverse event 4 weeks after study completion.

    Reporting group title
    Verum Cohort 1
    Reporting group description
    Intravenous administration of IFX-1 according to the following schedule: 2 x 2 mg/kg body weight (b.w.) on 0 h and 12 h. For subjects weighing more than 100 kg the dose calculation was based on 100 kg b.w.

    Reporting group title
    Verum Cohort 2
    Reporting group description
    Intravenous administration of IFX-1 according to the following schedule: 2 x 4 mg/kg body weight (b.w.) on 0 h and 24 h. For subjects weighing more than 100 kg the dose calculation was based on 100 kg b.w.

    Reporting group title
    Verum Cohort 3
    Reporting group description
    Intravenous administration of IFX-1 according to the following schedule: 3 x 4 mg/kg body weight (b.w.) on 0 h, 24 h and 72 h. For subjects weighing more than 100 kg the dose calculation was based on 100 kg b.w.

    Primary: IFX-1 plasma concentration

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    End point title
    IFX-1 plasma concentration [1] [2]
    End point description
    Plasma concentration of IFX-1 at each time point. Full Analysis Set (FAS): all subjects who were randomized and who received at least one dose of IFX-1. Pharmacokinetic-Population (PK-PP): Only patients who were considered "meaningful evaluable" regarding their pharmacokinetics/pharmacodynamics laboratory measurements during the data review meeting are presented in this record. The number of subjects analysed varied between time points. According to specifications made during the data review meeting, values below level of quantification were set to 0, if applicable. For some time points, IFX-1 plasma concentration was not measured for all cohorts. Not applicable values are presented as "99999" or "-99999".
    End point type
    Primary
    End point timeframe
    At 0 hours (h) and 2h, 6h, 12h, 14h (only verum cohort 1), 24h, 26h (only verum cohorts 2 and 3), 48h, 72h, 74h (only verum cohort 3), Day 5, Day 8, Day 13, Day 28 after first infusion of IFX-1 and at hospital discharge
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive analyses were defined and performed.
    [2] - 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: IFX-1 plasma concentration was not presented for the Placebo Combined arm, as patients in this arm did not receive IFX-1 infusions.
    End point values
    Verum Cohort 1 Verum Cohort 2 Verum Cohort 3
    Number of subjects analysed
    13 [3]
    12 [4]
    13 [5]
    Units: µg/ml
    geometric mean (confidence interval 95%)
        0 h
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    0.067 (-99999 to 99999)
        2 h
    33.215 (28.825 to 38.273)
    77.623 (64.689 to 93.142)
    68.361 (58.776 to 79.508)
        6 h
    26.766 (22.964 to 31.198)
    61.634 (54.205 to 70.081)
    60.067 (51.825 to 69.620)
        12 h
    19.351 (16.135 to 23.208)
    50.039 (42.114 to 59.457)
    44.251 (37.898 to 51.668)
        14 h
    47.713 (40.187 to 56.648)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
        24 h
    33.347 (27.983 to 39.740)
    33.369 (27.375 to 40.675)
    30.146 (25.014 to 36.332)
        26 h
    99999 (99999 to 99999)
    102.133 (86.577 to 120.484)
    88.844 (77.471 to 101.887)
        48 h
    16.035 (12.444 to 20.663)
    61.932 (52.028 to 73.721)
    52.273 (41.223 to 66.285)
        72 h
    8.064 (5.366 to 12.117)
    37.737 (30.285 to 47.023)
    35.764 (26.823 to 47.685)
        74 h
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    97.405 (85.671 to 110.748)
        Day 5
    2.848 (1.911 to 4.244)
    16.131 (11.981 to 21.719)
    41.906 (32.324 to 54.329)
        Day 8
    0.715 (0.507 to 1.008)
    3.951 (2.675 to 5.834)
    14.051 (9.993 to 19.758)
        Day 13
    0.191 (0.092 to 0.399)
    1.080 (0.436 to 2.675)
    3.069 (1.835 to 5.132)
        Day 28
    99999 (99999 to 99999)
    0.230 (0.118 to 0.450)
    0.452 (0.298 to 0.686)
        Hospital discharge
    0.249 (0.033 to 1.889)
    0.767 (0.129 to 4.548)
    14.676 (-99999 to 99999)
    Notes
    [3] - FAS, PK-PP
    [4] - FAS, PK-PP
    [5] - FAS, PK-PP
    No statistical analyses for this end point

    Primary: Cmax

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    End point title
    Cmax [6] [7]
    End point description
    Maximum observed IFX-1 plasma concentration (Cmax) by treatment (FAS, PK-PP).
    End point type
    Primary
    End point timeframe
    At 0 hours (h) and 2h, 6h, 12h, 14h (only cohort 1), 24h, 26h (only cohorts 2 and 3), 48h, 72h, 74h (only cohort 3), Day 5, Day 8, Day 13, Day 28 after first infusion of IFX-1 and at hospital discharge
    Notes
    [6] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive analyses were defined and performed.
    [7] - 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: Cmax was not presented for the Placebo Combined arm, as patients in this arm did not receive IFX-1 infusions.
    End point values
    Verum Cohort 1 Verum Cohort 2 Verum Cohort 3
    Number of subjects analysed
    13 [8]
    12 [9]
    13 [10]
    Units: µg/mL
        geometric mean (confidence interval 95%)
    47.71 (40.19 to 56.65)
    103.25 (87.08 to 122.42)
    103.63 (92.22 to 116.46)
    Notes
    [8] - FAS, PK-PP
    [9] - FAS, PK-PP
    [10] - FAS, PK-PP
    No statistical analyses for this end point

    Primary: Cthrough

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    End point title
    Cthrough [11] [12]
    End point description
    IFX-1 plasma concentration measured directly before infusion (Cthrough) by treatment and infusion (FAS, PK-PP). The number of subjects analysed varied between infusions. Not applicable values are presented as "99999" or "-99999".
    End point type
    Primary
    End point timeframe
    Directly before infusions: for Cohort 1 at 0h and 12h, for Cohort 2 at 0h and 24h, and for Cohort 3 at 0h, 14h and 72h.
    Notes
    [11] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive analyses were defined and performed.
    [12] - 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: Cthrough was not presented for the Placebo Combined arm, as patients in this arm did not receive IFX-1 infusions.
    End point values
    Verum Cohort 1 Verum Cohort 2 Verum Cohort 3
    Number of subjects analysed
    13 [13]
    12 [14]
    13 [15]
    Units: µg/mL
    geometric mean (confidence interval 95%)
        First infusion
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    0.067 (-99999 to 99999)
        Second infusion
    19.351 (16.135 to 23.208)
    33.369 (27.375 to 40.675)
    30.146 (25.014 to 36.332)
        Third infusion
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    35.764 (26.823 to 47.685)
    Notes
    [13] - FAS, PK-PP
    [14] - FAS, PK-PP
    [15] - FAS, PK-PP
    No statistical analyses for this end point

    Primary: AUC

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    End point title
    AUC [16] [17]
    End point description
    Area under the curve (AUC) of IFX-1 plasma concentration (FAS, PK-PP)
    End point type
    Primary
    End point timeframe
    At 0 hours (h) and 2h, 6h, 12h, 14h (only verum cohort 1), 24h, 26h (only verum cohorts 2 and 3), 48h, 72h, 74h (only verum cohort 3), Day 5, Day 8, Day 13, Day 28 after first infusion of IFX-1 and at hospital discharge
    Notes
    [16] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive analyses were defined and performed.
    [17] - 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: AUC for IFX-1 plasma concentration was not calculated for the Placebo Combined arm, as patients in this arm did not receive IFX-1 infusions.
    End point values
    Verum Cohort 1 Verum Cohort 2 Verum Cohort 3
    Number of subjects analysed
    13 [18]
    12 [19]
    13 [20]
    Units: h*µg/mL
        geometric mean (confidence interval 95%)
    2101.4 (1690.2 to 2612.7)
    6345.7 (5320.6 to 7568.2)
    10799.6 (9232.8 to 12632.3)
    Notes
    [18] - FAS, PK-PP
    [19] - FAS, PK-PP
    [20] - FAS, PK-PP
    No statistical analyses for this end point

    Primary: C5a concentration

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    End point title
    C5a concentration [21]
    End point description
    Plasma concentration of free, detectable C5a at each time point (FAS). The number of subjects analysed varied between time points. Not applicable values are presented as "99999" or "-99999".
    End point type
    Primary
    End point timeframe
    At 0 hours (h) and 2h, 6h, 12h, 24h, 72h, Day 5, Day 8, Day 13, Day 28 after first infusion of IFX-1 or placebo and at hospital discharge
    Notes
    [21] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Performed statistical analyses were solely related to data exploration/description.
    End point values
    Placebo Combined Verum Cohort 1 Verum Cohort 2 Verum Cohort 3
    Number of subjects analysed
    24 [22]
    16 [23]
    16 [24]
    16 [25]
    Units: ng/mL
    geometric mean (confidence interval 95%)
        0 h
    26.5 (21.0 to 33.5)
    35.0 (27.4 to 44.7)
    40.3 (28.4 to 57.2)
    28.4 (19.6 to 41.2)
        2 h
    24.4 (20.2 to 29.5)
    5.1 (4.5 to 5.7)
    3.7 (3.1 to 4.4)
    4.0 (3.5 to 4.6)
        6 h
    26.0 (21.0 to 32.2)
    7.9 (7.0 to 8.8)
    5.0 (4.2 to 5.9)
    5.6 (4.8 to 6.7)
        12 h
    24.5 (19.6 to 30.6)
    9.9 (8.4 to 11.6)
    5.7 (4.7 to 6.9)
    6.3 (5.4 to 7.4)
        24 h
    26.5 (21.4 to 32.9)
    8.1 (6.8 to 9.7)
    7.6 (6.0 to 9.7)
    7.4 (6.2 to 8.7)
        72 h
    26.6 (21.7 to 32.6)
    20.6 (15.4 to 27.5)
    7.3 (5.9 to 9.1)
    6.9 (5.8 to 8.2)
        Day 5
    27.3 (22.9 to 32.6)
    36.0 (24.5 to 52.9)
    12.4 (9.6 to 16.0)
    6.8 (5.6 to 8.2)
        Day 8
    29.2 (23.9 to 35.6)
    40.0 (27.0 to 59.1)
    35.9 (19.8 to 65.3)
    13.2 (10.6 to 16.4)
        Day 13
    32.9 (24.8 to 43.5)
    40.2 (25.7 to 62.9)
    40.2 (24.1 to 67.1)
    22.7 (15.8 to 32.6)
        Day 28
    32.2 (23.2 to 44.5)
    42.1 (15.7 to 112)
    56.6 (22.6 to 142)
    36.3 (20.7 to 63.9)
        Hospital discharge
    24.8 (19.8 to 31.2)
    36.7 (18.7 to 72.0)
    20.7 (1.7 to 248)
    19.7 (-99999 to 99999)
    Notes
    [22] - FAS
    [23] - FAS
    [24] - FAS
    [25] - FAS
    No statistical analyses for this end point

    Primary: Relative change of C5a level

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    End point title
    Relative change of C5a level [26]
    End point description
    Relative change of C5a level compared to baseline by time point (FAS). The number of subjects analysed varied between time points.
    End point type
    Primary
    End point timeframe
    At 2 hours (h), 6h, 12h, 24h, 72h, Day 5, Day 8, Day 13, Day 28 after first infusion of IFX-1 or placebo and at hospital discharge
    Notes
    [26] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive analyses were defined and performed.
    End point values
    Placebo Combined Verum Cohort 1 Verum Cohort 2 Verum Cohort 3
    Number of subjects analysed
    24 [27]
    16 [28]
    16 [29]
    16 [30]
    Units: Percentage
    median (inter-quartile range (Q1-Q3))
        2 h
    -7.9 (-18 to 4)
    -83.9 (-90 to -79)
    -90.7 (-94 to -86)
    -88.6 (-92 to -73)
        6 h
    -3.3 (-9 to 3)
    -73.8 (-83 to -70)
    -87.6 (-91 to -81)
    -81.6 (-89 to -69)
        12 h
    -6.3 (-14 to 5)
    -70.0 (-81 to -58)
    -84.5 (-90 to -79)
    -76.5 (-88 to -66)
        24 h
    -1.5 (-16 to 14)
    -77.4 (-85 to -61)
    -78.9 (-87 to -73)
    -72.1 (-85 to -64)
        72 h
    -5.3 (-16 to 6)
    -39.9 (-54 to -18)
    -78.8 (-86 to -71)
    -74.2 (-86 to -64)
        Day 5
    -6.8 (-11 to 18)
    14.0 (-13 to 40)
    -67.1 (-78 to -58)
    -73.4 (-86 to -57)
        Day 8
    8.2 (-10 to 37)
    21.4 (-11 to 38)
    -16.3 (-53 to 33)
    -56.7 (-74 to -15)
        Day 13
    10.8 (3 to 56)
    1.5 (-24 to 42)
    -9.3 (-37 to -1)
    -5.0 (-33 to 30)
        Day 28
    24.0 (9 to 52)
    39.7 (-20 to 107)
    -18.3 (-36 to -11)
    20.8 (6 to 40)
        Hospital discharge
    36.3 (8 to 46)
    13.8 (-19 to 36)
    -23.5 (-52 to 69)
    -76.1 (-76.1 to -76.1)
    Notes
    [27] - FAS
    [28] - FAS
    [29] - FAS
    [30] - FAS
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From first dosing at Day 0 (0h) until Day 28 or hospital discharge, if prior to Day 28. In some cases of prolonged hospital stay after study completion but before database lock, occurrences of adverse events were also reported.
    Adverse event reporting additional description
    Safety Analysis Set: All subjects who were randomized and who received any amount of IFX-1 or placebo.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18.1
    Reporting groups
    Reporting group title
    Placebo Combined
    Reporting group description
    Intravenous administration of placebo in any of the three cohorts corresponding to the Verum Cohorts 1, 2 and 3. The ratio between IFX-1 and placebo within one dose cohort was 2:1. One patient completed the study at Day 28 after first treatment but stayed in hospital and had a serious fatal adverse event 4 weeks after study completion.

    Reporting group title
    Verum Cohort 1
    Reporting group description
    Intravenous administration of IFX-1 according to the following schedule: 2 x 2 mg/kg body weight (b.w.) on 0 h and 12 h. For subjects weighing more than 100 kg the dose calculation was based on 100 kg b.w.

    Reporting group title
    Verum Cohort 2
    Reporting group description
    Intravenous administration of IFX-1 according to the following schedule: 2 x 4 mg/kg body weight (b.w.) on 0 h and 24 h. For subjects weighing more than 100 kg the dose calculation was based on 100 kg b.w.

    Reporting group title
    Verum Cohort 3
    Reporting group description
    Intravenous administration of IFX-1 according to the following schedule: 3 x 4 mg/kg body weight (b.w.) on 0 h, 24 h and 72 h. For subjects weighing more than 100 kg the dose calculation was based on 100 kg b.w.

    Serious adverse events
    Placebo Combined Verum Cohort 1 Verum Cohort 2 Verum Cohort 3
    Total subjects affected by serious adverse events
         subjects affected / exposed
    13 / 24 (54.17%)
    10 / 16 (62.50%)
    6 / 16 (37.50%)
    7 / 16 (43.75%)
         number of deaths (all causes)
    4
    6
    3
    2
         number of deaths resulting from adverse events
    4
    6
    3
    2
    Vascular disorders
    Hypotension
    Additional description: Hypotension
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypovolaemic shock
    Additional description: Hypovolaemic shock
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peripheral ischaemia
    Additional description: Peripheral ischaemia
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Shock haemorrhagic
    Additional description: Shock haemorrhagic
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Impaired healing
    Additional description: Impaired healing
         subjects affected / exposed
    2 / 24 (8.33%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Multi-organ failure
    Additional description: Multi-organ failure
         subjects affected / exposed
    2 / 24 (8.33%)
    2 / 16 (12.50%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 2
    0 / 1
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Chronic obstructive pulmonary disease
    Additional description: Chronic obstructive pulmonary disease
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pleural effusion
    Additional description: Pleural effusion
         subjects affected / exposed
    1 / 24 (4.17%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary embolism
    Additional description: Pulmonary embolism
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory failure
    Additional description: Respiratory failure
         subjects affected / exposed
    4 / 24 (16.67%)
    2 / 16 (12.50%)
    2 / 16 (12.50%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 2
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Sopor
    Additional description: Sopor
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Inflammatory marker increased
    Additional description: Inflammatory marker increased
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Anastomotic leak
    Additional description: Anastomotic leak
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    2 / 16 (12.50%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    Gastrointestinal anastomotic leak
    Additional description: Gastrointestinal anastomotic leak
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatic rupture
    Additional description: Hepatic rupture
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Post procedural haemorrhage
    Additional description: Post procedural haemorrhage
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Suture related complication
    Additional description: Suture related complication
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vena cava injury
    Additional description: Vena cava injury
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Atrial fibrillation
    Additional description: Atrial fibrillation
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac arrest
    Additional description: Cardiac arrest
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 1
    Cardiomyopathy
    Additional description: Cardiomyopathy
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Tachyarrhythmia
    Additional description: Tachyarrhythmia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Cerebellar infarction
    Additional description: Cerebellar infarction
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Critical illness polyneuropathy
    Additional description: Critical illness polyneuropathy
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    Diplopia
    Additional description: Diplopia
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Gastric perforation
    Additional description: Gastric perforation
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal fistula
    Additional description: Gastrointestinal fistula
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Ileus
    Additional description: Ileus
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intestinal ischaemia
    Additional description: Intestinal ischaemia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    Intestinal perforation
    Additional description: Intestinal perforation
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intra-abdominal haemorrhage
    Additional description: Intra-abdominal haemorrhage
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Large intestine perforation
    Additional description: Large intestine perforation
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pancreatitis necrotising
    Additional description: Pancreatitis necrotising
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Small intestinal perforation
    Additional description: Small intestinal perforation
         subjects affected / exposed
    1 / 24 (4.17%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Upper gastrointestinal haemorrhage
    Additional description: Upper gastrointestinal haemorrhage
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Acute hepatic failure
    Additional description: Acute hepatic failure
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    Hepatic haematoma
    Additional description: Hepatic haematoma
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
    Additional description: Acute kidney injury
         subjects affected / exposed
    0 / 24 (0.00%)
    2 / 16 (12.50%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Infections and infestations
    Abdominal infection
    Additional description: Abdominal infection
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal wall abscess
    Additional description: Abdominal wall abscess
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Appendicitis
    Additional description: Appendicitis
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Cholecystitis infective
    Additional description: Cholecystitis infective
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Endocarditis
    Additional description: Endocarditis
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastroenteritis clostridial
    Additional description: Gastroenteritis clostridial
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infection
    Additional description: Infection
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Peritonitis
    Additional description: Peritonitis
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
    Additional description: Pneumonia
         subjects affected / exposed
    2 / 24 (8.33%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    Sepsis
    Additional description: Sepsis
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Septic shock
    Additional description: Septic shock
         subjects affected / exposed
    4 / 24 (16.67%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 2
    0 / 0
    0 / 1
    0 / 1
    Metabolism and nutrition disorders
    Hyperkalaemia
    Additional description: Hyperkalaemia
         subjects affected / exposed
    0 / 24 (0.00%)
    2 / 16 (12.50%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    Hypervolaemia
    Additional description: Hypervolaemia
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypocalcaemia
    Additional description: Hypocalcaemia
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    Lactic acidosis
    Additional description: Lactic acidosis
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Placebo Combined Verum Cohort 1 Verum Cohort 2 Verum Cohort 3
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    20 / 24 (83.33%)
    13 / 16 (81.25%)
    10 / 16 (62.50%)
    14 / 16 (87.50%)
    Vascular disorders
    Haemorrhage
    Additional description: Haemorrhage
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    1
    0
    1
    Hypertension
    Additional description: Hypertension
         subjects affected / exposed
    2 / 24 (8.33%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    2
    0
    1
    0
    Hypotension
    Additional description: Hypotension
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Jugular vein thrombosis
    Additional description: Jugular vein thrombosis
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Poor peripheral circulation
    Additional description: Poor peripheral circulation
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Surgical and medical procedures
    Endotracheal intubation
    Additional description: Endotracheal intubation
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    General disorders and administration site conditions
    Asthenia
    Additional description: Asthenia
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Catheter site hypersensitivity
    Additional description: Catheter site hypersensitivity
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Generalised oedema
    Additional description: Generalised oedema
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    1
    0
    0
    1
    Hyperpyrexia
    Additional description: Hyperpyrexia
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Hyperthermia
    Additional description: Hyperthermia
         subjects affected / exposed
    2 / 24 (8.33%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    2
    0
    0
    1
    Impaired healing
    Additional description: Impaired healing
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Injection site haematoma
    Additional description: Injection site haematoma
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Malaise
    Additional description: Malaise
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Oedema
    Additional description: Oedema
         subjects affected / exposed
    1 / 24 (4.17%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Oedema peripheral
    Additional description: Oedema peripheral
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    2 / 16 (12.50%)
         occurrences all number
    1
    0
    0
    2
    Pyrexia
    Additional description: Pyrexia
         subjects affected / exposed
    3 / 24 (12.50%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    3
    0
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory distress syndrome
    Additional description: Acute respiratory distress syndrome
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Bronchial obstruction
    Additional description: Bronchial obstruction
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Cough
    Additional description: Cough
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Epistaxis
    Additional description: Epistaxis
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Hypercapnia
    Additional description: Hypercapnia
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Hypoventilation
    Additional description: Hypoventilation
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Pleural effusion
    Additional description: Pleural effusion
         subjects affected / exposed
    1 / 24 (4.17%)
    2 / 16 (12.50%)
    2 / 16 (12.50%)
    1 / 16 (6.25%)
         occurrences all number
    1
    2
    2
    1
    Pneumothorax
    Additional description: Pneumothorax
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Pulmonary oedema
    Additional description: Pulmonary oedema
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Respiration abnormal
    Additional description: Respiration abnormal
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Respiratory failure
    Additional description: Respiratory failure
         subjects affected / exposed
    1 / 24 (4.17%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Psychiatric disorders
    Agitation
    Additional description: Agitation
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    2 / 16 (12.50%)
         occurrences all number
    0
    0
    2
    2
    Delirium
    Additional description: Delirium
         subjects affected / exposed
    4 / 24 (16.67%)
    2 / 16 (12.50%)
    2 / 16 (12.50%)
    1 / 16 (6.25%)
         occurrences all number
    4
    2
    2
    1
    Depression
    Additional description: Depression
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Restlessness
    Additional description: Restlessness
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Sopor
    Additional description: Sopor
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Investigations
    Activated partial thromboplastin time prolonged
    Additional description: Activated partial thromboplastin time prolonged
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Blood bilirubin increased
    Additional description: Blood bilirubin increased
         subjects affected / exposed
    1 / 24 (4.17%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Blood creatinine increased
    Additional description: Blood creatinine increased
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Blood lactate dehydrogenase increased
    Additional description: Blood lactate dehydrogenase increased
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Blood potassium decreased
    Additional description: Blood potassium decreased
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Blood urea increased
    Additional description: Blood urea increased
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Body temperature decreased
    Additional description: Body temperature decreased
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Body temperature increased
    Additional description: Body temperature increased
         subjects affected / exposed
    1 / 24 (4.17%)
    2 / 16 (12.50%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    3
    0
    0
    Glutamate dehydrogenase increased
    Additional description: Glutamate dehydrogenase increased
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Haematocrit decreased
    Additional description: Haematocrit decreased
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Haemoglobin decreased
    Additional description: Haemoglobin decreased
         subjects affected / exposed
    6 / 24 (25.00%)
    2 / 16 (12.50%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
         occurrences all number
    8
    3
    1
    1
    Hepatic enzyme increased
    Additional description: Hepatic enzyme increased
         subjects affected / exposed
    1 / 24 (4.17%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    1
    1
    1
    0
    Lipase increased
    Additional description: Lipase increased
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Myocardial necrosis marker increased
    Additional description: Myocardial necrosis marker increased
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Myoglobin blood increased
    Additional description: Myoglobin blood increased
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Oxygen saturation decreased
    Additional description: Oxygen saturation decreased
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    2 / 16 (12.50%)
         occurrences all number
    0
    1
    0
    3
    PaO2/FIO2 ratio decreased
    Additional description: PaO2/FIO2 ratio decreased
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Platelet count decreased
    Additional description: Platelet count decreased
         subjects affected / exposed
    3 / 24 (12.50%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    3
    0
    0
    0
    Platelet count increased
    Additional description: Platelet count increased
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Transaminases increased
    Additional description: Transaminases increased
         subjects affected / exposed
    0 / 24 (0.00%)
    2 / 16 (12.50%)
    2 / 16 (12.50%)
    1 / 16 (6.25%)
         occurrences all number
    0
    2
    2
    1
    Injury, poisoning and procedural complications
    Endotracheal intubation complication
    Additional description: Endotracheal intubation complication
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Post procedural bile leak
    Additional description: Post procedural bile leak
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Post procedural complication
    Additional description: Post procedural complication
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Post procedural haemorrhage
    Additional description: Post procedural haemorrhage
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Psychosis postoperative
    Additional description: Psychosis postoperative
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Seroma
    Additional description: Seroma
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Shunt thrombosis
    Additional description: Shunt thrombosis
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Wound secretion
    Additional description: Wound secretion
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Cardiac disorders
    Arrhythmia
    Additional description: Arrhythmia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Atrial fibrillation
    Additional description: Atrial fibrillation
         subjects affected / exposed
    3 / 24 (12.50%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
    2 / 16 (12.50%)
         occurrences all number
    4
    1
    1
    2
    Atrial flutter
    Additional description: Atrial flutter
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    2 / 16 (12.50%)
         occurrences all number
    0
    0
    0
    2
    Bradycardia
    Additional description: Bradycardia
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    2 / 16 (12.50%)
    1 / 16 (6.25%)
         occurrences all number
    1
    0
    2
    1
    Cardiac arrest
    Additional description: Cardiac arrest
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    3
    0
    Myocardial ischaemia
    Additional description: Myocardial ischaemia
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Supraventricular extrasystoles
    Additional description: Supraventricular extrasystoles
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    1
    0
    1
    Supraventricular tachycardia
    Additional description: Supraventricular tachycardia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Tachyarrhythmia
    Additional description: Tachyarrhythmia
         subjects affected / exposed
    5 / 24 (20.83%)
    2 / 16 (12.50%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    6
    2
    0
    0
    Tachycardia
    Additional description: Tachycardia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Nervous system disorders
    Critical illness polyneuropathy
    Additional description: Critical illness polyneuropathy
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Disturbance in attention
    Additional description: Disturbance in attention
         subjects affected / exposed
    1 / 24 (4.17%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Epilepsy
    Additional description: Epilepsy
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Headache
    Additional description: Headache
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Hypertonia
    Additional description: Hypertonia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Polyneuropathy
    Additional description: Polyneuropathy
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Seizure
    Additional description: Seizure
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Blood and lymphatic system disorders
    Anaemia
    Additional description: Anaemia
         subjects affected / exposed
    3 / 24 (12.50%)
    2 / 16 (12.50%)
    6 / 16 (37.50%)
    1 / 16 (6.25%)
         occurrences all number
    3
    2
    7
    1
    Coagulopathy
    Additional description: Coagulopathy
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Haemorrhagic anaemia
    Additional description: Haemorrhagic anaemia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Leukocytosis
    Additional description: Leukocytosis
         subjects affected / exposed
    3 / 24 (12.50%)
    2 / 16 (12.50%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    3
    2
    0
    1
    Leukopenia
    Additional description: Leukopenia
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Thrombocytopenia
    Additional description: Thrombocytopenia
         subjects affected / exposed
    1 / 24 (4.17%)
    2 / 16 (12.50%)
    0 / 16 (0.00%)
    3 / 16 (18.75%)
         occurrences all number
    1
    2
    0
    3
    Thrombocytosis
    Additional description: Thrombocytosis
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Gastrointestinal disorders
    Abdominal pain
    Additional description: Abdominal pain
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Ascites
    Additional description: Ascites
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Constipation
    Additional description: Constipation
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    2 / 16 (12.50%)
         occurrences all number
    1
    0
    0
    2
    Diarrhoea
    Additional description: Diarrhoea
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    2 / 16 (12.50%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    2
    0
    Duodenal ulcer
    Additional description: Duodenal ulcer
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Gastritis
    Additional description: Gastritis
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Gastrointestinal motility disorder
    Additional description: Gastrointestinal motility disorder
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Gastrooesophageal reflux disease
    Additional description: Gastrooesophageal reflux disease
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Ileus
    Additional description: Ileus
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Impaired gastric emptying
    Additional description: Impaired gastric emptying
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Intra-abdominal haematoma
    Additional description: Intra-abdominal haematoma
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Nausea
    Additional description: Nausea
         subjects affected / exposed
    2 / 24 (8.33%)
    2 / 16 (12.50%)
    0 / 16 (0.00%)
    2 / 16 (12.50%)
         occurrences all number
    2
    2
    0
    2
    Oesophageal haemorrhage
    Additional description: Oesophageal haemorrhage
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Rectal haemorrhage
    Additional description: Rectal haemorrhage
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Small intestinal perforation
    Additional description: Small intestinal perforation
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
         occurrences all number
    0
    2
    1
    1
    Vomiting
    Additional description: Vomiting
         subjects affected / exposed
    2 / 24 (8.33%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    2
    1
    0
    0
    Hepatobiliary disorders
    Cholestasis
    Additional description: Cholestasis
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Gallbladder perforation
    Additional description: Gallbladder perforation
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Hepatic failure
    Additional description: Hepatic failure
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Hepatocellular injury
    Additional description: Hepatocellular injury
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Perforation bile duct
    Additional description: Perforation bile duct
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Skin and subcutaneous tissue disorders
    Lividity
    Additional description: Lividity
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Penile ulceration
    Additional description: Penile ulceration
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Rash
    Additional description: Rash
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    1
    0
    0
    1
    Rash maculo-papular
    Additional description: Rash maculo-papular
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Renal and urinary disorders
    Renal impairment
    Additional description: Renal impairment
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Endocrine disorders
    Hypothyroidism
    Additional description: Hypothyroidism
         subjects affected / exposed
    2 / 24 (8.33%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    2
    0
    1
    0
    Infections and infestations
    Abdominal abscess
    Additional description: Abdominal abscess
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Clostridium difficile colitis
    Additional description: Clostridium difficile colitis
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Cystitis
    Additional description: Cystitis
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Device related infection
    Additional description: Device related infection
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Fungal infection
    Additional description: Fungal infection
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Otitis media
    Additional description: Otitis media
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Peritonitis
    Additional description: Peritonitis
         subjects affected / exposed
    0 / 24 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    0
    0
    0
    1
    Pneumonia
    Additional description: Pneumonia
         subjects affected / exposed
    1 / 24 (4.17%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    1
    1
    0
    1
    Urinary tract infection
    Additional description: Urinary tract infection
         subjects affected / exposed
    2 / 24 (8.33%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    2
    0
    0
    0
    Metabolism and nutrition disorders
    Hyperglycaemia
    Additional description: Hyperglycaemia
         subjects affected / exposed
    3 / 24 (12.50%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    2 / 16 (12.50%)
         occurrences all number
    3
    1
    0
    2
    Hyperkalaemia
    Additional description: Hyperkalaemia
         subjects affected / exposed
    2 / 24 (8.33%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    2
    5
    0
    1
    Hypernatraemia
    Additional description: Hypernatraemia
         subjects affected / exposed
    4 / 24 (16.67%)
    2 / 16 (12.50%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
         occurrences all number
    4
    2
    1
    1
    Hyperuricaemia
    Additional description: Hyperuricaemia
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Hypoalbuminaemia
    Additional description: Hypoalbuminaemia
         subjects affected / exposed
    2 / 24 (8.33%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    2 / 16 (12.50%)
         occurrences all number
    2
    0
    1
    2
    Hypocalcaemia
    Additional description: Hypocalcaemia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Hypoglycaemia
    Additional description: Hypoglycaemia
         subjects affected / exposed
    1 / 24 (4.17%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
         occurrences all number
    1
    1
    0
    1
    Hypokalaemia
    Additional description: Hypokalaemia
         subjects affected / exposed
    3 / 24 (12.50%)
    1 / 16 (6.25%)
    2 / 16 (12.50%)
    3 / 16 (18.75%)
         occurrences all number
    3
    1
    2
    3
    Hyponatraemia
    Additional description: Hyponatraemia
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Hypophosphataemia
    Additional description: Hypophosphataemia
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 16 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Metabolic acidosis
    Additional description: Metabolic acidosis
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 16 (6.25%)
    0 / 16 (0.00%)
    0 / 16 (0.00%)
         occurrences all number
    0
    1
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

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

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