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    Clinical Trial Results:
    A three year extension study to evaluate the long term efficacy, safety and tolerability of secukinumab in subjects with active psoriatic arthritis

    Summary
    EudraCT number
    2013-001241-13
    Trial protocol
    IT   GB   CZ   DE   PL   BG   BE   SK  
    Global end of trial date
    11 Jan 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    26 Jan 2019
    First version publication date
    26 Jan 2019
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CAIN457F2306E1
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01892436
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Pharma AG
    Sponsor organisation address
    CH-4002, Basel, Switzerland,
    Public contact
    Clinical Disclosure Office, Novartis Pharma AG, 41 613241111, novartis.email@novartis.com
    Scientific contact
    Clinical Disclosure Office, Novartis Pharma AG, 41 613241111, novartis.email@novartis.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
    11 Jan 2018
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    11 Jan 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective was to evaluate the long term efficacy of secukinumab with respect to ACR20, ACR50 and ACR70 response over time up to Week 260 in patients with active PsA who completed the Phase 3 core study CAIN457F2306
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and the International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines. All the local regulatory requirements pertinent to safety of trial subjects were also followed during the conduct of the trial.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    30 Sep 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
    Argentina: 27
    Country: Number of subjects enrolled
    Australia: 21
    Country: Number of subjects enrolled
    Belgium: 6
    Country: Number of subjects enrolled
    Brazil: 16
    Country: Number of subjects enrolled
    Bulgaria: 12
    Country: Number of subjects enrolled
    Canada: 24
    Country: Number of subjects enrolled
    Czech Republic: 44
    Country: Number of subjects enrolled
    Germany: 48
    Country: Number of subjects enrolled
    Israel: 35
    Country: Number of subjects enrolled
    Italy: 22
    Country: Number of subjects enrolled
    Philippines: 66
    Country: Number of subjects enrolled
    Poland: 23
    Country: Number of subjects enrolled
    Romania: 4
    Country: Number of subjects enrolled
    Russian Federation: 40
    Country: Number of subjects enrolled
    Singapore: 16
    Country: Number of subjects enrolled
    Slovakia: 2
    Country: Number of subjects enrolled
    Thailand: 30
    Country: Number of subjects enrolled
    United Kingdom: 37
    Country: Number of subjects enrolled
    United States: 133
    Worldwide total number of subjects
    606
    EEA total number of subjects
    198
    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)
    552
    From 65 to 84 years
    54
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    The extension FAS (N=457) comprised all patients enrolled in the extension with at least 1 post baseline efficacy assessment during the extension study. 3 patients signed the ICF but had no efficacy assessments during the extension study and were not included in extension FAS.

    Pre-assignment
    Screening details
    Of the 457 patients in the extension FAS, 380 (83.2%) completed 260 weeks of treatment (84.4% in the secukinumab 10 mg/kg-75 mg group, 82.0% in the secukinumab 10 mg/kg-150 mg group, 85.1% in the placebo-secukinumab 75 mg group and 81.3% in the placebo-secukinumab 150 mg group)

    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, Monitor, Data analyst, Carer

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Secukinumab 75mg
    Arm description
    Subjects continued to receive secukinumab 75mg in PFS (same dose as that was received in core study CAIN457F2306) every 4 weeks up to Week 256. From Week 156, patients may have been escalated to 150 mg or 300 mg as judged appropriate by investigator
    Arm type
    Experimental

    Investigational medicinal product name
    secukinumab
    Investigational medicinal product code
    AIN457F
    Other name
    Pharmaceutical forms
    Solution for infusion in pre-filled syringe
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    75 mg

    Arm title
    Secukinumab 150mg
    Arm description
    Subjects continued to receive secukinumab 150mg in PFS (same dose as that was received in core study CAIN457F2306) every 4 weeks up to Week 256. From Week 156, patients may have been escalated to 300 mg as judged appropriate by the investigator
    Arm type
    Experimental

    Investigational medicinal product name
    secukinumab
    Investigational medicinal product code
    AIN457F
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    150 MG

    Arm title
    Placebo - AIN457A 75mg
    Arm description
    Placebo (for maintaining the blind till Week 152): Placebo to secukinumab .05 mL solution for injection was provided in PFS for s.c. administration (a single use pre-filled 1mL long glass syringe). It contained a mixture of inactive excipients, matching the composition of secukinumab 75mg. Participants also received secukinumab 75mg from week 16/24. Patients may have been escalated to 150 mg or 300 mg as judged appropriate by investigator
    Arm type
    Placebo

    Investigational medicinal product name
    placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection in pre-filled syringe
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    75 mg

    Arm title
    Placebo - AIN457 150mg
    Arm description
    Placebo (for maintaining the blind till Week 152): Placebo to secukinumab 0.5mL solution for injection was provided in PFS for s.c. administration (a single use pre-filled 1mL long glass syringe). It contained a mixture of inactive excipients, matching the composition of secukinumab 150 mg. Participants also received secukinumab 150 mg from week 16/24. patients may have been escalated to 300mg or 300 mg as judged appropriate by investigator
    Arm type
    Placebo

    Investigational medicinal product name
    placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion in pre-filled syringe
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    150 mg

    Number of subjects in period 1 [1]
    Secukinumab 75mg Secukinumab 150mg Placebo - AIN457A 75mg Placebo - AIN457 150mg
    Started
    147
    161
    74
    75
    Completed
    124
    132
    63
    61
    Not completed
    23
    29
    11
    14
         Adverse event, serious fatal
    1
    1
    -
    -
         Consent withdrawn by subject
    8
    15
    4
    4
         Physician decision
    2
    1
    -
    1
         non-compliance with treatment
    1
    -
    -
    -
         Adverse event, non-fatal
    7
    6
    2
    3
         Technical problems
    2
    1
    1
    1
         Pregnancy
    -
    2
    1
    -
         Lost to follow-up
    1
    1
    1
    3
         Lack of efficacy
    1
    2
    2
    2
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: Of the 457 patients in the extension FAS, 380 (83.2%) completed 260 weeks of treatment (84.4% in the secukinumab 10 mg/kg-75 mg group, 82.0% in the secukinumab 10 mg/kg-150 mg group, 85.1% in the placebo-secukinumab 75 mg group and 81.3% in the placebo-secukinumab 150 mg group)

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Secukinumab 75mg
    Reporting group description
    Subjects continued to receive secukinumab 75mg in PFS (same dose as that was received in core study CAIN457F2306) every 4 weeks up to Week 256. From Week 156, patients may have been escalated to 150 mg or 300 mg as judged appropriate by investigator

    Reporting group title
    Secukinumab 150mg
    Reporting group description
    Subjects continued to receive secukinumab 150mg in PFS (same dose as that was received in core study CAIN457F2306) every 4 weeks up to Week 256. From Week 156, patients may have been escalated to 300 mg as judged appropriate by the investigator

    Reporting group title
    Placebo - AIN457A 75mg
    Reporting group description
    Placebo (for maintaining the blind till Week 152): Placebo to secukinumab .05 mL solution for injection was provided in PFS for s.c. administration (a single use pre-filled 1mL long glass syringe). It contained a mixture of inactive excipients, matching the composition of secukinumab 75mg. Participants also received secukinumab 75mg from week 16/24. Patients may have been escalated to 150 mg or 300 mg as judged appropriate by investigator

    Reporting group title
    Placebo - AIN457 150mg
    Reporting group description
    Placebo (for maintaining the blind till Week 152): Placebo to secukinumab 0.5mL solution for injection was provided in PFS for s.c. administration (a single use pre-filled 1mL long glass syringe). It contained a mixture of inactive excipients, matching the composition of secukinumab 150 mg. Participants also received secukinumab 150 mg from week 16/24. patients may have been escalated to 300mg or 300 mg as judged appropriate by investigator

    Reporting group values
    Secukinumab 75mg Secukinumab 150mg Placebo - AIN457A 75mg Placebo - AIN457 150mg Total
    Number of subjects
    147 161 74 75 457
    Age, Customized
    Units: Subjects
        18y - <65 y
    132 145 72 71 420
        >=65 y -<85
    15 16 2 4 37
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    48.9 ± 11.78 49.5 ± 11.67 47.4 ± 10.64 49.0 ± 11.42 -
    Sex: Female, Male
    Units: Subjects
        Female
    81 83 40 38 242
        Male
    66 78 34 37 215
    Race/Ethnicity, Customized
    Units: Subjects
        White
    118 130 51 58 357
        Black or African American
    1 1 0 0 2
        Asian
    27 29 23 16 95
        Other
    1 1 0 1 3

    End points

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    End points reporting groups
    Reporting group title
    Secukinumab 75mg
    Reporting group description
    Subjects continued to receive secukinumab 75mg in PFS (same dose as that was received in core study CAIN457F2306) every 4 weeks up to Week 256. From Week 156, patients may have been escalated to 150 mg or 300 mg as judged appropriate by investigator

    Reporting group title
    Secukinumab 150mg
    Reporting group description
    Subjects continued to receive secukinumab 150mg in PFS (same dose as that was received in core study CAIN457F2306) every 4 weeks up to Week 256. From Week 156, patients may have been escalated to 300 mg as judged appropriate by the investigator

    Reporting group title
    Placebo - AIN457A 75mg
    Reporting group description
    Placebo (for maintaining the blind till Week 152): Placebo to secukinumab .05 mL solution for injection was provided in PFS for s.c. administration (a single use pre-filled 1mL long glass syringe). It contained a mixture of inactive excipients, matching the composition of secukinumab 75mg. Participants also received secukinumab 75mg from week 16/24. Patients may have been escalated to 150 mg or 300 mg as judged appropriate by investigator

    Reporting group title
    Placebo - AIN457 150mg
    Reporting group description
    Placebo (for maintaining the blind till Week 152): Placebo to secukinumab 0.5mL solution for injection was provided in PFS for s.c. administration (a single use pre-filled 1mL long glass syringe). It contained a mixture of inactive excipients, matching the composition of secukinumab 150 mg. Participants also received secukinumab 150 mg from week 16/24. patients may have been escalated to 300mg or 300 mg as judged appropriate by investigator

    Primary: Proportion of subject who reached (American College of Rheumatology score of 20) ACR20

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    End point title
    Proportion of subject who reached (American College of Rheumatology score of 20) ACR20 [1]
    End point description
    Proportion of subjects with a positive clinical response to treatment (individual improvement) in disease activity according to ACR20 criteria if he/she has at least 20% improvement in 1. Tender 68-joint count 2. Swollen 66-joint count and 3. At least 3 of the following 5 measures: - Patient's assessment of Psoriatic Arthritis (PsA) pain - Patient's global assessment of disease activity - Physician's global assessment of disease activity - Subject self-assessed disability (Health-Assessment Questionnaire [HAQ-DI] score) - Acute phase reactant (hsCRP or ESR)
    End point type
    Primary
    End point timeframe
    weeks 116, 128, 140, 156, 180, 208, 232 and 260
    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: NO STATISTICAL ANALYSIS WAS PLANNED
    End point values
    Secukinumab 75mg Secukinumab 150mg Placebo - AIN457A 75mg Placebo - AIN457 150mg
    Number of subjects analysed
    147
    161
    74
    75
    Units: percentage of participants
    number (confidence interval 95%)
        week 116
    71.3 (63.1 to 78.4)
    73.9 (66.0 to 80.5)
    73.2 (61.2 to 82.7)
    73.6 (61.7 to 83.0)
        week 128
    69.7 (61.4 to 77.0)
    72.9 (65.1 to 79.6)
    76.8 (64.8 to 85.8)
    74.6 (62.7 to 83.9)
        week 140
    69.8 (61.3 to 77.1)
    71.1 (63.1 to 78.0)
    79.2 (67.7 to 87.5)
    69.4 (57.3 to 79.5)
        week 156
    64.3 (55.8 to 72.0)
    76.1 (68.5 to 82.4)
    75.3 (63.6 to 84.4)
    67.6 (55.6 to 77.7)
        week 180
    73.0 (64.6 to 80.0)
    72.5 (64.1 to 79.6)
    74.6 (62.3 to 84.1)
    67.7 (54.8 to 78.5)
        week 208
    72.8 (64.4 to 79.9)
    66.9 (58.5 to 74.3)
    75.0 (62.8 to 84.4)
    68.2 (55.4 to 78.8)
        week 232
    79.5 (71.3 to 86.0)
    69.5 (60.7 to 77.0)
    83.3 (71.7 to 91.0)
    80.3 (67.8 to 89.0)
        week 260
    77.2 (68.7 to 83.9)
    67.9 (59.1 to 75.7)
    78.8 (66.7 to 87.5)
    77.4 (64.7 to 86.7)
    No statistical analyses for this end point

    Primary: Proportion of subjects who reached ACR50

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    End point title
    Proportion of subjects who reached ACR50 [2]
    End point description
    Proportion of subjects that have a positive clinical response to treatment (individual improvement) in disease activity according to ACR50 criteria if he/she has at least 50% improvement in 1. Tender 68-joint count 2. Swollen 66-joint count and 3. At least 3 of the following 5 measures: - Patient's assessment of PsA pain - Patient's global assessment of disease activity - Physician's global assessment of disease activity - Subject self-assessed disability (Health-Assessment Questionnaire [HAQ-DI] score) - Acute phase reactant (hsCRP or ESR)
    End point type
    Primary
    End point timeframe
    weeks 116, 128, 140, 156, 180, 208, 232 and 260
    Notes
    [2] - 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: NO STATISTICAL ANALYSIS WAS PLANNED
    End point values
    Secukinumab 75mg Secukinumab 150mg Placebo - AIN457A 75mg Placebo - AIN457 150mg
    Number of subjects analysed
    147
    161
    74
    75
    Units: percentage of participants
    number (confidence interval 95%)
        week 116
    43.4 (35.2 to 51.9)
    51.0 (42.8 to 59.1)
    49.3 (37.3 to 61.3)
    47.2 (35.5 to 59.3)
        week 128
    43.7 (35.4 to 52.2)
    52.9 (44.8 to 60.9)
    56.5 (44.1 to 68.2)
    53.5 (41.4 to 65.3)
        week 140
    41.7 (33.5 to 50.4)
    48.7 (40.5 to 56.9)
    51.4 (39.4 to 63.2)
    44.4 (32.9 to 56.6)
        week 156
    39.2 (31.2 to 47.7)
    56.1 (47.9 to 64.0)
    52.1 (40.1 to 63.8)
    47.3 (35.7 to 59.2)
        week 180
    43.1 (34.7 to 51.8)
    45.7 (37.2 to 54.3)
    52.2 (39.8 to 64.4)
    50.8 (38.2 to 63.3)
        week 208
    44.9 (36.4 to 53.6)
    46.9 (38.6 to 55.3)
    52.9 (40.5 to 65.0)
    53.0 (40.4 to 65.3)
        week 232
    49.6 (40.7 to 58.6)
    53.4 (44.5 to 62.1)
    53.0 (40.4 to 65.3)
    50.8 (37.8 to 63.7)
        week 260
    51.2 (42.2 to 60.1)
    52.7 (43.8 to 61.4)
    60.6 (47.8 to 72.2)
    50.0 (37.2 to 62.8)
    No statistical analyses for this end point

    Primary: Proportion of subjects who reached ACR70

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    End point title
    Proportion of subjects who reached ACR70 [3]
    End point description
    Proportion of subjects that have a positive clinical response to treatment (individual improvement) in disease activity according to ACR70 criteria if he/she has at least 70% improvement in 1. Tender 68-joint count 2. Swollen 66-joint count and 3. At least 3 of the following 5 measures:- Patient's assessment of PsA pain - Patient's global assessment of disease activity - Physician's global assessment of disease activity - Subject self-assessed disability (Health-Assessment Questionnaire [HAQ-DI] score) - Acute phase reactant (hsCRP or ESR)
    End point type
    Primary
    End point timeframe
    weeks 116, 128, 140, 156, 180, 208, 232 and 260
    Notes
    [3] - 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: NO STATISTICAL ANALYSIS WAS PLANNED
    End point values
    Secukinumab 75mg Secukinumab 150mg Placebo - AIN457A 75mg Placebo - AIN457 150mg
    Number of subjects analysed
    147
    161
    74
    75
    Units: percentage of participants
    number (confidence interval 95%)
        week 116
    23.8 (17.2 to 31.8)
    30.1 (23.1 to 38.1)
    28.2 (18.4 to 40.3)
    29.2 (19.3 to 41.2)
        week 128
    24.6 (18.0 to 32.7)
    31.0 (23.9 to 39.0)
    34.8 (24.0 to 47.3)
    23.9 (14.9 to 35.8)
        week 140
    27.3 (20.3 to 35.7)
    28.3 (21.4 to 36.3)
    33.3 (22.9 to 45.5)
    27.8 (18.2 to 39.8)
        week 156
    25.9 (19.1 to 34.0)
    32.9 (25.7 to 41.0)
    26.0 (16.8 to 37.8)
    27.0 (17.7 to 38.8)
        week 180
    27.0 (20.0 to 35.4)
    31.2 (23.7 to 39.7)
    31.3 (20.9 to 44.0)
    27.7 (17.7 to 40.4)
        week 208
    25.7 (18.8 to 34.1)
    31.0 (23.8 to 39.3)
    32.4 (21.8 to 44.9)
    28.8 (18.6 to 41.4)
        week 232
    35.4 (27.3 to 44.5)
    32.1 (24.3 to 40.9)
    37.9 (26.5 to 50.7)
    34.4 (23.0 to 47.8)
        week 260
    33.9 (25.9 to 42.9)
    37.4 (29.2 to 46.3)
    37.9 (26.5 to 50.7)
    33.9 (22.6 to 47.1)
    No statistical analyses for this end point

    Secondary: Change from baseline in Health Assessment Questionnaire Disability Index (HAQ-DI)

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    End point title
    Change from baseline in Health Assessment Questionnaire Disability Index (HAQ-DI)
    End point description
    Changes from baseline in score of the disability assessment component of the HAQ (Health Assessment Questionnaire - Disability Index). The HAQ-DI, assesses a subject's level of functional ability and includes questions of fine movements of the upper extremity, locomotor activities of the lower extremity, and activities that involve both upper and lower extremities.
    End point type
    Secondary
    End point timeframe
    weeks 116, 128, 140, 156, 180, 208, 232 and 260
    End point values
    Secukinumab 75mg Secukinumab 150mg Placebo - AIN457A 75mg Placebo - AIN457 150mg
    Number of subjects analysed
    147
    161
    74
    75
    Units: change in scores
    arithmetic mean (standard deviation)
        week 116
    -0.4537 ± 0.60617
    -0.4592 ± 0.56155
    -0.5642 ± 0.56722
    -0.4115 ± 0.66721
        week 128
    -0.4171 ± 0.61192
    -0.4619 ± 0.55835
    -0.5143 ± 0.55599
    -0.3750 ± 0.69661
        week 140
    -0.4448 ± 0.61406
    -0.4713 ± 0.58791
    -0.4635 ± 0.56037
    -0.3507 ± 0.69221
        week 156
    -0.4236 ± 0.61896
    -0.4266 ± 0.57491
    -0.5068 ± 0.62548
    -0.3159 ± 0.73507
        week 180
    -0.4617 ± 0.61472
    -0.4305 ± 0.59901
    -0.5698 ± 0.65258
    -0.3538 ± 0.71246
        week 208
    -0.4463 ± 0.57130
    -0.3857 ± 0.59304
    -0.5531 ± 0.62622
    -0.3447 ± 0.74745
        week 232
    -0.4710 ± 0.60931
    -0.4122 ± 0.60461
    -0.5777 ± 0.66930
    -0.3952 ± 0.72115
        week 260
    -0.4821 ± 0.61170
    -0.4036 ± 0.58334
    -0.5038 ± 0.61039
    -0.3730 ± 0.71306
    No statistical analyses for this end point

    Secondary: Minimal Clinically Important Difference (MCID) in Health Assessment Questionnaire Disability Index (HAQ-DI)

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    End point title
    Minimal Clinically Important Difference (MCID) in Health Assessment Questionnaire Disability Index (HAQ-DI)
    End point description
    Percentage of subjects with improvements from baseline in HAQ-DI meeting or exceeding minimal clinically important difference (MCID=0.3). The HAQ-DI, assesses a subject's level of functional ability and includes questions of fine movements of the upper extremity, locomotor activities of the lower extremity, and activities that involve both upper and lower extremities.
    End point type
    Secondary
    End point timeframe
    weeks 116, 128, 140, 156, 180, 208, 232 and 260
    End point values
    Secukinumab 75mg Secukinumab 150mg Placebo - AIN457A 75mg Placebo - AIN457 150mg
    Number of subjects analysed
    147
    161
    74
    75
    Units: percentage of participants
    number (confidence interval 95%)
        week 116
    53.1 (44.6 to 61.5)
    52.3 (44.1 to 60.4)
    63.9 (51.7 to 74.6)
    50.0 (38.1 to 61.9)
        week 128
    52.8 (44.3 to 61.2)
    51.9 (43.8 to 60.0)
    57.1 (44.8 to 68.7)
    54.9 (42.7 to 66.6)
        week 140
    55.4 (46.7 to 63.7)
    52.3 (44.1 to 60.4)
    56.9 (44.8 to 68.4)
    48.6 (36.8 to 60.6)
        week 156
    52.8 (44.3 to 61.1)
    52.3 (44.1 to 60.3)
    60.8 (48.7 to 71.7)
    44.6 (33.2 to 56.6)
        week 180
    56.9 (48.2 to 65.3)
    51.5 (42.8 to 60.1)
    61.2 (48.5 to 72.6)
    47.7 (35.3 to 60.4)
        week 208
    53.3 (44.6 to 61.9)
    50.0 (41.6 to 58.4)
    59.4 (46.9 to 70.9)
    48.5 (36.1 to 61.0)
        week 232
    55.2 (46.1 to 64.0)
    48.9 (40.1 to 57.7)
    59.1 (46.3 to 70.8)
    52.5 (39.4 to 65.2)
        week 260
    55.6 (46.5 to 64.3)
    48.9 (40.1 to 57.7)
    59.1 (46.3 to 70.8)
    53.2 (40.2 to 65.8)
    No statistical analyses for this end point

    Secondary: Change from baseline in Disease Activity Score-CRP (DAS28)

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    End point title
    Change from baseline in Disease Activity Score-CRP (DAS28)
    End point description
    Changes in DAS28 (utilizing hsCRP) from baseline to over entire study duration up to Month 60. The DAS28 is a measure of disease activity in PsA based on Swollen and Tender Joint Counts (out of a total of 28), hsCRP and the Patient's Global Assessment of Disease Activity. A DAS28 score greater than 5.1 implies active disease, equal to or less than 3.2 low disease activity, and less than 2.6 remission. This measure represents change in scores - not the actual scores.
    End point type
    Secondary
    End point timeframe
    weeks 116, 128, 140, 156, 180, 208, 232 and 260
    End point values
    Secukinumab 75mg Secukinumab 150mg Placebo - AIN457A 75mg Placebo - AIN457 150mg
    Number of subjects analysed
    147
    161
    74
    75
    Units: change in scores
    arithmetic mean (standard deviation)
        week 116
    -2.044 ± 1.3382
    -1.904 ± 1.3165
    -2.282 ± 1.2732
    -1.853 ± 1.2737
        week 128
    -2.013 ± 1.3446
    -1.962 ± 1.2900
    -2.333 ± 1.2815
    -2.031 ± 1.3290
        week 140
    -2.074 ± 1.3224
    -1.912 ± 1.2246
    -2.412 ± 1.3059
    -1.830 ± 1.3136
        week 156
    -1.844 ± 1.4923
    -1.942 ± 1.3195
    -2.109 ± 1.3188
    -1.743 ± 1.3630
        week 180
    -2.058 ± 1.3760
    -1.937 ± 1.2674
    -2.327 ± 1.2339
    -1.867 ± 1.4590
        week 208
    -2.042 ± 1.2907
    -1.767 ± 1.4574
    -2.344 ± 1.3351
    -1.862 ± 1.4708
        week 232
    -2.225 ± 1.2570
    -2.046 ± 1.2590
    -2.611 ± 1.3247
    -2.286 ± 1.2102
        week 260
    -2.112 ± 1.2664
    -2.074 ± 1.3146
    -2.506 ± 1.3774
    -2.099 ± 1.2466
    No statistical analyses for this end point

    Secondary: Percentage of subjects achieving low disease activity

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    End point title
    Percentage of subjects achieving low disease activity
    End point description
    Percentage of subjects achieving low disease activity (DAS28 ≤ 3.2). The DAS28 is a measure of disease activity in PsA based on Swollen and Tender Joint Counts (out of a total of 28), hsCRP and the Patient's Global Assessment of Disease Activity. A DAS28 score greater than 5.1 implies active disease, equal to or less than 3.2 low disease activity, and less than 2.6 remission
    End point type
    Secondary
    End point timeframe
    weeks 116, 128, 140, 156, 180, 208, 232 and 260
    End point values
    Secukinumab 75mg Secukinumab 150mg Placebo - AIN457A 75mg Placebo - AIN457 150mg
    Number of subjects analysed
    147
    161
    74
    75
    Units: percentage of participants
    number (confidence interval 95%)
        week 116
    70.3 (62.1 to 77.5)
    64.7 (56.5 to 72.1)
    70.4 (58.2 to 80.4)
    63.9 (51.7 to 74.6)
        week 128
    69.5 (61.1 to 76.8)
    69.9 (61.9 to 76.8)
    75.4 (63.3 to 84.6)
    68.6 (56.2 to 78.9)
        week 140
    72.9 (64.6 to 79.9)
    66.0 (57.8 to 73.4)
    75.0 (63.2 to 84.1)
    65.3 (53.1 to 75.9)
        week 156
    63.4 (54.8 to 71.2)
    67.9 (59.9 to 75.1)
    61.6 (49.5 to 72.6)
    58.9 (46.8 to 70.1)
        week 180
    71.2 (62.8 to 78.4)
    70.1 (61.6 to 77.4)
    65.7 (53.0 to 76.6)
    68.8 (55.8 to 79.4)
        week 208
    71.7 (63.3 to 78.9)
    65.8 (57.4 to 73.3)
    67.2 (54.5 to 77.9)
    71.2 (58.6 to 81.4)
        week 232
    75.2 (66.7 to 82.2)
    73.5 (65.0 to 80.6)
    79.4 (67.0 to 88.1)
    84.7 (72.5 to 92.4)
        week 260
    74.4 (65.8 to 81.5)
    75.0 (66.6 to 81.9)
    76.9 (64.5 to 86.1)
    77.4 (64.7 to 86.7)
    No statistical analyses for this end point

    Secondary: Percentage of subjects achieving disease remission (DAS28<2.6)

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    End point title
    Percentage of subjects achieving disease remission (DAS28<2.6)
    End point description
    Percentage of subjects achieving disease remission (DAS28<2.6). The DAS28 is a measure of disease activity in PsA based on Swollen and Tender Joint Counts (out of a total of 28), hsCRP and the Patient's Global Assessment of Disease Activity. A DAS28 score greater than 5.1 implies active disease, equal to or less than 3.2 low disease activity, and less than 2.6 remission
    End point type
    Secondary
    End point timeframe
    weeks 116, 128, 140, 156, 180, 208, 232 and 260
    End point values
    Secukinumab 75mg Secukinumab 150mg Placebo - AIN457A 75mg Placebo - AIN457 150mg
    Number of subjects analysed
    147
    161
    74
    75
    Units: percentage of participants
    number (confidence interval 95%)
        week 116
    52.4 (44.0 to 60.7)
    50.3 (42.2 to 58.5)
    47.9 (36.0 to 60.0)
    45.8 (34.2 to 57.9)
        week 128
    54.6 (46.0 to 62.9)
    49.4 (41.3 to 57.4)
    55.1 (42.7 to 66.9)
    57.1 (44.8 to 68.7)
        week 140
    58.6 (49.9 to 66.7)
    46.7 (38.5 to 55.0)
    55.6 (43.4 to 67.1)
    51.4 (39.4 to 63.2)
        week 156
    48.6 (40.2 to 57.1)
    52.6 (44.4 to 60.6)
    43.8 (32.4 to 55.9)
    46.6 (35.0 to 58.6)
        week 180
    54.7 (46.0 to 63.1)
    53.3 (44.6 to 61.8)
    49.3 (37.0 to 61.6)
    58.6 (46.2 to 70.0)
        week 208
    56.5 (47.8 to 64.8)
    52.1 (43.7 to 60.3)
    55.2 (42.6 to 67.2)
    53.0 (40.4 to 65.3)
        week 232
    64.3 (55.4 to 72.4)
    61.4 (52.5 to 69.6)
    65.1 (51.9 to 76.4)
    69.5 (56.0 to 80.5)
        week 260
    55.0 (46.0 to 63.7)
    58.3 (49.4 to 66.7)
    64.6 (51.7 to 75.8)
    66.1 (52.9 to 77.4)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse Events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV).  All Adverse events are reported in this record from First Patient First Treatment until Last Patient Last Visit.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    20.1
    Reporting groups
    Reporting group title
    Any AIN457 150 mg
    Reporting group description
    Any AIN457 150 mg

    Reporting group title
    Any AIN457 75 mg
    Reporting group description
    Any AIN457 75 mg

    Reporting group title
    Any AIN457 300 mg
    Reporting group description
    Any AIN457 300 mg

    Reporting group title
    Placebo
    Reporting group description
    Placebo

    Serious adverse events
    Any AIN457 150 mg Any AIN457 75 mg Any AIN457 300 mg Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    97 / 473 (20.51%)
    48 / 292 (16.44%)
    10 / 165 (6.06%)
    11 / 202 (5.45%)
         number of deaths (all causes)
    3
    3
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal cell carcinoma
         subjects affected / exposed
    1 / 473 (0.21%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Brain neoplasm
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Breast cancer
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Haemangioma
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Intraductal papilloma of breast
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Intraductal proliferative breast lesion
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    1 / 202 (0.50%)
         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
    Invasive breast carcinoma
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Laryngeal cancer stage 0
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Leiomyosarcoma
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Metastases to bone
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Non-small cell lung cancer
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Ovarian germ cell teratoma benign
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Phaeochromocytoma
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    1 / 165 (0.61%)
    0 / 202 (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
    Pleomorphic adenoma
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Prostate cancer
         subjects affected / exposed
    2 / 473 (0.42%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Schwannoma
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Squamous cell carcinoma of pharynx
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Uterine leiomyoma
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Vascular disorders
    Aortic aneurysm
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Deep vein thrombosis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Hypertension
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    1 / 165 (0.61%)
    0 / 202 (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 / 0
    0 / 0
    0 / 0
    Hypertensive crisis
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    1 / 202 (0.50%)
         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
    Pelvic venous thrombosis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Polyarteritis nodosa
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    Abortion spontaneous
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Impaired healing
         subjects affected / exposed
    2 / 473 (0.42%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Non-cardiac chest pain
         subjects affected / exposed
    4 / 473 (0.85%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    1 / 202 (0.50%)
         occurrences causally related to treatment / all
    1 / 4
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peripheral swelling
         subjects affected / exposed
    1 / 473 (0.21%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Adenomyosis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Adnexa uteri cyst
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Endometriosis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Menorrhagia
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Metrorrhagia
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Pelvic adhesions
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Uterine haemorrhage
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Respiratory, thoracic and mediastinal disorders
    Haemothorax
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Pleural effusion
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    1 / 202 (0.50%)
         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
    Pulmonary alveolar haemorrhage
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Pulmonary embolism
         subjects affected / exposed
    3 / 473 (0.63%)
    0 / 292 (0.00%)
    1 / 165 (0.61%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Depression
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    1 / 202 (0.50%)
         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
    Injury, poisoning and procedural complications
    Cervical vertebral fracture
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Comminuted fracture
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Eyelid injury
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Face injury
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Facial bones fracture
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Fall
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    1 / 165 (0.61%)
    0 / 202 (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
    Femur fracture
         subjects affected / exposed
    1 / 473 (0.21%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Fibula fracture
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Head injury
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    1 / 165 (0.61%)
    0 / 202 (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
    Meniscus injury
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Multiple injuries
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Pelvic fracture
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Periprosthetic osteolysis
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Rib fracture
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Skin abrasion
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Skull fracture
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Sternal fracture
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Subarachnoid haemorrhage
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Thoracic vertebral fracture
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Tibia fracture
         subjects affected / exposed
    1 / 473 (0.21%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Toxicity to various agents
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Traumatic liver injury
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Ulna fracture
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Wound dehiscence
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Cardiac disorders
    Acute myocardial infarction
         subjects affected / exposed
    2 / 473 (0.42%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Angina pectoris
         subjects affected / exposed
    2 / 473 (0.42%)
    2 / 292 (0.68%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Angina unstable
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Arrhythmia
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Atrial fibrillation
         subjects affected / exposed
    1 / 473 (0.21%)
    4 / 292 (1.37%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 6
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atrioventricular block second degree
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    1 / 165 (0.61%)
    0 / 202 (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
    Cardiac failure
         subjects affected / exposed
    2 / 473 (0.42%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Cardiac failure congestive
         subjects affected / exposed
    2 / 473 (0.42%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Coronary artery disease
         subjects affected / exposed
    2 / 473 (0.42%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    1 / 202 (0.50%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Coronary artery insufficiency
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Myocardial infarction
         subjects affected / exposed
    0 / 473 (0.00%)
    3 / 292 (1.03%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Myocarditis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Palpitations
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Sinus node dysfunction
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Ventricular tachycardia
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Nervous system disorders
    Cerebral haemorrhage
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Cerebral infarction
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Cerebrovascular accident
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    1 / 165 (0.61%)
    0 / 202 (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 / 0
    0 / 0
    0 / 0
    Dizziness
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Encephalopathy
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Hemiplegia
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Intracranial venous sinus thrombosis
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Ischaemic stroke
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Presyncope
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Syncope
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Thrombotic stroke
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Transient ischaemic attack
         subjects affected / exposed
    1 / 473 (0.21%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Blood and lymphatic system disorders
    Haemolytic anaemia
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    1 / 165 (0.61%)
    0 / 202 (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
    Leukocytosis
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Normocytic anaemia
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Ear and labyrinth disorders
    Vertigo positional
         subjects affected / exposed
    0 / 473 (0.00%)
    2 / 292 (0.68%)
    0 / 165 (0.00%)
    0 / 202 (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 / 0
    0 / 0
    0 / 0
    Eye disorders
    Ocular myasthenia
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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 disorders
    Abdominal adhesions
         subjects affected / exposed
    1 / 473 (0.21%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Abdominal pain
         subjects affected / exposed
    2 / 473 (0.42%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Aphthous ulcer
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Colitis
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Colitis ischaemic
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Colitis ulcerative
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Crohn's disease
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    1 / 202 (0.50%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diarrhoea haemorrhagic
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Dysphagia
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Enteritis
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Femoral hernia
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Gastric haemorrhage
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Haemorrhoids
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Ileus
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Inguinal hernia
         subjects affected / exposed
    2 / 473 (0.42%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Large intestine polyp
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Mouth ulceration
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Obstructive pancreatitis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Odynophagia
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Oesophagitis
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Pancreatitis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Rectal haemorrhage
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    1 / 202 (0.50%)
         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
    Small intestinal obstruction
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Umbilical hernia
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Hepatobiliary disorders
    Biliary colic
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Cholecystitis
         subjects affected / exposed
    2 / 473 (0.42%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cholecystitis acute
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    1 / 202 (0.50%)
         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
    Cholelithiasis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Chronic hepatitis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Drug-induced liver injury
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Skin and subcutaneous tissue disorders
    Erythema nodosum
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Rosacea
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    1 / 473 (0.21%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Nephrolithiasis
         subjects affected / exposed
    2 / 473 (0.42%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    1 / 202 (0.50%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ureterolithiasis
         subjects affected / exposed
    2 / 473 (0.42%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    Basedow's disease
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Goitre
         subjects affected / exposed
    0 / 473 (0.00%)
    2 / 292 (0.68%)
    0 / 165 (0.00%)
    0 / 202 (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 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Arthritis
         subjects affected / exposed
    2 / 473 (0.42%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Back pain
         subjects affected / exposed
    3 / 473 (0.63%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Foot deformity
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    1 / 165 (0.61%)
    0 / 202 (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
    Intervertebral disc degeneration
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Intervertebral disc protrusion
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Limb asymmetry
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Lumbar spinal stenosis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Osteoarthritis
         subjects affected / exposed
    7 / 473 (1.48%)
    3 / 292 (1.03%)
    1 / 165 (0.61%)
    1 / 202 (0.50%)
         occurrences causally related to treatment / all
    0 / 9
    0 / 3
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Osteochondrosis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Pain in extremity
         subjects affected / exposed
    2 / 473 (0.42%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psoriatic arthropathy
         subjects affected / exposed
    5 / 473 (1.06%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    1 / 6
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Rotator cuff syndrome
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    1 / 165 (0.61%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Scoliosis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Synovitis
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Infections and infestations
    Abdominal sepsis
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abscess limb
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Appendiceal abscess
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Appendicitis
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    1 / 165 (0.61%)
    0 / 202 (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
    Cellulitis
         subjects affected / exposed
    4 / 473 (0.85%)
    2 / 292 (0.68%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    3 / 4
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Dengue fever
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Diarrhoea infectious
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Diverticulitis
         subjects affected / exposed
    3 / 473 (0.63%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Erysipelas
         subjects affected / exposed
    1 / 473 (0.21%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Escherichia sepsis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Escherichia urinary tract infection
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Intervertebral discitis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Klebsiella sepsis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Lung abscess
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Necrotising fasciitis
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Oesophageal candidiasis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Pneumonia
         subjects affected / exposed
    4 / 473 (0.85%)
    3 / 292 (1.03%)
    1 / 165 (0.61%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    3 / 4
    3 / 3
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Post procedural infection
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Prostatitis Escherichia coli
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Rash pustular
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Salpingo-oophoritis
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Sepsis
         subjects affected / exposed
    0 / 473 (0.00%)
    2 / 292 (0.68%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Septic shock
         subjects affected / exposed
    1 / 473 (0.21%)
    2 / 292 (0.68%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    2 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Sinusitis
         subjects affected / exposed
    0 / 473 (0.00%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    1 / 202 (0.50%)
         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
    Streptococcal infection
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Tonsillitis
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Typhoid fever
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Urinary tract infection
         subjects affected / exposed
    2 / 473 (0.42%)
    1 / 292 (0.34%)
    1 / 165 (0.61%)
    0 / 202 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection bacterial
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Urosepsis
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Viral infection
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Wound infection staphylococcal
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Metabolism and nutrition disorders
    Hyperglycaemia
         subjects affected / exposed
    0 / 473 (0.00%)
    1 / 292 (0.34%)
    0 / 165 (0.00%)
    0 / 202 (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
    Hypokalaemia
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Hyponatraemia
         subjects affected / exposed
    1 / 473 (0.21%)
    0 / 292 (0.00%)
    0 / 165 (0.00%)
    0 / 202 (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
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Any AIN457 150 mg Any AIN457 75 mg Any AIN457 300 mg Placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    264 / 473 (55.81%)
    197 / 292 (67.47%)
    47 / 165 (28.48%)
    63 / 202 (31.19%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    33 / 473 (6.98%)
    27 / 292 (9.25%)
    7 / 165 (4.24%)
    5 / 202 (2.48%)
         occurrences all number
    33
    28
    9
    6
    Nervous system disorders
    Headache
         subjects affected / exposed
    42 / 473 (8.88%)
    31 / 292 (10.62%)
    1 / 165 (0.61%)
    7 / 202 (3.47%)
         occurrences all number
    67
    52
    1
    8
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    38 / 473 (8.03%)
    23 / 292 (7.88%)
    1 / 165 (0.61%)
    6 / 202 (2.97%)
         occurrences all number
    56
    36
    1
    7
    Nausea
         subjects affected / exposed
    14 / 473 (2.96%)
    17 / 292 (5.82%)
    3 / 165 (1.82%)
    2 / 202 (0.99%)
         occurrences all number
    16
    20
    3
    2
    Vomiting
         subjects affected / exposed
    8 / 473 (1.69%)
    15 / 292 (5.14%)
    0 / 165 (0.00%)
    1 / 202 (0.50%)
         occurrences all number
    11
    19
    0
    1
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    30 / 473 (6.34%)
    21 / 292 (7.19%)
    3 / 165 (1.82%)
    6 / 202 (2.97%)
         occurrences all number
    44
    24
    4
    9
    Oropharyngeal pain
         subjects affected / exposed
    19 / 473 (4.02%)
    20 / 292 (6.85%)
    1 / 165 (0.61%)
    4 / 202 (1.98%)
         occurrences all number
    27
    28
    1
    5
    Skin and subcutaneous tissue disorders
    Psoriasis
         subjects affected / exposed
    23 / 473 (4.86%)
    23 / 292 (7.88%)
    2 / 165 (1.21%)
    1 / 202 (0.50%)
         occurrences all number
    24
    24
    2
    1
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    30 / 473 (6.34%)
    24 / 292 (8.22%)
    3 / 165 (1.82%)
    3 / 202 (1.49%)
         occurrences all number
    41
    38
    4
    3
    Back pain
         subjects affected / exposed
    33 / 473 (6.98%)
    30 / 292 (10.27%)
    3 / 165 (1.82%)
    2 / 202 (0.99%)
         occurrences all number
    40
    39
    3
    2
    Psoriatic arthropathy
         subjects affected / exposed
    27 / 473 (5.71%)
    23 / 292 (7.88%)
    2 / 165 (1.21%)
    2 / 202 (0.99%)
         occurrences all number
    32
    26
    2
    2
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    35 / 473 (7.40%)
    24 / 292 (8.22%)
    9 / 165 (5.45%)
    6 / 202 (2.97%)
         occurrences all number
    53
    29
    10
    7
    Gastroenteritis
         subjects affected / exposed
    30 / 473 (6.34%)
    10 / 292 (3.42%)
    2 / 165 (1.21%)
    2 / 202 (0.99%)
         occurrences all number
    46
    15
    2
    2
    Nasopharyngitis
         subjects affected / exposed
    101 / 473 (21.35%)
    70 / 292 (23.97%)
    14 / 165 (8.48%)
    11 / 202 (5.45%)
         occurrences all number
    220
    138
    14
    12
    Pharyngitis
         subjects affected / exposed
    22 / 473 (4.65%)
    15 / 292 (5.14%)
    0 / 165 (0.00%)
    0 / 202 (0.00%)
         occurrences all number
    34
    21
    0
    0
    Sinusitis
         subjects affected / exposed
    26 / 473 (5.50%)
    17 / 292 (5.82%)
    3 / 165 (1.82%)
    4 / 202 (1.98%)
         occurrences all number
    34
    29
    4
    4
    Upper respiratory tract infection
         subjects affected / exposed
    91 / 473 (19.24%)
    62 / 292 (21.23%)
    10 / 165 (6.06%)
    12 / 202 (5.94%)
         occurrences all number
    153
    98
    17
    13
    Urinary tract infection
         subjects affected / exposed
    27 / 473 (5.71%)
    21 / 292 (7.19%)
    2 / 165 (1.21%)
    2 / 202 (0.99%)
         occurrences all number
    40
    27
    2
    2

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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.
    Observed data is reported for outcome measures The non-fatal adverse events are reported under "Serious Adverse Events"
    For support, Contact us.
    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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