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    Clinical Trial Results:
    A Randomized, Double-blind, Placebo-controlled, 2-Part Study of Orally Administered ALS-008176 to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single Ascending Dosing and Multiple Ascending Dosing in Infants Hospitalized with Respiratory Syncytial Virus (RSV) Infection

    Summary
    EudraCT number
    2013-005104-33
    Trial protocol
    GB   FR   RO  
    Global end of trial date
    15 Feb 2018

    Results information
    Results version number
    v2(current)
    This version publication date
    01 Mar 2019
    First version publication date
    01 Dec 2018
    Other versions
    v1
    Version creation reason

    Trial information

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    Trial identification
    Sponsor protocol code
    ALS-8176-503
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02202356
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Alios BioPharma
    Sponsor organisation address
    260 E. Grand Ave, South San Francisco CA, United States, 94080
    Public contact
    Clinical Registry group, Alios BioPharma, GDeLaRos@its.jnj.com
    Scientific contact
    Clinical Registry group, Alios BioPharma, GDeLaRos@its.jnj.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-001758-PIP01-15
    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?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    15 Feb 2018
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    15 Feb 2018
    Global end of trial reached?
    Yes
    Global end of trial date
    15 Feb 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main objective of this study was to evaluate the safety and tolerability of single and multiple doses of ALS-008176.
    Protection of trial subjects
    This study was conducted in accordance with the ethical principles that have their origin in the Declaration of Helsinki and that are consistent with good clinical practices and applicable regulatory requirements. Safety was evaluated throughout the study and included adverse events (AEs), vital signs, laboratory assessments (routine hematology, biochemistry, coagulation and urinalysis, 12-lead electrocardiogram (ECG), and physical examination.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    23 Jul 2014
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Australia: 2
    Country: Number of subjects enrolled
    Chile: 12
    Country: Number of subjects enrolled
    Colombia: 7
    Country: Number of subjects enrolled
    France: 14
    Country: Number of subjects enrolled
    United Kingdom: 22
    Country: Number of subjects enrolled
    Japan: 38
    Country: Number of subjects enrolled
    New Zealand: 9
    Country: Number of subjects enrolled
    Panama: 25
    Country: Number of subjects enrolled
    Thailand: 27
    Country: Number of subjects enrolled
    Taiwan: 5
    Country: Number of subjects enrolled
    United States: 20
    Worldwide total number of subjects
    181
    EEA total number of subjects
    36
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    1
    Infants and toddlers (28 days-23 months)
    180
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    A total of 181 subjects were randomized and received ALS-008176 or Placebo.

    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, Carer, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    SAD: ALS-008176 (1.37 mg/kg)
    Arm description
    Subjects received single oral dose of 1.37 milligrams per kilogram (mg/kg) of ALS-008176.
    Arm type
    Experimental

    Investigational medicinal product name
    ALS-008176
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received single dose of 1.37 mg/kg of ALS-8176 orally.

    Arm title
    SAD: ALS-008176 (4.1 mg/kg)
    Arm description
    Subjects received single oral dose of 4.1 mg/kg of ALS-008176.
    Arm type
    Experimental

    Investigational medicinal product name
    ALS-008176
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received single dose of 4.1 mg/kg of ALS-008176 orally.

    Arm title
    SAD: ALS-008176 (12 mg/kg)
    Arm description
    Subjects received single oral dose of 12 mg/kg of ALS-008176.
    Arm type
    Experimental

    Investigational medicinal product name
    ALS-008176
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received single dose of 12 mg/kg of ALS-008176 orally.

    Arm title
    SAD: ALS-008176 (25 mg/kg)
    Arm description
    Subjects received single oral dose of 25 mg/kg of ALS-008176.
    Arm type
    Experimental

    Investigational medicinal product name
    ALS-008176
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received single dose of 25 mg/kg of ALS-008176 orally.

    Arm title
    MAD: ALS-008176 (4.1/1.37 mg/kg)
    Arm description
    Subjects received 1 loading dose of 4.1 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 1.37 mg/kg of ALS-008176 twice daily for 5 consecutive days.
    Arm type
    Experimental

    Investigational medicinal product name
    ALS-008176
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received 1 loading dose of 4.1 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 1.37 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Arm title
    MAD: ALS-008176 (10/2 mg/kg)
    Arm description
    Subjects received loading dose of 10 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 2 mg/kg of ALS-008176 twice daily for 5 consecutive days.
    Arm type
    Experimental

    Investigational medicinal product name
    ALS-008176
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received loading dose of 10 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 2 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Arm title
    MAD: ALS-008176 (30/6 mg/kg)
    Arm description
    Subjects received loading dose of 30 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 9 doses of 6 mg/kg of ALS-008176 twice daily for 5 consecutive days.
    Arm type
    Experimental

    Investigational medicinal product name
    ALS-008176
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received loading dose of 30 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 6 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Arm title
    MAD: ALS-008176 (30/10 mg/kg)
    Arm description
    Subjects received loading dose of 30 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 10 mg/kg of ALS-008176 twice daily for 5 consecutive days.
    Arm type
    Experimental

    Investigational medicinal product name
    ALS-008176
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received loading dose of 30 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 10 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Arm title
    MAD: ALS-008176 (40/20 mg/kg)
    Arm description
    Subjects received loading dose of 40 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 20 mg/kg of ALS-008176 twice daily for 5 consecutive days.
    Arm type
    Experimental

    Investigational medicinal product name
    ALS-008176
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received loading dose of 40 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 20 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Arm title
    MAD: ALS-008176 (60/40 mg/kg)
    Arm description
    Subjects received loading dose of 60 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 40 mg/kg of ALS-008176 twice daily for 5 consecutive days.
    Arm type
    Experimental

    Investigational medicinal product name
    ALS-008176
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received loading dose of 60 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 40 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Arm title
    Placebo
    Arm description
    Subjects received Placebo orally in SAD and MAD part.
    Arm type
    Experimental

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received Placebo orally in SAD and MAD part.

    Number of subjects in period 1
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) Placebo
    Started
    18
    18
    14
    3
    5
    14
    8
    17
    18
    16
    50
    Completed
    18
    17
    14
    2
    5
    14
    8
    17
    15
    16
    47
    Not completed
    0
    1
    0
    1
    0
    0
    0
    0
    3
    0
    3
         Adverse Event (Serious-Non Fatal)
    -
    -
    -
    -
    -
    -
    -
    -
    1
    -
    -
         Lost to follow-up
    -
    1
    -
    -
    -
    -
    -
    -
    -
    -
    1
         Withdrawal by subject
    -
    -
    -
    1
    -
    -
    -
    -
    2
    -
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    SAD: ALS-008176 (1.37 mg/kg)
    Reporting group description
    Subjects received single oral dose of 1.37 milligrams per kilogram (mg/kg) of ALS-008176.

    Reporting group title
    SAD: ALS-008176 (4.1 mg/kg)
    Reporting group description
    Subjects received single oral dose of 4.1 mg/kg of ALS-008176.

    Reporting group title
    SAD: ALS-008176 (12 mg/kg)
    Reporting group description
    Subjects received single oral dose of 12 mg/kg of ALS-008176.

    Reporting group title
    SAD: ALS-008176 (25 mg/kg)
    Reporting group description
    Subjects received single oral dose of 25 mg/kg of ALS-008176.

    Reporting group title
    MAD: ALS-008176 (4.1/1.37 mg/kg)
    Reporting group description
    Subjects received 1 loading dose of 4.1 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 1.37 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    MAD: ALS-008176 (10/2 mg/kg)
    Reporting group description
    Subjects received loading dose of 10 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 2 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    MAD: ALS-008176 (30/6 mg/kg)
    Reporting group description
    Subjects received loading dose of 30 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 9 doses of 6 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    MAD: ALS-008176 (30/10 mg/kg)
    Reporting group description
    Subjects received loading dose of 30 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 10 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    MAD: ALS-008176 (40/20 mg/kg)
    Reporting group description
    Subjects received loading dose of 40 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 20 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    MAD: ALS-008176 (60/40 mg/kg)
    Reporting group description
    Subjects received loading dose of 60 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 40 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    Placebo
    Reporting group description
    Subjects received Placebo orally in SAD and MAD part.

    Reporting group values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) Placebo Total
    Number of subjects
    18 18 14 3 5 14 8 17 18 16 50 181
    Title for AgeCategorical
    Units: subjects
        Newborns (0-28 days)
    0 0 0 0 0 1 0 0 0 0 0 1
        Infants and toddlers (>28 days-12 months)
    18 18 14 3 5 13 8 17 18 16 50 180
    Title for AgeContinuous
    Units: months
        arithmetic mean (standard deviation)
    4 ( 2.8 ) 4.2 ( 2.66 ) 5.7 ( 2.77 ) 5 ( 2.29 ) 5 ( 3.32 ) 3.2 ( 2.89 ) 2.3 ( 1.39 ) 3.5 ( 2.62 ) 4.2 ( 2.94 ) 4.2 ( 3.39 ) 4.1 ( 3.23 ) -
    Title for Gender
    Units: subjects
        Female
    9 8 3 1 3 4 3 6 4 6 23 70
        Male
    9 10 11 2 2 10 5 11 14 10 27 111

    End points

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    End points reporting groups
    Reporting group title
    SAD: ALS-008176 (1.37 mg/kg)
    Reporting group description
    Subjects received single oral dose of 1.37 milligrams per kilogram (mg/kg) of ALS-008176.

    Reporting group title
    SAD: ALS-008176 (4.1 mg/kg)
    Reporting group description
    Subjects received single oral dose of 4.1 mg/kg of ALS-008176.

    Reporting group title
    SAD: ALS-008176 (12 mg/kg)
    Reporting group description
    Subjects received single oral dose of 12 mg/kg of ALS-008176.

    Reporting group title
    SAD: ALS-008176 (25 mg/kg)
    Reporting group description
    Subjects received single oral dose of 25 mg/kg of ALS-008176.

    Reporting group title
    MAD: ALS-008176 (4.1/1.37 mg/kg)
    Reporting group description
    Subjects received 1 loading dose of 4.1 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 1.37 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    MAD: ALS-008176 (10/2 mg/kg)
    Reporting group description
    Subjects received loading dose of 10 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 2 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    MAD: ALS-008176 (30/6 mg/kg)
    Reporting group description
    Subjects received loading dose of 30 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 9 doses of 6 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    MAD: ALS-008176 (30/10 mg/kg)
    Reporting group description
    Subjects received loading dose of 30 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 10 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    MAD: ALS-008176 (40/20 mg/kg)
    Reporting group description
    Subjects received loading dose of 40 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 20 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    MAD: ALS-008176 (60/40 mg/kg)
    Reporting group description
    Subjects received loading dose of 60 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 40 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    Placebo
    Reporting group description
    Subjects received Placebo orally in SAD and MAD part.

    Subject analysis set title
    SAD: Placebo
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    Subjects received Placebo orally in SAD part.

    Subject analysis set title
    MAD: Placebo
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    Subjects received Placebo orally in MAD part.

    Primary: SAD: Number of Subjects with Treatment Emergent Adverse Events (TEAEs)

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    End point title
    SAD: Number of Subjects with Treatment Emergent Adverse Events (TEAEs) [1] [2]
    End point description
    An adverse event is any untoward medical event that occurs in a subjects administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. Safety Analysis Set defined as all randomized subjects who received at least 1 dose of study medication.
    End point type
    Primary
    End point timeframe
    Approximately 4 years
    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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) SAD: Placebo MAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    5
    14
    8
    17
    18
    16
    17
    33
    Units: Subjects
    14
    8
    6
    2
    4
    9
    4
    13
    13
    14
    4
    20
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Physical Examination (Temperature)

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    End point title
    SAD: Change From Baseline in Physical Examination (Temperature) [3] [4]
    End point description
    Change from baseline in temperature was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    Baseline up to Day 7
    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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: Degree celsius
    arithmetic mean (standard deviation)
        Change at Day 1, 0.5-1h (n=18,18,14,3,15)
    -0.1 ( 0.80 )
    -0.2 ( 0.56 )
    -0.3 ( 0.78 )
    0.3 ( 1.74 )
    -0.0 ( 0.74 )
        Change at Day 2, 24h (n=18, 18, 14, 3, 17)
    -0.0 ( 0.68 )
    -0.1 ( 0.64 )
    -0.5 ( 0.77 )
    -0.3 ( 1.07 )
    -0.1 ( 0.66 )
        Change at Day 3 (n=15, 14, 11, 2, 8)
    -0.1 ( 0.59 )
    0.0 ( 0.66 )
    -0.7 ( 0.76 )
    -1.3 ( 1.48 )
    -0.0 ( 0.57 )
        Change at Day 4 (n=12, 6, 7, 1, 3)
    -0.2 ( 0.64 )
    0.0 ( 0.58 )
    -0.6 ( 0.79 )
    0.7 ( 99999 )
    -0.5 ( 0.35 )
        Change at Day 5 (n=6, 4, 6, 0, 2)
    0.1 ( 0.57 )
    -0.0 ( 0.45 )
    -0.8 ( 0.71 )
    99999 ( 99999 )
    -0.4 ( 0.21 )
        Change at Day 6 (n=1, 2, 2, 0, 5, 1)
    0.2 ( 99999 )
    0.1 ( 0.28 )
    -0.4 ( 0.99 )
    99999 ( 99999 )
    -1.7 ( 99999 )
        Change at Day 7 (n=18, 17, 14, 2, 16)
    -0.1 ( 0.74 )
    -0.1 ( 0.63 )
    -0.9 ( 0.87 )
    -1.2 ( 0.78 )
    -0.2 ( 0.68 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline for Physical Examination (Respiratory Rate)

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    End point title
    SAD: Change From Baseline for Physical Examination (Respiratory Rate) [5] [6]
    End point description
    Change from baseline in respiratory rate was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    Baseline up to Day 7
    Notes
    [5] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: Breaths per minute
    arithmetic mean (standard deviation)
        Change at Day 1, (n=18,18,14,3,16)
    1.7 ( 12.53 )
    1.8 ( 6.53 )
    -0.1 ( 5.88 )
    -1.3 ( 4.16 )
    0.8 ( 12.31 )
        Change at Day 2, (n=18, 18, 14, 3, 17)
    -2.2 ( 13.17 )
    -2.4 ( 6.20 )
    -2.4 ( 8.49 )
    2.7 ( 1.53 )
    -2.6 ( 12.56 )
        Change at Day 3 (n=15, 14, 10, 2, 8)
    -2.3 ( 11.63 )
    -3.1 ( 8.34 )
    -7.6 ( 6.83 )
    3.0 ( 1.41 )
    -0.8 ( 16.99 )
        Change at Day 4 (n=11, 6, 6, 1, 3)
    -1.2 ( 16.77 )
    -3.3 ( 8.66 )
    -4.7 ( 7.76 )
    0.0 ( 99999 )
    2.7 ( 12.70 )
        Change at Day 5 (n=5, 4, 5, 0, 2)
    -4.6 ( 14.62 )
    -4.0 ( 8.04 )
    -5.2 ( 6.10 )
    99999 ( 99999 )
    2.0 ( 2.83 )
        Change at Day 6 (n=1, 2, 2, 0, 1)
    -10.0 ( 99999 )
    -6.0 ( 5.66 )
    2.0 ( 8.49 )
    99999 ( 99999 )
    0.0 ( 99999 )
        Change at Day 7 (n=18, 17, 14, 2, 16)
    -9.2 ( 12.50 )
    -3.0 ( 9.05 )
    -5.3 ( 6.76 )
    1.0 ( 1.41 )
    -5.0 ( 12.77 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Physical Examination (Heart Rate)

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    End point title
    SAD: Change From Baseline in Physical Examination (Heart Rate) [7] [8]
    End point description
    Change from baseline in Heart rate was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    Baseline up to Day 7
    Notes
    [7] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: Beats per minute
    arithmetic mean (standard deviation)
        Change at Day 1, 0.5-1h (n=18,18,14,3,16)
    -4.8 ( 21.66 )
    -3.1 ( 25.99 )
    -12.7 ( 20.37 )
    -6.3 ( 19.09 )
    -10.9 ( 20.58 )
        Change at Day 2, 24h (n=18,18,14,3,17)
    -10.5 ( 26.83 )
    -3.9 ( 18.46 )
    -13.5 ( 29.85 )
    6.7 ( 23.18 )
    -13.9 ( 22.80 )
        Change at Day 3 (n=15, 14, 11, 2, 8)
    -5.0 ( 30.03 )
    -6.8 ( 22.95 )
    -11.6 ( 23.35 )
    10.0 ( 32.53 )
    -11.3 ( 18.84 )
        Change at Day 4 (n=12, 6, 7, 1, 3)
    -12.3 ( 26.70 )
    -6.8 ( 32.18 )
    -12.1 ( 19.68 )
    4.0 ( 99999 )
    1.3 ( 2.31 )
        Change at Day 5 (n=6, 4, 6, 0, 2)
    -12.7 ( 23.73 )
    -0.3 ( 28.23 )
    -21.0 ( 19.46 )
    99999 ( 99999 )
    0.0 ( 8.49 )
        Change at Day 6 (n=1, 2, 2, 0, 1)
    5.0 ( 99999 )
    -11.5 ( 48.79 )
    4.0 ( 29.70 )
    99999 ( 99999 )
    -48.0 ( 99999 )
        Change at Day 7 (n=18, 17, 14, 2, 16)
    -17.2 ( 25.76 )
    -6.1 ( 26.30 )
    -10.7 ( 28.48 )
    8.0 ( 1.41 )
    -14.4 ( 18.86 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Physical Examination (Weight)

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    End point title
    SAD: Change From Baseline in Physical Examination (Weight) [9] [10]
    End point description
    Change from Baseline in weight was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "n" indicates number of subjects evaluated at specified timepoints.
    End point type
    Primary
    End point timeframe
    Baseline, Day 2 and Day 7
    Notes
    [9] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: Kilogram (kg)
    arithmetic mean (standard deviation)
        Change at Day 2, 24h (n=18,17,13,3,12)
    -0.0 ( 0.37 )
    -0.0 ( 0.08 )
    0.0 ( 0.21 )
    0.0 ( 0.22 )
    -0.0 ( 0.10 )
        Change at Day 7 (n=18, 17, 14, 2, 16)
    -0.1 ( 0.45 )
    -0.2 ( 0.45 )
    -0.1 ( 0.14 )
    0.2 ( 0.30 )
    -0.1 ( 0.27 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Physical Examination (Body Mass Index [BMI])

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    End point title
    SAD: Change From Baseline in Physical Examination (Body Mass Index [BMI]) [11] [12]
    End point description
    Change from baseline in BMI was assessed and measured in kilogram per square meter (kg/m^2). Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "n" indicates number of subjects evaluated at specified timepoints.
    End point type
    Primary
    End point timeframe
    Baseline, Day 2 and Day 7
    Notes
    [11] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive statistics were done, no inferential statistical analyses were performed.
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: kg/m^2
    arithmetic mean (standard deviation)
        Change at Day 2, 24h (n=17, 16, 13, 3, 12)
    -0.2 ( 1.09 )
    -0.0 ( 0.24 )
    -0.0 ( 0.51 )
    0.1 ( 0.61 )
    -0.1 ( 0.25 )
        Change at Day 7 (n=17, 16, 14, 2, 16)
    -0.2 ( 1.25 )
    -0.5 ( 1.06 )
    -0.2 ( 0.35 )
    0.4 ( 0.65 )
    -0.1 ( 0.63 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Physical Examination (Blood Pressure: Systolic Blood Pressure [sBP] and Distolic Blood Pressure [dBP])

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    End point title
    SAD: Change From Baseline in Physical Examination (Blood Pressure: Systolic Blood Pressure [sBP] and Distolic Blood Pressure [dBP]) [13] [14]
    End point description
    Change from baseline in Blood pressure: sBP and dBP was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    Baseline up to Day 7
    Notes
    [13] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: Millimeter of Mercury (mmHg)
    arithmetic mean (standard deviation)
        sBP:Change at Day 1, (n=17,18,12,3,14)
    -2.5 ( 9.99 )
    -0.6 ( 9.22 )
    5.4 ( 23.05 )
    1.0 ( 9.64 )
    5.6 ( 12.84 )
        sBP:Change at Day 2, (n=17,18,13,3,13)
    -5.4 ( 18.46 )
    -0.9 ( 8.16 )
    4.5 ( 18.21 )
    7.0 ( 7.94 )
    3.8 ( 17.82 )
        sBP:Change at Day 3 (n=14, 13, 10, 1, 7)
    -5.1 ( 12.25 )
    1.5 ( 8.84 )
    0.0 ( 11.99 )
    -3.0 ( 99999 )
    5.9 ( 5.15 )
        sBP:Change at Day 4 (n=9, 6, 6, 0, 3)
    -5.3 ( 14.10 )
    1.8 ( 16.73 )
    -0.2 ( 12.06 )
    99999 ( 99999 )
    11.3 ( 14.47 )
        sBP:Change at Day 5 (n=4, 4, 5, 0, 2)
    -0.3 ( 3.69 )
    -9.5 ( 13.33 )
    3.2 ( 14.75 )
    99999 ( 99999 )
    5.0 ( 12.73 )
        sBP:Change at Day 6 (n=1, 1, 2, 0, 1)
    -5.0 ( 99999 )
    5.0 ( 99999 )
    -7.5 ( 0.71 )
    99999 ( 99999 )
    4.0 ( 99999 )
        sBP:Change at Day 7 (n=16, 16, 12, 2, 14)
    -9.8 ( 14.80 )
    2.6 ( 21.07 )
    4.9 ( 31.61 )
    1.0 ( 12.73 )
    7.1 ( 13.95 )
        dBP:Change at Day 1 (n=17, 18, 12, 3, 14)
    -3.4 ( 10.95 )
    5.1 ( 16.46 )
    3.7 ( 14.57 )
    1.0 ( 17.35 )
    0.5 ( 15.30 )
        dBP:Change at Day 2 (n=17, 18, 13, 3, 13)
    -5.2 ( 12.20 )
    3.3 ( 11.65 )
    1.6 ( 16.19 )
    -1.3 ( 14.98 )
    5.0 ( 14.66 )
        dBP:Change at Day 3 (n=14, 13, 10, 1, 7)
    -5.6 ( 10.02 )
    4.3 ( 14.29 )
    1.2 ( 8.23 )
    -11.0 ( 99999 )
    -5.3 ( 8.94 )
        dBP:Change at Day 4 (n=9, 6, 6, 0, 3)
    -4.3 ( 6.65 )
    -0.3 ( 10.91 )
    -10.8 ( 12.81 )
    99999 ( 99999 )
    -5.0 ( 17.78 )
        dBP:Change at Day 5 (n=4, 4, 5, 0, 2)
    2.5 ( 6.45 )
    -2.8 ( 9.91 )
    -3.6 ( 9.07 )
    99999 ( 99999 )
    -16.0 ( 5.66 )
        dBP:Change at Day 6 (n=1, 1, 2, 0, 1)
    15.0 ( 99999 )
    0.0 ( 99999 )
    -3.5 ( 6.36 )
    99999 ( 99999 )
    1.0 ( 99999 )
        dBP:Change at Day 7 (n=16, 16, 12, 2, 14)
    -3.7 ( 12.99 )
    2.1 ( 15.82 )
    -1.3 ( 14.28 )
    15.5 ( 0.71 )
    6.4 ( 13.21 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline for 12-lead Electrocardiogram (ECG) Parameters

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    End point title
    SAD: Change From Baseline for 12-lead Electrocardiogram (ECG) Parameters [15] [16]
    End point description
    Change from Baseline in ECG (RR interval, PR interval, QRS interval, QT interval, QTcB interval, QTcF interval) was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "n" indicates number of subjects evaluated at specified timepoints.
    End point type
    Primary
    End point timeframe
    Baseline up to Day 7
    Notes
    [15] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: millisecond (msec)
    arithmetic mean (standard deviation)
        RR interval: Change at Day 1(n=18, 16, 14, 3, 17)
    5.7 ( 79.52 )
    26.6 ( 82.92 )
    38.0 ( 92.81 )
    5.3 ( 104.58 )
    11.6 ( 54.87 )
        RR interval: Change at Day 7(n=18, 16, 13, 2, 16)
    10.7 ( 72.99 )
    2.7 ( 60.06 )
    36.5 ( 107.57 )
    61.5 ( 21.92 )
    38.6 ( 73.31 )
        PR interval: Change at Day 1(n=18, 16, 14, 3, 17)
    0.3 ( 22.78 )
    0.4 ( 18.74 )
    -2.7 ( 15.48 )
    2.7 ( 7.02 )
    -2.4 ( 15.26 )
        PR interval: Change at Day 7(n=18, 16, 13, 2, 16)
    -6.2 ( 21.59 )
    -4.8 ( 21.86 )
    -5.9 ( 11.81 )
    -6.0 ( 16.97 )
    3.2 ( 13.18 )
        QRS interval:Change at Day 1(n=18, 16, 14, 3, 17)
    -0.6 ( 24.77 )
    -1.6 ( 11.75 )
    -5.7 ( 11.66 )
    -1.0 ( 2.65 )
    -0.4 ( 19.13 )
        QRS interval:Change at Day 7(n=18, 16, 13, 2, 16)
    -4.3 ( 21.27 )
    1.8 ( 16.47 )
    -3.8 ( 12.43 )
    2.0 ( 5.66 )
    -1.1 ( 17.37 )
        QT interval:Change at Day 1(n= 18, 16, 14, 3, 17)
    0.9 ( 44.51 )
    1.8 ( 23.10 )
    -7.6 ( 66.76 )
    4.0 ( 30.27 )
    -3.5 ( 43.52 )
        QT interval:Change at Day 7(n=18, 16, 13, 2, 16)
    3.7 ( 49.72 )
    0.7 ( 26.66 )
    -3.5 ( 64.44 )
    43.5 ( 24.75 )
    4.5 ( 38.97 )
        QTcB interval:Change at Day 1(n=18,16,13,3,17)
    -2.7 ( 65.31 )
    -9.2 ( 21.47 )
    -13.1 ( 44.88 )
    3.0 ( 5.29 )
    -20.7 ( 72.59 )
        QTcB interval:Change at Day 7(n=18, 16,13,2,16)
    -3.3 ( 68.45 )
    4.6 ( 40.58 )
    -2.4 ( 36.56 )
    36.5 ( 23.33 )
    -17.8 ( 68.46 )
        QTcF interval:Change at Day 1(n=18, 16,14,3,17)
    -0.4 ( 55.72 )
    -3.2 ( 16.70 )
    -4.6 ( 40.59 )
    3.3 ( 10.69 )
    -12.9 ( 82.87 )
        QTcF interval:Change at Day 7(n=18,16,13,2,16)
    1.3 ( 60.19 )
    5.1 ( 30.78 )
    1.9 ( 28.37 )
    40.5 ( 24.75 )
    -5.3 ( 52.04 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Clinical Laboratory Parameter (Serum Chemistry-Alkaline Phosphatase [AP], Alanine Aminotransferase [ALA], Aspartate Aminotransferase [ASA], Creatine Kinase [CrK])

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    End point title
    SAD: Change From Baseline in Clinical Laboratory Parameter (Serum Chemistry-Alkaline Phosphatase [AP], Alanine Aminotransferase [ALA], Aspartate Aminotransferase [ASA], Creatine Kinase [CrK]) [17] [18]
    End point description
    Change from baseline in Serum Chemistry-AP, ALA, ASA, CrK were assessed. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline, Day 1 and Day 7
    Notes
    [17] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: Microkatal per liter
    arithmetic mean (standard deviation)
        AP:Change at Day 1, 3h (n=7, 7, 6, 1, 8)
    -0.300 ( 0.4948 )
    -0.440 ( 1.3063 )
    -0.094 ( 0.1361 )
    -0.167 ( 99999 )
    0.050 ( 0.2049 )
        AP:Change at Day 1, 7h (n=7, 8, 7, 2 ,6)
    -0.241 ( 0.2095 )
    -0.204 ( 0.5564 )
    -0.088 ( 0.4043 )
    0.208 ( 0.1061 )
    -0.119 ( 0.3383 )
        AP:Change at Day 7 (n=18, 16, 13, 2, 16)
    0.172 ( 0.9051 )
    0.414 ( 0.8600 )
    0.012 ( 0.7169 )
    1.125 ( 0.2004 )
    0.362 ( 1.1151 )
        ALA:Change at Day 1, 3h (n=7, 7, 7, 1, 7)
    -0.009 ( 0.0841 )
    -0.008 ( 0.0337 )
    -0.012 ( 0.0826 )
    -0.017 ( 99999 )
    0.000 ( 0.0491 )
        ALA:Change at Day 1, 7h (n=7, 8, 7, 2, 6)
    -0.062 ( 0.0967 )
    0.060 ( 0.2745 )
    -0.002 ( 0.0619 )
    0.000 ( 0.0000 )
    -0.025 ( 0.0673 )
        ALA:Change at Day 7 (n=18, 17, 13, 2, 16)
    0.040 ( 0.2101 )
    -0.376 ( 1.2695 )
    0.077 ( 0.3084 )
    0.000 ( 0.0707 )
    0.020 ( 0.1564 )
        ASA:Change at Day 1, 3h (n=6, 7, 5, 0, 6)
    -0.041 ( 0.0886 )
    0.022 ( 0.1012 )
    0.103 ( 0.1639 )
    99999 ( 99999 )
    0.083 ( 0.0803 )
        ASA:Change at Day 1, 7h (n=5, 6, 6, 2, 5)
    -0.004 ( 0.0766 )
    0.217 ( 0.4365 )
    -0.061 ( 0.1754 )
    0.092 ( 0.1061 )
    0.200 ( 0.3156 )
        ASA:Change at Day 7 (n=15, 14, 12, 2, 12)
    0.027 ( 0.2693 )
    -0.252 ( 0.7332 )
    0.032 ( 0.2700 )
    0.083 ( 0.0943 )
    -0.050 ( 0.2278 )
        CrK:Change at Day 1, 3h (n=7, 6, 6, 1, 8)
    -0.100 ( 1.3554 )
    -0.967 ( 2.1592 )
    0.008 ( 0.4103 )
    0.033 ( 99999 )
    -0.517 ( 0.8730 )
        CrK:Change at Day 1, 7h (n=6, 7, 7, 2, 4)
    -0.172 ( 0.4526 )
    -0.040 ( 0.6998 )
    -0.031 ( 0.4879 )
    0.108 ( 0.0589 )
    -0.146 ( 0.7974 )
        CrK:Change at Day 7 (n=17, 13, 13, 2, 13)
    0.001 ( 1.9922 )
    -1.500 ( 4.0774 )
    2.958 ( 9.4720 )
    0.675 ( 0.1532 )
    -0.044 ( 1.9820 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Clinical Laboratory Parameter (Serum Chemistry-Bilirubin, Direct Bilirubin [DB], and Indirect Bilirubin [IB], Creatinine [Cr])

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    End point title
    SAD: Change From Baseline in Clinical Laboratory Parameter (Serum Chemistry-Bilirubin, Direct Bilirubin [DB], and Indirect Bilirubin [IB], Creatinine [Cr]) [19] [20]
    End point description
    Change From Baseline in Serum Chemistry-Bilirubin, Direct Bilirubin (DB), Indirect Bilirubin (IB), and Creatinine (Cr) were assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    For DB and IB: From Baseline, Day 1, Day 3 and Day 7 and for Cr: From Baseline, Day 1, Day 3, Day 4 and Day 7
    Notes
    [19] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [20] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: Micromoles per liter (mcmol/L)
    arithmetic mean (standard deviation)
        Bilirubin:Change at Day 1, 3h (n=7,6,7,1,8)
    -2.178 ( 3.2316 )
    -0.599 ( 0.9288 )
    -0.942 ( 1.3241 )
    0.000 ( 99999 )
    -0.516 ( 1.8990 )
        Bilirubin:Change at Day 1, 7h (n=7,7,7,2,6)
    -0.310 ( 0.4754 )
    -0.216 ( 2.1765 )
    -0.126 ( 1.5381 )
    -1.000 ( 1.4142 )
    -2.594 ( 4.7885 )
        Bilirubin:Change at Day 3 (n=1, 0, 0, 0, 0)
    0.171 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Bilirubin: Change at Day 7 (n=18, 15, 13, 2, 16)
    -1.809 ( 5.7567 )
    0.390 ( 3.7937 )
    0.155 ( 2.7809 )
    -0.500 ( 0.7071 )
    -0.142 ( 4.7240 )
        DB: Change at Day 1, 3h (n=5, 5, 4, 0, 6)
    -1.626 ( 1.0669 )
    -0.039 ( 0.7201 )
    -0.385 ( 0.8872 )
    99999 ( 99999 )
    -0.366 ( 0.8641 )
        DB: Change at Day 1, 7h (n=4, 5, 5, 1, 3)
    0.428 ( 0.8550 )
    0.000 ( 1.0747 )
    0.239 ( 0.2294 )
    0.000 ( 99999 )
    -0.570 ( 0.9873 )
        DB: Change at Day 3 (n=1, 0, 0, 0, 0)
    0.171 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        DB: Change at Day 7 (n=10, 10, 9, 1, 9)
    0.117 ( 0.8729 )
    0.425 ( 1.7729 )
    -0.247 ( 1.3895 )
    0.000 ( 99999 )
    1.374 ( 4.2736 )
        IB: Change at Day 1, 3h (n=3, 3, 1, 0, 4)
    -1.430 ( 4.0490 )
    -0.570 ( 0.9873 )
    -0.342 ( 99999 )
    99999 ( 99999 )
    -0.770 ( 1.2527 )
        IB: Change at Day 1, 7h (n=3, 1, 3, 1, 2)
    -0.627 ( 0.9418 )
    -1.710 ( 99999 )
    0.342 ( 2.2361 )
    0.000 ( 99999 )
    -0.941 ( 1.0882 )
        IB: Change as Day 3 (n=1, 0, 0, 0, 0)
    0.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        IB: Change at Day 7 (n=7, 4, 4, 1, 6)
    0.081 ( 1.6524 )
    -2.693 ( 3.7681 )
    2.309 ( 3.2848 )
    0.000 ( 99999 )
    1.254 ( 3.1728 )
        Cr: Change at Day 1, 3h (n=6, 7, 7, 1, 8)
    -0.167 ( 1.6021 )
    -1.449 ( 3.8813 )
    -0.027 ( 4.2436 )
    0.000 ( 99999 )
    3.774 ( 9.3274 )
        Cr: Change at Day 1, 7h (n=7, 8, 7, 2, 7)
    -0.538 ( 5.8116 )
    -1.013 ( 3.8128 )
    -0.126 ( 7.1625 )
    -0.500 ( 0.7071 )
    -2.389 ( 3.8129 )
        Cr: Change at Day 3 (n=1, 0, 1, 0, 0)
    -0.884 ( 99999 )
    99999 ( 99999 )
    0.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Cr: Change at Day 4 (n=0, 1, 0, 0, 0)
    99999 ( 99999 )
    -6.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Cr: Change at Day 7 (n=18, 17, 13, 2, 16)
    1.403 ( 2.3512 )
    2.024 ( 3.6523 )
    3.386 ( 11.6813 )
    1.500 ( 2.1213 )
    0.353 ( 6.7510 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Clinical Laboratory Parameter (Serum Chemistry-Blood Urea Nitrogen [BUN], Derived Urea [DU], Chloride [Cl], Bicarbonate [BiC], Glucose [Glu], Potassium [K], Sodium[Na])

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    End point title
    SAD: Change From Baseline in Clinical Laboratory Parameter (Serum Chemistry-Blood Urea Nitrogen [BUN], Derived Urea [DU], Chloride [Cl], Bicarbonate [BiC], Glucose [Glu], Potassium [K], Sodium[Na]) [21] [22]
    End point description
    Change from baseline for clinical laboratory parameter (Serum chemistry- Blood Urea Nitrogen [BUN], Derived Urea [DU], Chloride [Cl], Bicarbonate [BiC], Glucose [Glu], Potassium [K], and Sodium [Na]) was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    For BUN and DU: From Baseline, Day 1, Day 3, Day 7; for Cl, K and Na: From baseline, Day 1, 3, 4, 6 and Day 7
    Notes
    [21] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive statistics were done, no inferential statistical analyses were performed.
    [22] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: Millimoles per liter (mmol/L)
    arithmetic mean (standard deviation)
        BUN: Change at Day 1, 3h Postdose(n=6, 6, 4, 0, 4)
    0.075 ( 0.3764 )
    0.292 ( 0.6872 )
    -0.018 ( 0.5136 )
    99999 ( 99999 )
    0.062 ( 0.3969 )
        BUN: Change at Day 1, 7h Postdose(n=4, 6, 5, 0, 4)
    0.134 ( 0.5518 )
    -0.014 ( 0.7761 )
    -0.221 ( 0.5544 )
    99999 ( 99999 )
    -0.687 ( 0.5884 )
        BUN: Change at Day 3 (n=0, 0, 1, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    0.678 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        BUN: Change at Day 7 (n=10, 11, 9, 1, 8)
    0.597 ( 0.7556 )
    0.831 ( 1.0460 )
    0.409 ( 0.7407 )
    1.071 ( 99999 )
    0.228 ( 1.4166 )
        DU: Change at Day 1, 3h(n=6, 8, 7, 1, 8)
    -0.261 ( 0.5504 )
    0.151 ( 0.6290 )
    -0.339 ( 0.6782 )
    0.000 ( 99999 )
    -0.106 ( 0.3757 )
        DU: Change at Day 1, 7h(n=7, 8, 7, 1, 7)
    -0.038 ( 0.5881 )
    0.080 ( 0.6776 )
    -0.015 ( 0.6182 )
    0.200 ( 99999 )
    -0.393 ( 0.9118 )
        DU: Change at Day 3 (n=0, 0, 1, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    0.678 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        DU: Change at Day 7 (n=17, 17, 13, 2, 15)
    0.217 ( 0.6580 )
    0.926 ( 1.0024 )
    0.652 ( 0.9884 )
    0.836 ( 0.3330 )
    0.368 ( 1.1038 )
        Cl: Change at Day 1, 3h Postdose (n=6, 8, 6, 0 7)
    -1.167 ( 2.1370 )
    -1.625 ( 2.0659 )
    0.400 ( 2.9933 )
    99999 ( 99999 )
    -0.643 ( 1.9730 )
        Cl: Change at Day 1; 7h Postdose(n=7, 8, 6, 2, 5)
    -0.286 ( 1.7995 )
    -0.575 ( 2.3457 )
    -0.500 ( 3.1464 )
    0.000 ( 0.0000 )
    -0.560 ( 2.9846 )
        Cl: Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    -6.300 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -3.800 ( 99999 )
        Cl: Change at Day 4 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -1.100 ( 99999 )
        Cl: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -4.300 ( 99999 )
        Cl: Change at Day 7 (n=17, 16, 13, 2, 13)
    0.176 ( 3.5397 )
    -0.131 ( 3.3380 )
    0.015 ( 2.9274 )
    3.000 ( 0.0000 )
    0.469 ( 2.8238 )
        BiC:Change at Day 1, 3h Postdose (n=6, 7, 6, 0, 7)
    0.367 ( 1.7500 )
    1.771 ( 2.8929 )
    0.667 ( 2.4312 )
    99999 ( 99999 )
    -2.686 ( 4.7355 )
        BiC:Change at Day 1; 7h Postdose (n=7, 8, 7, 2, 5)
    -0.614 ( 2.6143 )
    0.325 ( 2.1881 )
    0.157 ( 2.3999 )
    -0.050 ( 0.3536 )
    -1.440 ( 2.7181 )
        BiC: Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    -1.100 ( 99999 )
    99999 ( 99999 )
    1.600 ( 99999 )
        BiC: Change at Day 4 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -2.500 ( 99999 )
        BiC: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    2.200 ( 99999 )
        BiC: Change at Day 7 (n=16, 14, 13, 2, 11)
    -2.463 ( 4.5964 )
    -2.486 ( 2.5792 )
    -1.015 ( 3.2761 )
    -3.200 ( 0.0000 )
    -2.073 ( 3.5508 )
        Glu: Change at Day 1, 3h(n=6, 6, 6, 0, 7)
    -0.559 ( 1.0626 )
    -1.638 ( 3.1932 )
    0.348 ( 0.5935 )
    99999 ( 99999 )
    0.144 ( 0.6468 )
        Glu: Change at Day 1, 7h(n=7, 8, 6, 2, 5)
    -0.370 ( 0.7408 )
    -0.468 ( 1.0589 )
    6.510 ( 13.7761 )
    -0.244 ( 0.2040 )
    -0.418 ( 0.9007 )
        Glu: Change at Day 7 (n=16, 17, 12, 2, 14)
    -0.973 ( 1.1516 )
    -1.020 ( 1.8882 )
    -0.455 ( 0.6583 )
    -1.239 ( 0.6526 )
    -0.636 ( 1.2004 )
        K: Change at Day 1, 3h Postdose(n=7, 8, 7, 1, 8)
    -0.029 ( 0.3450 )
    -0.083 ( 0.6207 )
    -0.069 ( 0.3458 )
    0.800 ( 99999 )
    0.200 ( 0.5555 )
        K: Change at Day 1, 7h Postdose(n=7, 8, 6, 2, 6)
    -0.416 ( 0.4176 )
    -0.063 ( 0.5208 )
    -0.143 ( 0.6191 )
    0.750 ( 0.7778 )
    0.592 ( 1.0754 )
        K: Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    0.480 ( 99999 )
    99999 ( 99999 )
    0.350 ( 99999 )
        K: Change at Day 4 (n=0, 1, 0, 0, 1)
    99999 ( 99999 )
    0.300 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.620 ( 99999 )
        K: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.840 ( 99999 )
        K: Change at Day 7 (n=18, 17, 13, 2, 16)
    0.281 ( 0.7417 )
    0.324 ( 0.8241 )
    0.437 ( 1.2304 )
    0.400 ( 0.2828 )
    0.312 ( 0.7808 )
        Na: Change at Day 1, 3h(n=7, 8, 7, 1, 8)
    -1.143 ( 0.9163 )
    -0.988 ( 2.9406 )
    1.143 ( 3.5322 )
    0.000 ( 99999 )
    -1.000 ( 3.0706 )
        Na: Change at Day 1, 7h(n=7, 8, 6, 2, 7)
    -0.543 ( 2.9563 )
    -0.500 ( 2.7255 )
    -1.833 ( 4.8339 )
    0.000 ( 0.0000 )
    0.000 ( 2.8868 )
        Na: Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    -1.000 ( 99999 )
    99999 ( 99999 )
    -1.000 ( 99999 )
        Na: Change at Day 4 (n=0, 1, 0, 0, 1)
    99999 ( 99999 )
    3.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -2.000 ( 99999 )
        Na: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -3.000 ( 99999 )
        Na: Change at Day 7 (n=18, 17, 13, 2, 16)
    -0.761 ( 2.2968 )
    -0.818 ( 2.9394 )
    0.154 ( 2.8532 )
    0.500 ( 0.7071 )
    -0.063 ( 2.5682 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Clinical laboratory Parameter (Hematology-Reticulocyte Absolute [RA], Platelets [Pl], Leukocytes [LU], Monocytes [MO], Neutrophils [NE])

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    End point title
    SAD: Change From Baseline in Clinical laboratory Parameter (Hematology-Reticulocyte Absolute [RA], Platelets [Pl], Leukocytes [LU], Monocytes [MO], Neutrophils [NE]) [23] [24]
    End point description
    Change from baseline in Hematology- reticulocyte, Absolute (RA), Platelets (Pl), Leukocytes (LU), Monocytes (MO) and Neutrophils (NE) were assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    For RA, MO, NE: From Baseline, Day 1 and Day 7; For Pl, LU: From Baseline, Day 1, Day 3, Day 6 and Day 7
    Notes
    [23] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [24] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: 10^9 per liter
    arithmetic mean (standard deviation)
        RA: Change at Day, 3h (n=1, 1, 2, 1, 2)
    -3.200 ( 99999 )
    -0.200 ( 99999 )
    -2.250 ( 2.4749 )
    -0.200 ( 99999 )
    3.750 ( 0.4950 )
        RA: Change at Day 1, 7h (n=3, 3, 1, 1, 1)
    3.333 ( 6.1101 )
    2.873 ( 5.2253 )
    33.000 ( 99999 )
    5.300 ( 99999 )
    38.640 ( 99999 )
        RA: Change at Day 7 (n=5, 5, 3, 0, 6)
    18.920 ( 14.0901 )
    45.500 ( 28.2952 )
    83.533 ( 28.3285 )
    99999 ( 99999 )
    48.710 ( 32.0216 )
        Pl: Change at Day 1, 3h (n=7, 8, 7, 1, 7)
    15.429 ( 51.6135 )
    -11.500 ( 104.8768 )
    17.143 ( 83.8718 )
    52.000 ( 99999 )
    28.000 ( 57.2655 )
        Pl: Change at Day 1, 7h (n=7, 8, 6, 2, 5)
    4.286 ( 58.9992 )
    81.375 ( 147.4807 )
    -13.667 ( 73.7500 )
    17.500 ( 10.6066 )
    -21.400 ( 246.0616 )
        Pl: Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    77.000 ( 99999 )
    99999 ( 99999 )
    -95.000 ( 99999 )
        Pl: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    45.000 ( 99999 )
        Pl: Change at Day 7 (n=17, 16, 12, 0, 16)
    239.765 ( 250.8260 )
    214.438 ( 204.2335 )
    226.750 ( 181.5404 )
    99999 ( 99999 )
    188.375 ( 144.8916 )
        LU: Change at Day 1, 3h (n=7, 8, 7, 1, 7)
    -1.194 ( 3.1878 )
    -2.008 ( 2.9722 )
    1.864 ( 6.7045 )
    1.470 ( 99999 )
    0.254 ( 2.0285 )
        LU: Change at Day 1, 7h (n=7, 8, 6, 2, 6)
    -1.730 ( 3.6807 )
    1.366 ( 2.3019 )
    1.073 ( 2.3062 )
    0.210 ( 0.1273 )
    -0.523 ( 6.4347 )
        LU: Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    5.500 ( 99999 )
    99999 ( 99999 )
    -12.900 ( 99999 )
        LU: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -6.800 ( 99999 )
        LU: Change at Day 7 (n=17, 16, 12, 0, 16)
    0.549 ( 3.5909 )
    2.682 ( 4.6478 )
    3.398 ( 4.6757 )
    99999 ( 99999 )
    0.431 ( 4.6811 )
        MO: Change at Day 1, 3h (n=4, 7, 5, 1, 7)
    -0.4108 ( 0.34710 )
    -0.5242 ( 1.18012 )
    -0.0629 ( 0.75397 )
    0.4300 ( 99999 )
    -0.0325 ( 0.36931 )
        MO: Change at Day 1, 7h (n=5, 5, 4, 1, 5)
    -0.2473 ( 0.74147 )
    0.2852 ( 0.66781 )
    -0.1637 ( 0.14324 )
    0.0300 ( 99999 )
    0.1278 ( 0.52287 )
        MO: Change at Day 7 (n=12, 12, 8, 0, 15)
    -0.5250 ( 1.00177 )
    -0.0051 ( 0.97576 )
    -0.0045 ( 0.75931 )
    99999 ( 99999 )
    -0.0492 ( 0.48357 )
        NE: Change at Day 1, 3h (n=4, 7, 5, 1, 7)
    -1.0579 ( 1.81701 )
    -1.0449 ( 1.77922 )
    0.3576 ( 4.94630 )
    -0.7800 ( 99999 )
    -0.2936 ( 1.39078 )
        NE: Change at Day 1, 7h (n=5, 6, 4, 2, 5)
    -1.3340 ( 1.49913 )
    1.0500 ( 0.83268 )
    0.6315 ( 1.01518 )
    -1.1300 ( 0.38184 )
    -0.3760 ( 1.51896 )
        NE: Change at Day 7 (n=12, 13, 8, 0, 15)
    -1.3650 ( 3.59894 )
    0.8115 ( 2.57739 )
    0.3376 ( 3.02596 )
    99999 ( 99999 )
    0.0527 ( 2.17787 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Reticulocyte Percent, Hematocrit, Basophils/Leukocytes, Eosinophils/Leukocytes, Monocytes/Leukocytes, Neutrophils/Leukocytes, and Lymphocytes/Leukocytes

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    End point title
    SAD: Change From Baseline in Reticulocyte Percent, Hematocrit, Basophils/Leukocytes, Eosinophils/Leukocytes, Monocytes/Leukocytes, Neutrophils/Leukocytes, and Lymphocytes/Leukocytes [25] [26]
    End point description
    Change from baseline in hematology- Reticulocyte Percent (RE), Hematocrit (HeT), Basophils/Leukocytes (B/LU), Eosinophils/Leukocytes (E/LU), Monocytes/Leukocytes (MO/LU), Neutrophils/Leukocytes (N/LU), and Lymphocytes/Leukocytes (Ly/LU) were assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint in respective arm. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    For RE: From Baseline to Day 1 and Day 7; For HeT, B/LU, E/LU, Ly/LU, MO/LU and N/LU: From Baseline to Day 1, 3, 6 and Day 7
    Notes
    [25] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [26] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: Fraction of 1
    arithmetic mean (standard deviation)
        RE: Change at Day 1 3h (n=5, 7, 4, 0, 4)
    0.00138 ( 0.002318 )
    0.00157 ( 0.012323 )
    -0.00143 ( 0.000960 )
    99999 ( 99999 )
    0.00158 ( 0.003021 )
        RE: Change at Day 1, 7h (n=4, 4, 5, 1, 2)
    0.00505 ( 0.013516 )
    0.00212 ( 0.003115 )
    -0.00326 ( 0.005209 )
    0.00600 ( 99999 )
    0.00100 ( 0.002828 )
        RE: Change at Day 7 (n=8, 9, 9, 0, 6)
    0.00935 ( 0.010193 )
    0.00739 ( 0.005278 )
    0.00460 ( 0.002929 )
    99999 ( 99999 )
    0.06128 ( 0.133660 )
        HeT: Change at Day 1, 3h (n=7, 8, 6, 1, 7)
    -0.0080 ( 0.02867 )
    -0.0174 ( 0.02573 )
    -0.0080 ( 0.01694 )
    0.0000 ( 99999 )
    0.0093 ( 0.01129 )
        HeT: Change at Day 1, 7h (n=7, 8, 6, 2, 6)
    -0.0011 ( 0.01935 )
    0.0011 ( 0.01618 )
    -0.0113 ( 0.04131 )
    0.0215 ( 0.02616 )
    -0.0418 ( 0.10265 )
        HeT: Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    0.0460 ( 99999 )
    99999 ( 99999 )
    0.0060 ( 99999 )
        HeT: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.0450 ( 99999 )
        HeT: Change at Day 7 (n=17, 16, 12, 0, 16)
    0.0144 ( 0.02895 )
    0.0079 ( 0.02734 )
    0.0241 ( 0.01695 )
    99999 ( 99999 )
    -0.0079 ( 0.06638 )
        B/LU: Change at Day 1, 3h (n=5, 6, 4, 0, 4)
    -0.0002 ( 0.00383 )
    -0.0015 ( 0.01131 )
    0.0030 ( 0.00469 )
    99999 ( 99999 )
    0.0020 ( 0.00542 )
        B/LU: Change at Day 1, 7h (n=4, 5 ,5 ,1 ,3)
    -0.0012 ( 0.00660 )
    0.0018 ( 0.00349 )
    -0.0014 ( 0.00488 )
    0.0019 ( 99999 )
    -0.0047 ( 0.00503 )
        B/LU: Change at Day 3 (n=0, 0, 1, 0 ,1)
    99999 ( 99999 )
    99999 ( 99999 )
    0.0000 ( 99999 )
    99999 ( 99999 )
    0.0000 ( 99999 )
        B/LU: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.0030 ( 99999 )
        B/LU: Change at Day 7 (n=9, 10, 9, 1, 7)
    -0.0012 ( 0.00891 )
    -0.0006 ( 0.01015 )
    -0.0003 ( 0.00819 )
    99999 ( 99999 )
    -0.0020 ( 0.00693 )
        E/LU: Change at Day 1, 3h (n=5, 6, 4, 0, 4)
    0.0016 ( 0.00568 )
    -0.0046 ( 0.01604 )
    -0.0030 ( 0.00476 )
    99999 ( 99999 )
    0.0038 ( 0.01377 )
        E/LU:Change at Day 1, 7h (n=4, 5, 5, 1, 3)
    0.0055 ( 0.00971 )
    -0.0022 ( 0.01291 )
    -0.0008 ( 0.00719 )
    0.0040 ( 99999 )
    -0.0080 ( 0.00721 )
        E/LU:Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    -0.0100 ( 99999 )
    99999 ( 99999 )
    0.0000 ( 99999 )
        E/LU: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.0240 ( 99999 )
        E/LU: Change at Day 7 (n=9, 10, 9, 0, 7)
    0.0296 ( 0.02785 )
    0.0198 ( 0.01600 )
    0.0186 ( 0.01388 )
    99999 ( 99999 )
    0.0209 ( 0.02014 )
        MO/LU:Change at Day 1, 3h (n=5, 6, 4, 0, 4)
    -0.0156 ( 0.02907 )
    -0.0075 ( 0.02661 )
    -0.0573 ( 0.07671 )
    99999 ( 99999 )
    0.0065 ( 0.05313 )
        MO/LU:Change at Day 1, 7h (n=4, 5, 5, 1, 3)
    -0.0320 ( 0.05655 )
    -0.0122 ( 0.00907 )
    -0.0314 ( 0.04378 )
    0.0020 ( 99999 )
    -0.0070 ( 0.02858 )
        MO/LU: Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    -0.1200 ( 99999 )
    99999 ( 99999 )
    0.0600 ( 99999 )
        MO/LU: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.0310 ( 99999 )
        MO/LU: Change at Day 7 (n=9, 10, 9, 0, 7)
    -0.0197 ( 0.04803 )
    -0.0067 ( 0.03467 )
    -0.0504 ( 0.05563 )
    99999 ( 99999 )
    0.0036 ( 0.04837 )
        N/LU: Change at Day 1, 3h (n=5, 6, 4, 0, 4)
    -0.0396 ( 0.12380 )
    -0.0355 ( 0.06897 )
    0.0120 ( 0.08459 )
    99999 ( 99999 )
    -0.0460 ( 0.14651 )
        N/LU: Change at Day 1 7h (n=4, 5, 5, 1, 3)
    -0.0568 ( 0.10584 )
    0.0664 ( 0.06183 )
    -0.0208 ( 0.07854 )
    -0.0940 ( 99999 )
    -0.0400 ( 0.01732 )
        N/LU: Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    0.1800 ( 99999 )
    99999 ( 99999 )
    0.0300 ( 99999 )
        N/LU: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.0910 ( 99999 )
        N/LU: Change at Day 7 (n=9, 10, 9, 0, 7)
    -0.1278 ( 0.19019 )
    -0.0833 ( 0.14232 )
    -0.0551 ( 0.15450 )
    99999 ( 99999 )
    -0.0284 ( 0.19168 )
        Ly/LU: Change at Day 1, 3h (n=5, 6, 4, 0, 4)
    0.0858 ( 0.12152 )
    0.0668 ( 0.07582 )
    0.052 ( 0.04582 )
    99999 ( 99999 )
    0.0363 ( 0.10796 )
        Ly/LU: Change at Day, 7h (n=4, 5, 5, 1, 3)
    0.0945 ( 0.05695 )
    -0.0500 ( 0.03889 )
    0.052 ( 0.07604 )
    0.0870 ( 99999 )
    0.0997 ( 0.06603 )
        Ly/LU: Change at Day 3 (n=0, 0, 1 ,0 ,1)
    99999 ( 99999 )
    99999 ( 99999 )
    -0.0500 ( 99999 )
    99999 ( 99999 )
    0.0900 ( 99999 )
        Ly/LU: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.3050 ( 99999 )
        Ly/LU: Change at Day 7 (n=9, 10, 9, 0, 7)
    0.1458 ( 0.17418 )
    0.0731 ( 0.12663 )
    0.0856 ( 0.19524 )
    99999 ( 99999 )
    -0.0611 ( 0.29588 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Clinical Laboratory Parameter (Hematology- Erythrocytes Mean Corpuscular Hemoglobin)

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    End point title
    SAD: Change From Baseline in Clinical Laboratory Parameter (Hematology- Erythrocytes Mean Corpuscular Hemoglobin) [27] [28]
    End point description
    Change from baseline for hematology- Erythrocytes Mean Corpuscular Hemoglobin was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline to Day 1, 3, 6 and Day 7
    Notes
    [27] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [28] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: Picogram (pg)
    arithmetic mean (standard deviation)
        Change at Day 1, 3h Postdose(n=7, 8, 7, 1, 7)
    -0.286 ( 0.3934 )
    -0.175 ( 0.5800 )
    0.200 ( 0.3786 )
    -0.400 ( 99999 )
    -0.300 ( 0.5000 )
        Change at Day 1, 7h postdose(n=7, 8, 6, 2, 6)
    0.000 ( 0.5715 )
    -0.137 ( 0.7050 )
    0.017 ( 0.8377 )
    -0.100 ( 0.1414 )
    0.067 ( 0.7633 )
        Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    0.000 ( 99999 )
    99999 ( 99999 )
    -0.700 ( 99999 )
        Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.500 ( 99999 )
        Change at Day 7 (n=17, 16, 12, 0, 16)
    -0.347 ( 0.6829 )
    -0.531 ( 0.7319 )
    -0.233 ( 0.4979 )
    99999 ( 99999 )
    -0.269 ( 0.5606 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Clinical Laboratory Parameter (Hematology- Erythrocytes Mean Corpuscular Hemoglobin (HGB) Concentration)

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    End point title
    SAD: Change From Baseline in Clinical Laboratory Parameter (Hematology- Erythrocytes Mean Corpuscular Hemoglobin (HGB) Concentration) [29] [30]
    End point description
    Change from baseline in Hematology- Erythrocytes mean corpuscular HGB concentration was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    Baseline, Day 1, 3, 6 and Day 7
    Notes
    [29] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [30] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: Gram per liter (g/L)
    arithmetic mean (standard deviation)
        Change at Day 1, 3h Postdose (n=6, 8, 7, 1, 6)
    -1.000 ( 4.1952 )
    1.500 ( 7.7275 )
    6.571 ( 10.3418 )
    8.000 ( 99999 )
    -2.333 ( 8.9815 )
        Change at Day 1 7h, Postdose (n=5, 6, 6, 1, 5)
    4.600 ( 11.6533 )
    0.167 ( 6.1455 )
    4.167 ( 10.9985 )
    0.000 ( 99999 )
    -0.200 ( 7.8867 )
        Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    -3.000 ( 99999 )
    99999 ( 99999 )
    -7.000 ( 99999 )
        Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -6.000 ( 99999 )
        Change at Day 7 (15, 13, 12, 0, 13)
    1.533 ( 10.7562 )
    2.462 ( 10.6819 )
    1.417 ( 10.3173 )
    99999 ( 99999 )
    -0.769 ( 7.9073 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Clinical Laboratory Parameter (Hematology: Erythrocytes Mean Corpuscular Volume [e-MCV] and Mean Platelet Volume [MPV])

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    End point title
    SAD: Change From Baseline in Clinical Laboratory Parameter (Hematology: Erythrocytes Mean Corpuscular Volume [e-MCV] and Mean Platelet Volume [MPV]) [31] [32]
    End point description
    Change from baseline in hematology: e-MCV and MPV were assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline to Day 1, 3, 6 and Day 7
    Notes
    [31] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [32] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: femtolitre (fL)
    arithmetic mean (standard deviation)
        e-MCV:Change at Day 1, 3h Postdose(n=7,8,6,1,7)
    -0.357 ( 1.5306 )
    -0.862 ( 0.7210 )
    -0.717 ( 1.3091 )
    0.700 ( 99999 )
    -0.271 ( 0.8180 )
        e-MCV:Change at Day 1, 7h Postdose(n=7,8,6,2,6)
    -0.529 ( 2.4150 )
    -0.875 ( 1.0320 )
    -1.017 ( 1.2906 )
    0.000 ( 0.0000 )
    -0.250 ( 0.7369 )
        e-MCV: Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    0.600 ( 99999 )
    99999 ( 99999 )
    -0.600 ( 99999 )
        e-MCV: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.000 ( 99999 )
        e-MCV: Change at Day 7 (n=17, 16, 11, 0, 16)
    -1.229 ( 1.7054 )
    -2.213 ( 2.0803 )
    -0.582 ( 1.4925 )
    99999 ( 99999 )
    -0.669 ( 1.7895 )
        MPV: Change at Day 1, 3h Postdose(n=5, 5, 5, 0, 4)
    0.080 ( 0.4324 )
    -0.110 ( 0.2302 )
    -1.020 ( 2.7022 )
    99999 ( 99999 )
    0.025 ( 0.7805 )
        MPV: Change at Day 1, 7h Postdose(n=5, 4, 6, 2, 3)
    -0.246 ( 1.0581 )
    0.125 ( 0.8016 )
    0.117 ( 0.7468 )
    0.755 ( 0.3606 )
    -0.140 ( 1.2770 )
        MPV: Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    0.400 ( 99999 )
    99999 ( 99999 )
    -0.400 ( 99999 )
        MPV: Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.600 ( 99999 )
        MPV: Change at Day 7 (n=12, 9, 11, 0, 9)
    -0.078 ( 0.8480 )
    0.168 ( 0.7649 )
    -0.509 ( 1.6202 )
    99999 ( 99999 )
    -0.212 ( 0.5398 )
    No statistical analyses for this end point

    Primary: SAD: Change From Baseline in Clinical Laboratory Parameter (Hematology: Erythrocytes Distribution Width)

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    End point title
    SAD: Change From Baseline in Clinical Laboratory Parameter (Hematology: Erythrocytes Distribution Width) [33] [34]
    End point description
    Change from baseline for hematology: erythrocytes distribution width was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline to Day 1, 3, 6 and Day 7
    Notes
    [33] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [34] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    18
    14
    3
    17
    Units: Percentage (%)
    arithmetic mean (standard deviation)
        Change at Day 1, 3h Postdose(n=5, 7, 4 ,0, 4)
    0.020 ( 0.1095 )
    0.100 ( 0.2309 )
    0.350 ( 1.1030 )
    99999 ( 99999 )
    0.450 ( 0.3697 )
        Change at Day 1, 7h Postdose(n=5, 5, 6, 1, 3)
    0.700 ( 0.6595 )
    0.180 ( 0.4919 )
    0.700 ( 1.1243 )
    0.800 ( 99999 )
    0.333 ( 0.5774 )
        Change at Day 3 (n=0, 0, 1, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    0.300 ( 99999 )
    99999 ( 99999 )
    0.200 ( 99999 )
        Change at Day 6 (n=0, 0, 0, 0, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.800 ( 99999 )
        Change at Day 7 (n=12, 11, 10, 0, 9)
    0.325 ( 0.6621 )
    0.145 ( 0.5298 )
    0.640 ( 1.0906 )
    99999 ( 99999 )
    0.233 ( 0.4873 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Physical Examination (Temperature)

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    End point title
    MAD: Change From Baseline in Physical Examination (Temperature) [35] [36]
    End point description
    Change from baseline in temperature was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline up to Day 28
    Notes
    [35] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [36] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: Degree Celsius
    arithmetic mean (standard deviation)
        Change at Day 1 (n=5,14,6,16,17,16,33)
    -0.4 ( 1.35 )
    -0.1 ( 0.81 )
    -0.0 ( 0.37 )
    -0.2 ( 0.86 )
    -0.3 ( 0.74 )
    -0.3 ( 0.84 )
    -0.2 ( 0.66 )
        Change at Day 2 (n=5 14, 6, 16, 16, 16, 33)
    -0.8 ( 1.33 )
    -0.1 ( 0.80 )
    -0.3 ( 0.39 )
    -0.0 ( 0.65 )
    -0.5 ( 0.82 )
    -0.3 ( 0.86 )
    -0.2 ( 0.74 )
        Change at Day 3 (n=5, 12, 6, 13, 14, 13, 27)
    -0.4 ( 1.46 )
    -0.1 ( 0.50 )
    -0.5 ( 0.60 )
    -0.2 ( 0.75 )
    -0.6 ( 0.78 )
    -0.7 ( 0.89 )
    -0.4 ( 0.66 )
        Change at Day 4 (n=5, 9, 4, 10, 8, 10, 22)
    -0.2 ( 1.34 )
    -0.1 ( 0.62 )
    -0.6 ( 0.57 )
    -0.5 ( 0.63 )
    -0.7 ( 0.53 )
    -0.8 ( 0.74 )
    -0.4 ( 0.68 )
        Change at Day 5 (n=5, 14, 6, 16, 15, 16, 31)
    -0.8 ( 1.28 )
    -0.4 ( 0.95 )
    -0.4 ( 0.58 )
    -0.4 ( 0.59 )
    -0.6 ( 1.01 )
    -0.6 ( 0.74 )
    -0.3 ( 0.69 )
        Change at Day 6 (n=3, 6, 4, 7, 5, 4, 8)
    -0.5 ( 1.12 )
    0.0 ( 0.64 )
    -0.7 ( 0.43 )
    -0.4 ( 0.61 )
    -0.8 ( 0.94 )
    -0.6 ( 0.56 )
    -0.4 ( 0.41 )
        Change at Day 7 (n=3, 4, 1, 5, 2, 2, 3)
    -0.5 ( 0.59 )
    0.1 ( 0.87 )
    -0.5 ( 99999 )
    -0.2 ( 0.65 )
    -0.8 ( 0.64 )
    -1.0 ( 0.71 )
    -0.5 ( 0.55 )
        Change at Day 8 (n=2, 3, 0, 3, 2, 0, 1)
    -0.8 ( 1.06 )
    -0.3 ( 0.36 )
    99999 ( 99999 )
    -1.2 ( 1.70 )
    -0.7 ( 0.42 )
    99999 ( 99999 )
    0.2 ( 99999 )
        Change at Day 9 (n=2, 2, 0, 1, 0, 0, 1)
    -1.0 ( 0.78 )
    -0.0 ( 0.07 )
    99999 ( 99999 )
    -0.2 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.2 ( 99999 )
        Change at Day 10 (n=1, 1, 0, 0, 0, 0, 0)
    -0.2 ( 99999 )
    -0.2 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Change at Day 11 (n=5, 14, 5, 16, 18, 15, 32)
    -0.8 ( 0.93 )
    -0.3 ( 0.79 )
    -0.4 ( 0.33 )
    -0.6 ( 0.60 )
    -0.7 ( 0.75 )
    -0.8 ( 1.01 )
    -0.4 ( 0.51 )
        Change at Day 28 (n=4, 5, 1, 10, 10, 13, 17)
    -1.2 ( 1.04 )
    -0.1 ( 0.43 )
    -0.2 ( 99999 )
    -0.4 ( 0.54 )
    -0.4 ( 0.65 )
    -0.4 ( 0.98 )
    -0.4 ( 0.74 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Physical Examination (Respiratory Rate)

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    End point title
    MAD: Change From Baseline in Physical Examination (Respiratory Rate) [37] [38]
    End point description
    Change from baseline in respiratory rate was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline up to Day 28
    Notes
    [37] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [38] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: Breadth per minute
    arithmetic mean (standard deviation)
        Change at Day 1 (n=5,14,7,17,17,16,33)
    -0.6 ( 21.02 )
    0.7 ( 7.52 )
    -7.6 ( 7.72 )
    0.4 ( 10.07 )
    -0.1 ( 9.80 )
    -3.1 ( 13.02 )
    -1.4 ( 11.16 )
        Change at Day 2 (n=5, 14, 7, 17, 16, 16, 33)
    -6.2 ( 9.76 )
    -3.1 ( 12.09 )
    -9.0 ( 8.04 )
    -1.3 ( 7.95 )
    -4.1 ( 14.01 )
    -0.6 ( 15.84 )
    0.7 ( 11.93 )
        Change at Day 3 (n=5, 12, 6, 13, 14, 13, 27)
    -5.4 ( 11.22 )
    -5.8 ( 11.36 )
    -9.7 ( 11.04 )
    -1.7 ( 9.10 )
    -6.4 ( 10.51 )
    -6.7 ( 16.07 )
    -4.0 ( 9.62 )
        Change at Day 4 (n=5, 8, 5, 10, 7, 10, 22)
    -9.8 ( 5.12 )
    -12.0 ( 16.65 )
    -8.0 ( 8.22 )
    -2.6 ( 12.92 )
    -6.9 ( 11.13 )
    -10.6 ( 10.71 )
    -4.9 ( 9.20 )
        Change at Day 5 (n=5, 13, 7, 17, 15, 16, 32)
    -8.2 ( 11.63 )
    -8.9 ( 15.39 )
    -8.1 ( 7.90 )
    -3.6 ( 12.90 )
    -4.5 ( 13.31 )
    -6.9 ( 10.83 )
    -0.8 ( 11.25 )
        Change at Day 6 (n=3, 5, 4, 7, 4, 4, 8)
    -3.7 ( 7.23 )
    3.0 ( 6.60 )
    -9.3 ( 16.72 )
    -1.1 ( 3.98 )
    -11.3 ( 7.09 )
    -8.5 ( 9.57 )
    -4.1 ( 8.59 )
        Change at Day 7 (n=3, 3, 1, 5, 2, 2, 4)
    -9.7 ( 11.68 )
    -5.7 ( 21.55 )
    10.0 ( 99999 )
    -7.0 ( 3.16 )
    -7.0 ( 18.38 )
    -1.0 ( 9.90 )
    3.3 ( 8.81 )
        Change at Day 8 (n=2, 3, 0, 3, 2, 0, 1)
    -6.5 ( 7.78 )
    -5.0 ( 16.52 )
    99999 ( 99999 )
    -2.0 ( 19.29 )
    -8.0 ( 16.97 )
    99999 ( 99999 )
    2.0 ( 99999 )
        Change at Day 9 (n=2, 2, 0, 1, 0, 0, 1)
    -7.5 ( 14.85 )
    -2.5 ( 2.12 )
    99999 ( 99999 )
    -20.0 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.0 ( 99999 )
        Change at Day 10 (1, 1, 0, 0, 0, 0, 0)
    15.0 ( 99999 )
    -4.0 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Change at Day 11 (n=5, 14, 7, 17, 18, 15, 32)
    -6.2 ( 9.15 )
    -8.7 ( 17.98 )
    -2.1 ( 13.06 )
    -2.1 ( 12.64 )
    -5.8 ( 12.24 )
    -7.9 ( 13.53 )
    -4.3 ( 12.60 )
        Change at Day 28 (n= 3, 4, 2, 11, 10, 12, 20)
    1.3 ( 4.73 )
    2.8 ( 17.25 )
    -0.5 ( 9.19 )
    -4.3 ( 14.40 )
    -8.4 ( 11.54 )
    -9.7 ( 15.82 )
    -3.9 ( 11.32 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Physical Examination (Heart Rate)

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    End point title
    MAD: Change From Baseline in Physical Examination (Heart Rate) [39] [40]
    End point description
    Change from baseline in Heart rate was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline up to Day 28
    Notes
    [39] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [40] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: Beats per minute
    arithmetic mean (standard deviation)
        Change at Day 1 (n=5,14,8,17,17,16,33)
    -10.6 ( 21.03 )
    -0.9 ( 21.63 )
    -2.0 ( 14.80 )
    8.2 ( 16.70 )
    -1.4 ( 21.03 )
    -6.4 ( 27.97 )
    -0.6 ( 21.36 )
        Change at Day 2 (n=5, 14, 8, 17, 16, 16, 33)
    -12.2 ( 24.41 )
    -2.3 ( 24.41 )
    0.4 ( 26.09 )
    2.0 ( 19.94 )
    -5.8 ( 23.41 )
    -4.2 ( 28.11 )
    -6.2 ( 24.92 )
        Change at Day 3 (n=5, 12, 7, 13, 14, 13, 27)
    0.4 ( 23.42 )
    -5.2 ( 12.26 )
    -19.3 ( 31.49 )
    -1.7 ( 19.55 )
    -5.7 ( 22.28 )
    -20.4 ( 24.80 )
    -11.0 ( 31.19 )
        Change at Day 4 (n=5, 9, 5, 10, 8, 10, 22)
    -15.4 ( 35.51 )
    -4.9 ( 23.12 )
    -5.2 ( 29.08 )
    -10.2 ( 34.27 )
    -3.5 ( 14.49 )
    -22.8 ( 25.12 )
    -13.2 ( 19.49 )
        Change at Day 5 (n=5, 14, 8, 17, 15, 16, 32)
    -19.0 ( 23.46 )
    -2.8 ( 24.45 )
    -1.1 ( 24.17 )
    -6.5 ( 21.95 )
    -7.1 ( 27.62 )
    -11.6 ( 27.46 )
    -8.2 ( 27.01 )
        Change at Day 6 (n=3, 6, 4, 7, 4, 4, 8)
    -21.0 ( 26.23 )
    4.7 ( 25.33 )
    -13.3 ( 18.86 )
    -8.0 ( 20.29 )
    -30.0 ( 16.25 )
    -7.0 ( 11.60 )
    -15.3 ( 17.30 )
        Change at Day 7 (n=3, 4, 1, 5, 2, 2, 4)
    -17.0 ( 20.22 )
    11.8 ( 16.64 )
    -9.0 ( 99999 )
    -14.2 ( 12.70 )
    -2.0 ( 2.83 )
    -15.0 ( 9.90 )
    -4.0 ( 33.85 )
        Change at Day 8 (n=2, 4, 0, 3, 2, 0, 1)
    -24.5 ( 2.12 )
    2.5 ( 20.50 )
    99999 ( 99999 )
    -10.3 ( 22.14 )
    -32.0 ( 5.66 )
    99999 ( 99999 )
    -18.0 ( 99999 )
        Change at Day 9 (n=2, 2, 0, 1, 0, 0, 1)
    -6.5 ( 16.26 )
    -8.0 ( 5.66 )
    99999 ( 99999 )
    14.0 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -26.0 ( 99999 )
        Change at Day 10 (n=1, 1, 0, 0, 0, 0, 0)
    -13.0 ( 99999 )
    3.0 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Change at Day 11 (n=5, 14, 8, 17, 18, 15, 32)
    -20.0 ( 23.19 )
    -5.2 ( 24.71 )
    6.3 ( 24.42 )
    -6.9 ( 27.88 )
    -1.3 ( 21.37 )
    -17.3 ( 29.39 )
    -6.8 ( 22.46 )
        Change at Day 28 (n=4, 5, 2, 11, 11, 12, 20)
    -17.5 ( 22.58 )
    7.6 ( 23.04 )
    -27.0 ( 22.63 )
    -8.5 ( 23.75 )
    -13.2 ( 21.61 )
    -30.1 ( 30.53 )
    -11.0 ( 26.38 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Physical Examination (Weight)

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    End point title
    MAD: Change From Baseline in Physical Examination (Weight) [41] [42]
    End point description
    Change from Baseline in weight was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline, Day 2, 5 and Day 28
    Notes
    [41] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [42] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: Kilogram (kg)
    arithmetic mean (standard deviation)
        Change at Day 2 12h (n=5, 13, 7, 17, 15, 14 ,31)
    0.1 ( 0.28 )
    0.0 ( 0.25 )
    0.1 ( 0.11 )
    -0.1 ( 0.23 )
    0.2 ( 0.29 )
    0.0 ( 0.18 )
    0.1 ( 0.39 )
        Change at Day 5 (n=5, 14, 6, 15, 15, 15, 30)
    0.1 ( 0.31 )
    0.0 ( 0.22 )
    0.0 ( 0.10 )
    -0.0 ( 0.28 )
    0.0 ( 0.21 )
    -0.0 ( 0.38 )
    0.0 ( 0.18 )
        Change at Day 28 (n=5, 14, 8, 16, 16, 15, 31)
    0.6 ( 0.32 )
    0.5 ( 0.44 )
    0.8 ( 0.31 )
    0.6 ( 0.44 )
    0.7 ( 0.34 )
    0.7 ( 0.40 )
    0.6 ( 0.40 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Physical Examination (BMI)

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    End point title
    MAD: Change From Baseline in Physical Examination (BMI) [43] [44]
    End point description
    Change from baseline in BMI was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline, Day 2, 5 and Day 28
    Notes
    [43] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [44] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: kg/m^2
    arithmetic mean (standard deviation)
        Change at Day 2 12h (n=5, 12, 7, 17, 15, 14 ,31)
    0.4 ( 0.61 )
    0.1 ( 0.67 )
    0.2 ( 0.29 )
    -0.2 ( 0.68 )
    0.4 ( 0.64 )
    0.1 ( 0.45 )
    0.4 ( 1.39 )
        Change at Day 5 (n=5, 13, 6, 15, 15, 14, 30)
    0.3 ( 0.67 )
    0.1 ( 0.72 )
    0.0 ( 0.26 )
    -0.1 ( 0.84 )
    0.1 ( 0.46 )
    -0.0 ( 0.82 )
    0.2 ( 0.64 )
        Change at Day 28 (n=5, 13, 8, 16, 16, 14, 31)
    1.5 ( 0.94 )
    1.6 ( 1.54 )
    2.4 ( 1.27 )
    1.6 ( 1.35 )
    1.7 ( 1.00 )
    1.9 ( 1.22 )
    2.0 ( 1.44 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline for Vital signs (Blood Pressure: sBP and dBP)

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    End point title
    MAD: Change From Baseline for Vital signs (Blood Pressure: sBP and dBP) [45] [46]
    End point description
    Change from Baseline in Blood pressure: sBP and dBP was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline to Day 28
    Notes
    [45] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [46] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: mmHg
    arithmetic mean (standard deviation)
        sBP: Change at Day 1 (n=5,5,3,2,6,6,11)
    1.6 ( 12.62 )
    0.6 ( 19.46 )
    6.0 ( 8.72 )
    5.0 ( 7.07 )
    0.8 ( 7.60 )
    8.0 ( 15.38 )
    -3.1 ( 16.20 )
        sBP: Change at Day 2 (n=5, 5, 3, 2, 5, 6, 11)
    8.8 ( 9.09 )
    -2.0 ( 13.84 )
    11.3 ( 6.43 )
    9.0 ( 9.90 )
    -3.0 ( 11.51 )
    7.5 ( 12.50 )
    1.8 ( 18.15 )
        sBP: Change at Day 3 (n= 5, 5, 3, 2, 3, 6, 11)
    3.8 ( 8.23 )
    3.6 ( 18.51 )
    6.3 ( 12.66 )
    19.5 ( 6.36 )
    3.4 ( 23.31 )
    4.7 ( 13.65 )
    6.5 ( 16.11 )
        sBP: Change at Day 4 (n=5, 5, 3, 2, 5, 6, 11)
    14.0 ( 30.14 )
    -4.0 ( 19.71 )
    10.7 ( 17.47 )
    11.0 ( 12.73 )
    -3.3 ( 12.10 )
    4.5 ( 15.67 )
    -3.6 ( 14.81 )
        sBP: Change at Day 5 (n=5, 5, 3, 2, 5, 6, 11)
    7.8 ( 7.98 )
    7.4 ( 20.27 )
    13.7 ( 20.40 )
    16.5 ( 17.68 )
    7.0 ( 17.65 )
    -0.3 ( 20.16 )
    3.5 ( 16.59 )
        sBP: Change at Day 6 (n=3, 4, 3, 1, 2, 3, 6)
    -0.3 ( 9.50 )
    -1.0 ( 12.27 )
    6.7 ( 9.24 )
    5.0 ( 99999 )
    1.5 ( 10.61 )
    -4.7 ( 14.36 )
    1.5 ( 21.71 )
        sBP: Change at Day 7 (n=3, 2, 0, 0, 1, 1, 2)
    3.0 ( 13.00 )
    -13.0 ( 21.21 )
    99999 ( 99999 )
    99999 ( 99999 )
    -7.0 ( 99999 )
    -10.0 ( 99999 )
    6.5 ( 12.02 )
        sBP: Change at Day 8 (n=2, 2, 0, 0, 1, 0, 1)
    -5.5 ( 19.09 )
    6.0 ( 22.63 )
    99999 ( 99999 )
    99999 ( 99999 )
    13.0 ( 99999 )
    99999 ( 99999 )
    -2.0 ( 99999 )
        sBP: Change at Day 9 (n=2, 2, 0, 0, 0, 0, 1)
    1.5 ( 0.71 )
    -0.5 ( 10.61 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    2.0 ( 99999 )
        sBP: Change at Day 10 (n=1, 1, 0, 0, 0, 0,0)
    0.0 ( 99999 )
    21.0 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        sBP: Change at Day 11 (n=5, 5, 3, 2, 6, 6, 11)
    1.2 ( 17.91 )
    8.0 ( 23.32 )
    1.0 ( 29.60 )
    18.5 ( 14.85 )
    -2.5 ( 22.90 )
    -2.0 ( 9.59 )
    3.7 ( 10.87 )
        sBP: Change at Day 28 (n=4, 1, 0, 1, 1, 2, 5)
    6.0 ( 19.20 )
    -4.0 ( 99999 )
    99999 ( 99999 )
    14.0 ( 99999 )
    15.0 ( 99999 )
    2.0 ( 16.97 )
    9.0 ( 17.52 )
        dBP: Change at Day 1 (n=5,5,3,2,6,6,11)
    -2.8 ( 14.27 )
    -4.8 ( 14.18 )
    6.7 ( 13.32 )
    -1.5 ( 19.09 )
    -2.7 ( 12.89 )
    8.2 ( 14.96 )
    -3.7 ( 8.20 )
        dBP: Change at Day 2 (n=5, 5, 3, 2, 5, 6, 10)
    -2.6 ( 15.26 )
    -3.2 ( 11.19 )
    3.3 ( 11.37 )
    -8.0 ( 8.49 )
    -2.6 ( 13.41 )
    9.2 ( 9.04 )
    -0.1 ( 10.04 )
        dBP: Change at Day 3 (n= 5, 5, 3, 2, 5, 6, 11)
    -5.2 ( 9.78 )
    0.6 ( 22.53 )
    -6.0 ( 5.29 )
    13.0 ( 7.07 )
    2.0 ( 14.42 )
    7.0 ( 10.22 )
    3.5 ( 9.35 )
        dBP: Change at Day 4 (n=5, 5, 3, 2, 3, 6, 10)
    -7.8 ( 24.20 )
    -7.6 ( 10.92 )
    6.0 ( 5.29 )
    3.0 ( 15.56 )
    4.3 ( 10.02 )
    9.2 ( 19.92 )
    0.1 ( 11.31 )
        dBP: Change at Day 5 (n=5, 5, 3, 2, 5, 6, 10)
    -8.0 ( 16.00 )
    7.4 ( 14.38 )
    7.3 ( 9.87 )
    4.0 ( 8.49 )
    -1.8 ( 14.87 )
    5.0 ( 22.61 )
    3.0 ( 14.61 )
        dBP: Change at Day 6 (n=3, 4, 3, 1, 2, 3, 6)
    -2.7 ( 8.33 )
    -10.0 ( 11.34 )
    4.7 ( 6.11 )
    2.0 ( 99999 )
    -6.5 ( 13.44 )
    -15.7 ( 9.61 )
    2.8 ( 8.47 )
        dBP: Change at Day 7 (n=3, 2, 0, 0, 1, 1, 2)
    -12.7 ( 11.02 )
    -15.5 ( 3.54 )
    99999 ( 99999 )
    99999 ( 99999 )
    12.0 ( 99999 )
    4.0 ( 99999 )
    -4.0 ( 4.24 )
        dBP: Change at Day 8 (n=2, 2, 0, 0, 1, 0, 1)
    -6.0 ( 2.83 )
    -7.0 ( 43.84 )
    99999 ( 99999 )
    99999 ( 99999 )
    4.0 ( 99999 )
    99999 ( 99999 )
    0.0 ( 99999 )
        dBP: Change at Day 9 (n=2, 2, 0, 0, 0, 0, 1)
    -4.0 ( 11.31 )
    -8.5 ( 0.71 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    9.0 ( 99999 )
        dBP: Change at Day 10 (n=1, 1, 0, 0, 0, 0,0)
    -4.0 ( 99999 )
    -7.0 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        dBP: Change at Day 11 (n=5, 5, 3, 2, 6, 6, 10)
    -3.8 ( 9.63 )
    11.8 ( 27.58 )
    -9.0 ( 10.82 )
    7.5 ( 6.36 )
    3.2 ( 13.17 )
    11.2 ( 17.13 )
    2.7 ( 10.58 )
        dBP: Change at Day 28 (n=4, 1, 0, 1, 1, 2, 4)
    -6.3 ( 9.81 )
    -19.0 ( 99999 )
    99999 ( 99999 )
    -7.0 ( 99999 )
    -27.0 ( 99999 )
    5.0 ( 25.46 )
    16.5 ( 10.41 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in ECG Parameters

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    End point title
    MAD: Change From Baseline in ECG Parameters [47] [48]
    End point description
    Change from Baseline in ECG parameters (RR interval, PR interval, QRS interval, QT interval, QTcB interval, QTcF interval) was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline, Day 1, 5, 11 and Day 28
    Notes
    [47] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [48] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: msec
    arithmetic mean (standard deviation)
        RR:Change at Day 1 (n=5,13,8,17,17,16,32)
    -34.4 ( 95.16 )
    11.6 ( 58.91 )
    -12.3 ( 77.26 )
    -12.6 ( 54.18 )
    -8.9 ( 70.07 )
    8.3 ( 57.33 )
    4.8 ( 51.96 )
        RR:Change at Day 5 (n=5, 14, 8, 16, 15, 15, 33)
    37.2 ( 91.58 )
    -15.8 ( 110.61 )
    -32.0 ( 93.81 )
    -0.2 ( 80.67 )
    29.3 ( 64.02 )
    23.9 ( 74.62 )
    5.9 ( 79.53 )
        RR:Change at Day 11 (n=5, 14, 8, 16, 17, 15, 32)
    -10.0 ( 51.79 )
    13.7 ( 65.29 )
    -23.1 ( 62.18 )
    -18.0 ( 114.64 )
    30.9 ( 72.50 )
    32.6 ( 64.66 )
    9.0 ( 78.18 )
        RR:Change at Day 28 (n=2, 3, 0, 3, 0, 1, 3)
    1.0 ( 43.84 )
    -3.3 ( 68.16 )
    99999 ( 99999 )
    32.0 ( 30.41 )
    99999 ( 99999 )
    0.0 ( 99999 )
    68.3 ( 84.24 )
        PR:Change at Day 1 (n=5,14,8,15,17,15,31)
    12.0 ( 14.70 )
    3.3 ( 8.41 )
    -12.1 ( 41.51 )
    7.0 ( 33.16 )
    -4.6 ( 11.23 )
    2.9 ( 12.59 )
    0.2 ( 17.89 )
        PR:Change at Day 5 (n=5, 12, 8, 16, 15, 14, 32)
    -4.4 ( 21.00 )
    4.2 ( 6.69 )
    -15.6 ( 35.96 )
    5.3 ( 30.86 )
    6.2 ( 14.17 )
    6.3 ( 19.72 )
    -2.0 ( 13.74 )
        PR:Change at Day 11 (n=5, 14, 8, 15, 16, 14, 31)
    -5.6 ( 14.38 )
    -1.1 ( 15.21 )
    -14.9 ( 35.69 )
    -2.6 ( 19.59 )
    -1.3 ( 13.58 )
    -2.4 ( 15.72 )
    -4.0 ( 17.13 )
        PR:Change at Day 28 (n=2, 3, 0, 3, 0, 1, 3)
    -1.0 ( 7.07 )
    0.0 ( 24.25 )
    99999 ( 99999 )
    -6.3 ( 15.50 )
    99999 ( 99999 )
    0.0 ( 99999 )
    19.0 ( 12.77 )
        QRS:Change at Day 1 (n=5,14,8,17,17,16,32)
    3.6 ( 4.10 )
    -1.0 ( 5.31 )
    -0.8 ( 3.41 )
    -4.5 ( 28.49 )
    0.6 ( 2.45 )
    -2.6 ( 13.03 )
    -0.5 ( 5.87 )
        QRS:Change at Day 5 (n=5, 14, 8, 16, 15, 15, 33)
    4.4 ( 3.29 )
    -0.3 ( 4.21 )
    -0.5 ( 5.01 )
    -5.5 ( 29.01 )
    -2.6 ( 6.76 )
    -1.8 ( 11.81 )
    -1.0 ( 6.07 )
        QRS:Change at Day 11 (n=5, 14, 8, 16, 17, 15, 32)
    7.2 ( 4.60 )
    0.5 ( 7.22 )
    -1.9 ( 3.72 )
    -5.6 ( 24.57 )
    0.5 ( 6.94 )
    -2.8 ( 14.85 )
    0.9 ( 8.50 )
        QRS:Change at Day 28 (n=2, 3, 0, 3, 0, 1, 3)
    7.0 ( 4.24 )
    1.3 ( 3.06 )
    99999 ( 99999 )
    -56.0 ( 55.03 )
    99999 ( 99999 )
    -40.0 ( 99999 )
    4.3 ( 2.08 )
        QT: Change at Day 1 (n=5,14,8,17,17,16,32)
    -12.4 ( 35.76 )
    -0.2 ( 14.62 )
    -4.0 ( 20.26 )
    4.8 ( 29.09 )
    7.8 ( 24.57 )
    7.4 ( 35.45 )
    -8.4 ( 33.65 )
        QT:Change at Day 5 (n=5, 14, 8, 16, 15, 15, 33)
    27.2 ( 43.14 )
    4.1 ( 27.13 )
    -19.3 ( 22.52 )
    1.2 ( 29.00 )
    2.3 ( 29.47 )
    10.9 ( 40.16 )
    3.9 ( 48.75 )
        QT:Change at Day 11 (n=5, 14, 8, 16, 17, 15, 32)
    16.8 ( 34.43 )
    1.9 ( 22.62 )
    -11.8 ( 11.47 )
    6.6 ( 36.29 )
    10.2 ( 31.61 )
    16.0 ( 41.38 )
    -1.7 ( 34.84 )
        QT:Change at Day 28 (n=2, 3, 0, 3, 0, 1, 3)
    10.0 ( 14.14 )
    0.7 ( 34.49 )
    99999 ( 99999 )
    84.3 ( 89.61 )
    99999 ( 99999 )
    -20.0 ( 99999 )
    33.7 ( 29.87 )
        QTcB:Change at Day 1 (n=5,14,8,17,17,16,32)
    -1.6 ( 12.40 )
    -6.1 ( 21.58 )
    -4.4 ( 22.08 )
    17.9 ( 25.50 )
    16.9 ( 48.69 )
    8.1 ( 59.41 )
    -15.9 ( 39.99 )
        QTcB:Change at Day 5 (n=5, 14, 8, 16, 15, 15, 33)
    23.6 ( 64.75 )
    -5.7 ( 21.79 )
    -15.4 ( 34.21 )
    4.3 ( 26.53 )
    -13.8 ( 48.84 )
    3.3 ( 51.19 )
    -5.1 ( 35.99 )
        QTcB:Change at Day 11 (n=5, 14, 8, 16, 17, 15, 32)
    32.4 ( 51.49 )
    -4.6 ( 27.31 )
    -7.3 ( 40.56 )
    5.9 ( 33.87 )
    1.3 ( 38.42 )
    7.6 ( 51.09 )
    -8.2 ( 46.59 )
        QTcB:Change at Day 28 (n=2, 3, 0, 3, 0, 1, 3)
    12.0 ( 0.00 )
    2.3 ( 38.19 )
    99999 ( 99999 )
    34.3 ( 32.15 )
    99999 ( 99999 )
    -31.0 ( 99999 )
    16.0 ( 7.00 )
        QTcF:Change at Day 1 (n=5,14,8,17,17,16,32)
    -6.8 ( 21.04 )
    -6.6 ( 23.23 )
    -4.3 ( 16.99 )
    12.5 ( 24.98 )
    12.2 ( 34.86 )
    8.5 ( 48.11 )
    -12.8 ( 36.53 )
        QTcF:Change at Day 5 (n=5, 14, 8, 16, 15, 15, 33)
    25.2 ( 53.02 )
    -5.4 ( 19.29 )
    -17.6 ( 22.33 )
    2.4 ( 25.08 )
    -6.9 ( 39.59 )
    7.3 ( 44.38 )
    -3.4 ( 34.16 )
        QTcF:Change at Day 11 (n=5, 14, 8, 16, 17, 15, 32)
    25.8 ( 43.59 )
    -3.8 ( 28.90 )
    -10.3 ( 28.62 )
    5.6 ( 33.59 )
    5.4 ( 33.35 )
    21.7 ( 57.05 )
    -5.4 ( 39.06 )
        QTcF:Change at Day 28 (n=2, 3, 0, 3, 0, 1, 3)
    11.5 ( 6.36 )
    -12.7 ( 52.63 )
    99999 ( 99999 )
    26.3 ( 37.17 )
    99999 ( 99999 )
    -20.0 ( 99999 )
    24.3 ( 15.89 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Clinical Laboratory Parameter: Serum Chemistry-Alkaline Phosphatase (AP), Alanine Aminotransferase (ALA), Aspartate Aminotransferase (ASA), Creatine Kinase (CrK)

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    End point title
    MAD: Change From Baseline in Clinical Laboratory Parameter: Serum Chemistry-Alkaline Phosphatase (AP), Alanine Aminotransferase (ALA), Aspartate Aminotransferase (ASA), Creatine Kinase (CrK) [49] [50]
    End point description
    Change From Baseline in Clinical Laboratory Parameter (Serum Chemistry-AP, ALA, ASA, CrK) was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline, Day 1, 3, 4, 5, 6, 7, 11 and 28
    Notes
    [49] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [50] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: ukat/L
    arithmetic mean (standard deviation)
        AP: Change at Day 1 (n=3,6,5,9,8,8,15)
    -1.678 ( 3.5728 )
    -0.564 ( 0.9252 )
    -0.050 ( 0.8050 )
    -0.219 ( 0.8755 )
    -0.656 ( 1.5735 )
    -1.386 ( 1.1609 )
    -0.961 ( 1.2125 )
        AP: Change at Day 1 7h (n=2, 8, 2, 7, 8, 7, 15)
    -0.008 ( 1.3320 )
    -0.438 ( 0.6512 )
    -1.367 ( 2.2160 )
    -0.402 ( 0.8138 )
    -0.208 ( 0.4361 )
    -0.143 ( 0.2834 )
    -0.412 ( 0.8993 )
        AP: Change at Day 3 (n=0, 1, 1, 0, 0, 0, 1)
    99999 ( 99999 )
    -0.267 ( 99999 )
    -0.133 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.250 ( 99999 )
        AP: Change at Day 4 (n=0, 1, 0, 0, 0, 1, 1)
    99999 ( 99999 )
    -0.233 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.800 ( 99999 )
    0.383 ( 99999 )
        AP: Change at Day 5 (n=5, 14, 7, 15, 14, 15, 29)
    0.333 ( 3.2360 )
    0.120 ( 0.3483 )
    0.414 ( 0.9106 )
    -0.045 ( 0.5638 )
    0.643 ( 1.1915 )
    0.837 ( 1.8684 )
    0.240 ( 1.3498 )
        AP: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.333 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        AP: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    -1.200 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        AP: Change at Day 11 (n=5, 14, 6, 15, 18, 15, 28)
    2.934 ( 3.1704 )
    0.805 ( 1.3344 )
    0.856 ( 0.8769 )
    0.396 ( 0.9444 )
    1.335 ( 2.0936 )
    2.153 ( 2.1544 )
    1.294 ( 1.8375 )
        AP: Change at Day 28 (n=4, 2, 2, 3, 1, 3, 3)
    6.218 ( 2.9955 )
    0.867 ( 0.2829 )
    3.101 ( 2.7818 )
    0.272 ( 0.2710 )
    6.718 ( 99999 )
    1.022 ( 1.1542 )
    0.600 ( 0.1093 )
        ALA: Change at Day 1 (n=3,6,5,9,8,8,15)
    0.128 ( 0.2111 )
    -0.056 ( 0.0880 )
    0.007 ( 0.0325 )
    0.016 ( 0.1814 )
    0.044 ( 0.1324 )
    -0.056 ( 0.0597 )
    0.004 ( 0.0722 )
        ALA: Change at Day 1 7h (n=2,8,3,7,8,8,15)
    0.283 ( 0.3536 )
    0.079 ( 0.3680 )
    -0.006 ( 0.0822 )
    -0.012 ( 0.0865 )
    0.063 ( 0.0755 )
    0.190 ( 0.2042 )
    -0.038 ( 0.0803 )
        ALA: Change at Day 3 (n=0, 1, 1, 0, 0, 0, 1)
    99999 ( 99999 )
    -0.117 ( 99999 )
    -0.050 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.033 ( 99999 )
        ALA: Change at Day 4 (n=0, 1, 0, 0, 0, 1, 1)
    99999 ( 99999 )
    -0.117 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.000 ( 99999 )
    0.117 ( 99999 )
        ALA: Change at Day 5 (n=5, 14, 8, 16, 13, 15, 29)
    0.273 ( 0.4086 )
    0.057 ( 0.2540 )
    0.113 ( 0.1195 )
    0.021 ( 0.3011 )
    0.210 ( 0.2255 )
    0.248 ( 0.2658 )
    0.039 ( 0.1429 )
        ALA: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.083 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        ALA: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    0.167 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        ALA: Change at Day 11(n=5, 14, 7, 15, 18, 15, 29)
    0.113 ( 0.2637 )
    0.163 ( 0.4496 )
    0.167 ( 0.3535 )
    -0.037 ( 0.2464 )
    0.146 ( 0.2115 )
    0.039 ( 0.2169 )
    0.006 ( 0.2091 )
        ALA: Change at Day 28 (n=4, 2, 2, 3, 2, 4, 4)
    0.075 ( 0.0739 )
    0.017 ( 0.0236 )
    0.292 ( 0.0354 )
    -0.411 ( 0.4016 )
    0.142 ( 0.2947 )
    0.179 ( 0.3211 )
    0.050 ( 0.0943 )
        ASA: Change at Day 1 (n=3,4,5,9,8,8,13)
    0.211 ( 0.2937 )
    0.013 ( 0.1258 )
    0.110 ( 0.1251 )
    -0.074 ( 0.4793 )
    0.104 ( 0.2739 )
    -0.085 ( 0.0721 )
    0.005 ( 0.0846 )
        ASA: Change at Day 1 7h (n=2,8,3,7,8,8,15)
    0.400 ( 0.6129 )
    0.138 ( 0.4543 )
    -0.022 ( 0.0347 )
    -0.043 ( 0.2400 )
    0.150 ( 0.2118 )
    0.402 ( 0.4497 )
    -0.122 ( 0.5006 )
        ASA: Change at Day 3 (n=0, 1, 1, 0, 0, 0, 1)
    99999 ( 99999 )
    -0.100 ( 99999 )
    0.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.167 ( 99999 )
        ASA: Change at Day 4 (n=0, 1, 0, 0, 0, 1, 1)
    99999 ( 99999 )
    -0.183 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.017 ( 99999 )
    -0.133 ( 99999 )
        ASA: Change at Day 5 (n=5, 12, 8, 16, 14, 15, 28)
    0.137 ( 0.1891 )
    0.089 ( 0.1865 )
    0.113 ( 0.1558 )
    -0.186 ( 0.3501 )
    0.176 ( 0.2563 )
    0.295 ( 0.3749 )
    0.044 ( 0.5127 )
        ASA: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.250 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        ASA: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    0.033 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        ASA: Change at Day 11 (n=5, 11, 7, 14, 18, 15, 26)
    0.077 ( 0.0384 )
    0.188 ( 0.3124 )
    0.186 ( 0.1230 )
    -0.092 ( 0.4864 )
    0.184 ( 0.3527 )
    0.120 ( 0.2835 )
    -0.021 ( 0.5298 )
        ASA: Change at Day 28 (n=4, 2, 2, 3, 3, 4, 4)
    0.142 ( 0.1190 )
    0.008 ( 0.0589 )
    0.233 ( 0.0000 )
    -0.706 ( 0.7171 )
    0.267 ( 0.2892 )
    0.142 ( 0.2197 )
    -0.033 ( 0.1587 )
        CrK: Change at Day 1 0.5-1h (n=3,6,5,6,6,8,16)
    0.478 ( 0.7057 )
    0.067 ( 0.4563 )
    -0.173 ( 0.2965 )
    1.147 ( 1.4385 )
    -0.314 ( 0.8019 )
    0.271 ( 1.7412 )
    -0.058 ( 0.7089 )
        CrK: Change at Day 1 7h (n=2,8,3,7,8,7,15)
    -1.309 ( 2.3693 )
    -0.394 ( 0.9921 )
    -0.161 ( 0.2811 )
    -0.619 ( 0.7937 )
    0.381 ( 1.5252 )
    0.257 ( 0.6124 )
    0.190 ( 0.8554 )
        CrK: Change at Day 3 (n=0, 1, 1, 0, 0, 0, 0)
    99999 ( 99999 )
    -0.017 ( 99999 )
    0.350 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        CrK: Change at Day 4 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    -0.400 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.583 ( 99999 )
        CrK: Change at Day 5 (n=5, 14, 8, 13, 13, 15, 30)
    -0.820 ( 1.8541 )
    -0.201 ( 0.7061 )
    -0.006 ( 0.4932 )
    -0.126 ( 5.4970 )
    0.276 ( 1.5585 )
    -0.442 ( 0.7528 )
    -0.251 ( 0.8541 )
        CrK: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -1.867 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        CrK: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    1.084 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        CrK: Change at Day 11(n=5, 14, 7, 13, 17, 15, 29)
    0.160 ( 2.5623 )
    0.418 ( 1.5535 )
    0.445 ( 0.9954 )
    -1.121 ( 3.3099 )
    0.478 ( 1.5865 )
    0.069 ( 0.9801 )
    0.155 ( 1.0566 )
        CrK: Change at Day 28 (n=4, 2, 2, 3, 2, 4, 5)
    2.192 ( 1.2596 )
    -0.142 ( 0.5304 )
    1.234 ( 0.7072 )
    0.111 ( 1.3676 )
    -0.592 ( 0.4833 )
    0.554 ( 0.8134 )
    -0.200 ( 1.1625 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Clinical Laboratory Parameter (Serum Chemistry-Bilirubin, Direct [DB], Indirect bilirubin [IB], and Creatinine [Cr])

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    End point title
    MAD: Change From Baseline in Clinical Laboratory Parameter (Serum Chemistry-Bilirubin, Direct [DB], Indirect bilirubin [IB], and Creatinine [Cr]) [51] [52]
    End point description
    Change from baseline in serum chemistry-bilirubin, DB, IB, and Cr were assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    For Bilirubin, DB and Cr: From Baseline, Day 1, 3, 4, 5, 6, 7, 11 and Day 28; For IB: From Baseline, Day 1, 5, 6, 11 and Day 28
    Notes
    [51] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [52] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: mcmol/L
    arithmetic mean (standard deviation)
        BI: Change at Day 1 (n=3,5,5,9,8,8,15)
    -1.140 ( 3.3217 )
    0.342 ( 1.4307 )
    -3.078 ( 9.1609 )
    3.227 ( 7.9231 )
    -1.774 ( 4.8641 )
    -4.147 ( 11.4866 )
    -3.306 ( 7.5812 )
        BI: Change at Day 1, 7h (n=2,6,3,6,8,8,14)
    0.086 ( 2.2974 )
    -11.681 ( 15.9198 )
    -3.990 ( 0.9873 )
    -0.570 ( 1.4334 )
    -1.664 ( 1.8058 )
    -0.792 ( 1.7033 )
    -1.083 ( 2.5768 )
        BI: Change at Day 3 (n=0, 1, 1, 0, 0, 0, 1)
    99999 ( 99999 )
    -32.490 ( 99999 )
    99999 ( 0.000 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.000 ( 99999 )
        BI: Change at Day 4 (n=0, 1, 0, 0, 0, 1, 1)
    99999 ( 99999 )
    -32.490 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.000 ( 99999 )
    -1.710 ( 99999 )
        BI: Change at Day 5 (n=5, 11, 8, 15, 14, 15, 28)
    -5.917 ( 18.2360 )
    -7.604 ( 15.6519 )
    -6.840 ( 17.3185 )
    0.371 ( 2.1723 )
    -0.020 ( 5.3325 )
    -0.401 ( 9.9071 )
    -4.395 ( 9.4563 )
        BI: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -1.710 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        BI: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    -5.130 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        BI: Change at Day 11 (n=5,11,7,14,18,15,27)
    -3.762 ( 16.0544 )
    -9.749 ( 20.9100 )
    -9.039 ( 23.1896 )
    1.049 ( 3.0559 )
    -4.482 ( 16.4250 )
    -2.601 ( 13.6963 )
    -3.483 ( 13.4190 )
        BI: Change at Day 28 (n=4, 2, 2, 3, 2, 4, 3)
    1.325 ( 4.3403 )
    -29.412 ( 23.6994 )
    -35.055 ( 47.1570 )
    -0.473 ( 2.1420 )
    -1.539 ( 0.2418 )
    -56.644 ( 115.0046 )
    -3.990 ( 3.5596 )
        DB: Change at Day 1 (n=3,2,4,6,7,7,14)
    -0.456 ( 0.5224 )
    0.000 ( 0.0000 )
    -1.282 ( 5.6499 )
    -0.627 ( 2.2418 )
    -1.026 ( 1.9144 )
    -0.318 ( 1.0468 )
    -0.794 ( 1.5551 )
        DB: Change at Day 1 7h (n=1,3,2,4,7,5,13)
    0.000 ( 99999 )
    -3.534 ( 6.8514 )
    0.000 ( 0.0000 )
    0.299 ( 1.5191 )
    -1.221 ( 1.1987 )
    -0.068 ( 0.9413 )
    -0.105 ( 1.2769 )
        DB: Change at Day 3 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    0.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    1.710 ( 99999 )
        DB: Change at Day 4 (n=0, 1, 0, 0, 0, 1, 1)
    99999 ( 99999 )
    0.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.000 ( 99999 )
        DB: Change at Day 5 (n=5, 5, 5, 11, 13, 12, 25)
    0.239 ( 1.9482 )
    -2.804 ( 5.2825 )
    -4.104 ( 8.2542 )
    -0.171 ( 1.9765 )
    -0.460 ( 1.9775 )
    0.114 ( 1.2186 )
    -0.705 ( 1.7173 )
        DB: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        DB: Change at Day 11 (n=5, 5, 5, 12, 15, 12, 24)
    -0.376 ( 1.3913 )
    -4.104 ( 8.0787 )
    -4.104 ( 10.1598 )
    0.128 ( 1.9252 )
    0.091 ( 4.1060 )
    -0.242 ( 1.3996 )
    -0.477 ( 1.9627 )
        DB: Change at Day 28 (n=4, 2, 2, 2, 2, 4, 3)
    0.000 ( 1.3098 )
    -1.197 ( 1.6928 )
    -11.970 ( 16.9281 )
    0.000 ( 0.0000 )
    -1.026 ( 0.9673 )
    0.256 ( 1.2051 )
    -1.140 ( 0.9873 )
        IB: Change at Day 1 (n=2,1,2,3,3,5,7)
    -1.881 ( 2.6601 )
    1.710 ( 99999 )
    0.855 ( 1.2092 )
    7.752 ( 14.2252 )
    0.513 ( 0.4524 )
    -6.532 ( 14.5141 )
    -3.469 ( 9.1623 )
        IB: Change at Day 1 7h (n=0,2,0,3,4,2,6)
    99999 ( 99999 )
    -14.279 ( 15.1144 )
    99999 ( 99999 )
    -0.627 ( 1.3927 )
    0.342 ( 1.1513 )
    -0.940 ( 3.7484 )
    -0.940 ( 1.1933 )
        IB: Change at Day 5 (n=3, 3, 2, 7, 7, 7, 13)
    -1.710 ( 1.3356 )
    -10.887 ( 16.5140 )
    0.855 ( 1.2092 )
    -0.489 ( 1.7197 )
    2.028 ( 3.4078 )
    -2.565 ( 13.5328 )
    -3.065 ( 8.0289 )
        IB: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -1.710 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        IB: Change at Day 11 (n=3, 3, 2, 8, 7, 7, 13)
    -1.083 ( 1.8758 )
    -15.219 ( 24.4638 )
    0.000 ( 2.4183 )
    0.641 ( 3.0256 )
    1.344 ( 1.2466 )
    -5.667 ( 19.5016 )
    -2.451 ( 10.6977 )
        IB: Change at Day 28 (n=3, 1, 0, 0, 2, 4, 1)
    0.057 ( 2.1517 )
    -10.260 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.513 ( 0.7255 )
    -56.772 ( 114.9225 )
    0.000 ( 99999 )
        Cr: Change at Day 1 (n=3,6,5,9,8,8,16)
    -0.589 ( 1.0208 )
    0.609 ( 1.6200 )
    -1.414 ( 2.3884 )
    -0.295 ( 6.0649 )
    1.989 ( 4.7193 )
    -2.431 ( 2.5773 )
    -1.602 ( 3.4042 )
        Cr: Change at Day 1 7h (n=2,8,3,7,8,8,16)
    0.442 ( 4.3756 )
    -1.341 ( 1.6999 )
    -4.420 ( 7.6557 )
    1.894 ( 6.4443 )
    1.303 ( 6.5106 )
    1.475 ( 6.9183 )
    -2.438 ( 8.0003 )
        Cr: Change at Day 3 (n=0, 1, 1, 0, 0, 0, 1)
    99999 ( 99999 )
    -7.956 ( 99999 )
    -3.536 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    2.652 ( 99999 )
        Cr: Change at Day 4 (n=0, 1, 0, 0, 0, 1, 1)
    99999 ( 99999 )
    -3.536 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -1.768 ( 99999 )
    0.884 ( 99999 )
        Cr: Change at Day 5 (n=5, 14, 8, 16, 14, 15, 32)
    0.354 ( 1.4792 )
    0.294 ( 4.1295 )
    -0.331 ( 7.6620 )
    0.077 ( 6.7179 )
    1.439 ( 4.0210 )
    -0.825 ( 4.1927 )
    -1.005 ( 6.2223 )
        Cr: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.884 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Cr: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    0.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Cr: Change at Day 11 (n=5, 13, 7, 14, 18, 15, 31)
    -0.354 ( 2.3884 )
    0.331 ( 2.8039 )
    -2.526 ( 5.0892 )
    -0.522 ( 7.4052 )
    0.376 ( 5.0890 )
    -1.002 ( 4.1445 )
    -0.128 ( 6.5873 )
        Cr: Change at Day 28 (n=4,2,2,4,2,4,4)
    0.000 ( 2.9760 )
    -5.746 ( 6.8759 )
    -1.768 ( 5.0007 )
    1.960 ( 8.4423 )
    -1.326 ( 1.8752 )
    3.978 ( 11.6942 )
    3.757 ( 3.5635 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Clinical Laboratory Parameter (Serum Chemistry-Blood Urea nitrogen [BUN], Derived Urea [DU], Chloride [Cl], Bicarbonate [BiC], Glucose [Glu], Potassium [K], Sodium [Na])

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    End point title
    MAD: Change From Baseline in Clinical Laboratory Parameter (Serum Chemistry-Blood Urea nitrogen [BUN], Derived Urea [DU], Chloride [Cl], Bicarbonate [BiC], Glucose [Glu], Potassium [K], Sodium [Na]) [53] [54]
    End point description
    Change From Baseline for Clinical Laboratory Parameter (Serum Chemistry-BUN, DU, Cl, BiC, Glu, K, and Na) was assessed. HeSafety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    For BUN, DU, Cl, Glu, K and Na: From Baseline Day 1, 3, 4, 5, 6, 7, 11 and Day 28; For BiC: From Baseline, Day 1, 3, 4, 5, 11 and Day 28
    Notes
    [53] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [54] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: mmol/L
    arithmetic mean (standard deviation)
        BUN: Change at Day 1, (n=3,4,5,7,8,8,16)
    -0.464 ( 1.3674 )
    -0.295 ( 0.8288 )
    -0.143 ( 0.7403 )
    -0.525 ( 0.7442 )
    -0.469 ( 1.3102 )
    -0.927 ( 1.4263 )
    -0.512 ( 0.6770 )
        BUN: Change at Day 1, 7h (n=2,5,3,7,7,6,13)
    -0.286 ( 0.4039 )
    -0.750 ( 0.5143 )
    -0.952 ( 1.3516 )
    0.092 ( 0.6537 )
    -0.719 ( 1.4030 )
    -0.286 ( 0.7147 )
    -0.637 ( 0.8280 )
        BUN: Change at Day 3 (n=0, 1, 1, 0, 0, 0, 1)
    99999 ( 99999 )
    -0.536 ( 99999 )
    1.071 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.964 ( 99999 )
        BUN: Change at Day 4 (n=0, 1, 0, 0, 0, 1, 0)
    99999 ( 99999 )
    -0.428 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.714 ( 99999 )
        BUN: Change at Day 5 (n=5, 9, 8, 13, 13, 15, 29)
    0.086 ( 0.9876 )
    -0.258 ( 0.9709 )
    0.223 ( 1.6846 )
    -0.014 ( 1.0222 )
    0.232 ( 1.2653 )
    0.322 ( 1.4978 )
    0.057 ( 0.7834 )
        BUN: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.643 ( 99999 )
    99999 ( 99999 )
    0.643 ( 99999 )
    99999 ( 99999 )
        BUN: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    -0.500 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        BUN: Change at Day 11 (n=5, 8, 7, 13, 16, 15, 28)
    0.307 ( 0.3494 )
    0.884 ( 2.2140 )
    0.408 ( 1.5066 )
    0.719 ( 1.3786 )
    0.364 ( 1.3144 )
    0.501 ( 1.2024 )
    0.395 ( 0.8645 )
        BUN: Change at Day 28 (n=4, 2, 2, 3, 1, 4, 4)
    0.598 ( 1.0962 )
    0.196 ( 0.536 )
    0.2524 ( 0.428 )
    0.2574 ( 1.071 )
    99999 ( 1.011 )
    1.3398 ( 99999 )
    0.446 ( 0.6262 )
        DU: Change at Day 1 (n=3,6,5,9,8,8,16)
    -0.464 ( 1.3674 )
    -0.263 ( 0.6438 )
    -0.143 ( 0.7403 )
    -0.331 ( 0.7714 )
    -0.674 ( 1.4148 )
    -0.927 ( 1.4263 )
    -0.574 ( 0.6728 )
        DU: Change at Day 1 7h (n=2,7,3,7,8,7,15)
    -0.286 ( 0.4039 )
    -0.578 ( 0.6023 )
    -0.952 ( 1.3516 )
    0.092 ( 0.6537 )
    -0.642 ( 1.3172 )
    -0.331 ( 0.6632 )
    -0.369 ( 1.4107 )
        DU: Change at Day 3 (n=0, 1, 1, 0, 0, 0, 1)
    99999 ( 99999 )
    -0.536 ( 99999 )
    1.071 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.964 ( 99999 )
        DU: Change at Day 4 (n=0, 1, 0, 0, 0, 1, 1)
    99999 ( 99999 )
    -0.428 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -1.714 ( 99999 )
    0.714 ( 99999 )
        DU: Change at Day 5 (n=5, 13, 8, 14, 14, 15, 32)
    0.086 ( 0.9876 )
    -0.048 ( 0.8651 )
    0.223 ( 1.6846 )
    0.052 ( 1.0120 )
    0.859 ( 2.8693 )
    0.322 ( 1.4978 )
    0.007 ( 1.1992 )
        DU: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.643 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        DU: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    -0.500 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        DU: Change at Day 11 (n=5, 12, 7, 14, 18, 15, 31)
    0.307 ( 0.3494 )
    0.481 ( 1.9201 )
    0.408 ( 1.5066 )
    1.429 ( 3.1244 )
    0.664 ( 1.6573 )
    0.501 ( 1.2024 )
    0.668 ( 1.8060 )
        DU: Change at Day 28 (n=4, 2, 2, 4, 1, 4, 4)
    0.598 ( 1.0962 )
    0.196 ( 0.1767 )
    0.536 ( 0.2524 )
    0.221 ( 0.4645 )
    1.071 ( 99999 )
    1.011 ( 1.3398 )
    0.446 ( 0.6262 )
        Cl: Change at Day 1 (n=3,6,4,7,8,8,16)
    4.000 ( 2.6458 )
    0.167 ( 3.6560 )
    -1.000 ( 1.4142 )
    1.000 ( 2.5166 )
    0.625 ( 1.6850 )
    0.875 ( 3.3991 )
    1.181 ( 2.6240 )
        Cl: Change at Day 1 7h (n=2,8,3,6,7,8,16)
    -0.500 ( 6.3640 )
    0.125 ( 1.4577 )
    -0.667 ( 7.3711 )
    0.300 ( 3.0033 )
    0.286 ( 3.1472 )
    1.250 ( 3.4538 )
    1.625 ( 2.5000 )
        Cl: Change at Day 3 (n=0, 1, 1, 0, 0, 0, 1)
    99999 ( 99999 )
    -4.000 ( 99999 )
    0.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -3.000 ( 99999 )
        Cl: Change at Day 4 (n=0, 1, 0, 0, 0, 1, 1)
    99999 ( 99999 )
    -3.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.000 ( 99999 )
    4.000 ( 99999 )
        Cl: Change at Day 5 (n=5, 13, 7, 14, 14, 15, 30)
    3.000 ( 1.8708 )
    -0.462 ( 2.8465 )
    -1.000 ( 4.2426 )
    0.871 ( 2.2293 )
    0.143 ( 3.3936 )
    0.667 ( 5.8269 )
    0.617 ( 3.9950 )
        Cl: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    4.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Cl: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    8.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Cl: Change at Day 11 (n=5, 12, 6, 14, 18, 15, 28)
    3.600 ( 2.6077 )
    0.500 ( 3.3166 )
    1.167 ( 3.7103 )
    1.079 ( 2.2723 )
    0.500 ( 2.7279 )
    0.467 ( 2.5317 )
    1.471 ( 3.0841 )
        Cl: Change at Day 28 (n=4, 2, 2, 2, 2, 4, 4)
    3.750 ( 2.9861 )
    -2.500 ( 0.7071 )
    1.000 ( 1.4142 )
    2.000 ( 2.8284 )
    -1.000 ( 2.8284 )
    2.000 ( 2.9439 )
    1.000 ( 2.1602 )
        BiC: Change at Day 1 (n=1,5,4,5,6,5,12)
    -4.400 ( 99999 )
    0.840 ( 2.0959 )
    1.250 ( 1.3699 )
    -3.220 ( 3.4347 )
    -0.967 ( 4.0805 )
    2.220 ( 2.2786 )
    -0.100 ( 2.0596 )
        BiC: Change at Day 1 7h (n=1,4,3,5,5,8,14)
    1.600 ( 99999 )
    0.200 ( 0.9092 )
    0.667 ( 0.5774 )
    1.240 ( 1.7126 )
    1.600 ( 4.7518 )
    0.425 ( 3.4446 )
    0.100 ( 2.8914 )
        BiC: Change at Day 3 (n=0,1,1,0,0,0,1)
    99999 ( 99999 )
    3.200 ( 99999 )
    0.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.700 ( 99999 )
        BiC: Change at Day 4 (n=0,1,0,0,0,0,0)
    99999 ( 99999 )
    1.500 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        BiC: Change at Day 5 (n=2,11,7,12,11,12,27)
    -0.600 ( 2.9698 )
    0.918 ( 2.3142 )
    -0.457 ( 2.3853 )
    -0.883 ( 4.6910 )
    -1.045 ( 3.1986 )
    -0.700 ( 1.8650 )
    -1.674 ( 3.8609 )
        BiC: Change at Day 11 (n=1,10,6,11,15,12,25)
    -7.200 ( 99999 )
    -1.470 ( 2.2696 )
    -2.217 ( 2.9856 )
    -0.282 ( 2.7239 )
    -0.680 ( 3.3830 )
    -1.342 ( 4.0514 )
    -2.024 ( 3.3589 )
        BiC: Change at Day 28 (n=1,1,2,2,1,2,3)
    -0.100 ( 99999 )
    -2.100 ( 99999 )
    -6.850 ( 3.4648 )
    0.950 ( 0.0707 )
    -1.000 ( 99999 )
    -2.000 ( 2.8284 )
    -1.033 ( 4.0253 )
        Glu: Change at Day 1 (n=3,5,5,9,8,8,16)
    0.574 ( 0.1784 )
    0.027 ( 0.3211 )
    0.022 ( 1.0456 )
    0.394 ( 0.9391 )
    -1.131 ( 1.3339 )
    0.118 ( 1.1405 )
    -0.144 ( 1.0466 )
        Glu: Change at Day 1 7h (n=2,8,3,7,8,8,16)
    -0.944 ( 0.3140 )
    0.524 ( 2.0440 )
    0.444 ( 0.4441 )
    -0.936 ( 1.8798 )
    -0.180 ( 0.8312 )
    -1.610 ( 1.7419 )
    -0.200 ( 1.0311 )
        Glu: Change at Day 3 (n=0, 1, 1, 0, 0, 0, 1)
    99999 ( 99999 )
    4.774 ( 99999 )
    -0.222 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -1.443 ( 99999 )
        Glu: Change at Day 4 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    -2.220 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.389 ( 99999 )
        Glu: Change at Day 5 (n=5, 13, 8, 16, 14, 15, 31)
    -0.455 ( 1.1627 )
    -0.589 ( 0.9103 )
    0.056 ( 1.1074 )
    -0.529 ( 1.4839 )
    -1.321 ( 1.2549 )
    -0.981 ( 1.1512 )
    -0.597 ( 0.8138 )
        Glu: Change at Day 11 (n=5, 12, 7, 15, 17, 15, 29)
    -0.377 ( 0.7441 )
    -0.735 ( 1.2051 )
    -0.254 ( 0.7960 )
    -0.540 ( 1.4190 )
    -1.118 ( 1.2295 )
    -0.855 ( 1.0013 )
    -0.602 ( 0.8924 )
        Glu: Change at Day 28 (n=3, 2, 2, 3, 1, 3, 3)
    -0.259 ( 0.6941 )
    -1.055 ( 1.0205 )
    0.250 ( 0.5888 )
    -0.403 ( 0.8107 )
    -3.997 ( 99999 )
    -2.368 ( 2.4198 )
    -0.907 ( 0.3899 )
        K: Change at Day 1 (n=3,6,5,8,8,8,16)
    -0.367 ( 0.7371 )
    -0.217 ( 0.5776 )
    -0.100 ( 0.4743 )
    0.446 ( 0.7071 )
    0.663 ( 0.8667 )
    -0.538 ( 0.4241 )
    -0.158 ( 0.4367 )
        K: Change at Day 1 7h (n=2,8,3,7,8,8,16)
    0.000 ( 0.2828 )
    -0.025 ( 0.6585 )
    0.833 ( 0.8505 )
    -0.35 ( 0.7678 )
    0.163 ( 0.4138 )
    0.166 ( 0.7890 )
    -0.042 ( 0.4909 )
        K: Change at Day 3 (n=0, 1, 1, 0, 0, 0, 1)
    99999 ( 99999 )
    0.500 ( 99999 )
    -0.100 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.400 ( 99999 )
        K: Change at Day 4 (n=0, 1, 0, 0, 0, 1, 1)
    99999 ( 99999 )
    -0.300 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.400 ( 99999 )
    0.100 ( 99999 )
        K: Change at Day 5 (n=5, 14, 8, 16, 14, 15, 31)
    -0.080 ( 0.5630 )
    0.383 ( 0.4422 )
    0.225 ( 0.7046 )
    0.123 ( 0.7766 )
    0.529 ( 0.4177 )
    0.327 ( 0.6606 )
    0.446 ( 0.7510 )
        K: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.800 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        K: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    -0.800 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        K: Change at Day 11 (n=5, 12, 7, 15, 18, 15, 30)
    -0.180 ( 0.2683 )
    0.367 ( 1.0008 )
    0.386 ( 0.8214 )
    0.019 ( 0.7057 )
    0.328 ( 0.5154 )
    0.207 ( 0.9098 )
    0.296 ( 0.7519 )
        K: Change at Day 28 (n=4, 2, 2, 4, 2, 4, 5)
    -0.450 ( 0.3416 )
    0.150 ( 0.9192 )
    0.350 ( 0.4950 )
    -0.200 ( 0.3367 )
    0.650 ( 0.0707 )
    0.250 ( 0.8583 )
    0.000 ( 0.5148 )
        Na: Change at Day 1 (n=3,6,5,8,8,8,17)
    1.333 ( 3.2146 )
    1.500 ( 1.6432 )
    -0.600 ( 1.1402 )
    -1.513 ( 3.3702 )
    0.000 ( 1.8516 )
    0.875 ( 2.2321 )
    0.529 ( 2.7640 )
        Na: Change at Day 1 7h (n=2,8,3,7,8,8,16)
    -0.500 ( 6.3640 )
    -0.250 ( 1.7525 )
    -1.333 ( 4.9329 )
    1.429 ( 4.1173 )
    -0.250 ( 3.1510 )
    1.000 ( 1.4142 )
    0.188 ( 2.1360 )
        Na: Change at Day 3 (n=0, 1, 1, 0, 0, 0, 1)
    99999 ( 99999 )
    -5.000 ( 99999 )
    1.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -2.000 ( 99999 )
        Na: Change at Day 4 (n=0, 1, 0, 0, 0, 1, 1)
    99999 ( 99999 )
    -4.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    1.000 ( 99999 )
    0.000 ( 99999 )
        Na: Change at Day 5 (n=5, 14, 8, 16, 14, 15, 32)
    2.000 ( 2.7386 )
    1.286 ( 2.2336 )
    0.125 ( 3.6815 )
    0.050 ( 3.6715 )
    0.500 ( 3.1805 )
    -1.400 ( 2.4437 )
    0.344 ( 2.1192 )
        Na: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    2.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Na: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    6.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Na: Change at Day 11 (n=5, 12, 7, 15, 18, 15, 29)
    1.000 ( 2.8284 )
    0.462 ( 1.8081 )
    0.286 ( 4.1115 )
    0.273 ( 2.6497 )
    0.111 ( 2.6097 )
    -0.867 ( 2.2318 )
    -0.517 ( 2.2775 )
        Na: Change at Day 28 (n=4, 2, 2, 4, 2, 4, 4)
    1.500 ( 1.7321 )
    -5.500 ( 0.7071 )
    1.000 ( 0.0000 )
    -0.667 ( 1.5275 )
    0.500 ( 2.1213 )
    -1.250 ( 2.0616 )
    0.750 ( 2.8723 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Clinical laboratory Parameter (Hematology-Reticulocyte Absolute [RA], Platelets [Pl], Leukocytes [LU], Monocytes [MO], Neutrophils [NE])

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    End point title
    MAD: Change From Baseline in Clinical laboratory Parameter (Hematology-Reticulocyte Absolute [RA], Platelets [Pl], Leukocytes [LU], Monocytes [MO], Neutrophils [NE]) [55] [56]
    End point description
    Change from baseline in Hematology-RA, Pl, LU, MO, NE were assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline, Day 1, 5, 11 and Day 28
    Notes
    [55] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [56] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: 10^9/L
    arithmetic mean (standard deviation)
        RA: Change at Day 1 (n=0,1,1,3,0,0,2)
    99999 ( 99999 )
    12.300 ( 99999 )
    0.700 ( 99999 )
    -1.867 ( 7.7861 )
    99999 ( 99999 )
    99999 ( 99999 )
    -7.750 ( 13.3643 )
        RA: Change at Day 1 7h (n=0,1,0,1,1,1,2)
    99999 ( 99999 )
    -16.000 ( 99999 )
    99999 ( 99999 )
    174.000 ( 99999 )
    16.000 ( 99999 )
    4.000 ( 99999 )
    1.500 ( 2.1213 )
        RA: Change at Day 5 (n=0,2,1,4,2,0,6)
    99999 ( 99999 )
    22.600 ( 4.8083 )
    25.000 ( 99999 )
    21.433 ( 23.1768 )
    20.000 ( 99999 )
    99999 ( 99999 )
    19.050 ( 38.6507 )
        RA: Change at Day 11 (n=0, 2, 1, 4, 2, 0, 6)
    99999 ( 99999 )
    29.100 ( 28.1428 )
    20.100 ( 99999 )
    33.550 ( 32.7856 )
    15.050 ( 1.3435 )
    99999 ( 99999 )
    74.250 ( 75.8861 )
        RA: Change at Day 28 (n=0, 0, 0, 2, 1, 0, 2)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -7.400 ( 10.4652 )
    -1.700 ( 99999 )
    99999 ( 99999 )
    11.950 ( 11.2430 )
        Pl: Change at Day 1 (n=3,6,5,7,8,7,16)
    55.333 ( 139.2204 )
    -69.833 ( 127.8928 )
    15.000 ( 36.4211 )
    30.143 ( 49.7475 )
    21.125 ( 38.0768 )
    13.286 ( 102.5032 )
    -9.375 ( 83.1199 )
        Pl: Change at Day 1 7h (n=2,8,3,7,8,8,15)
    102.000 ( 45.2548 )
    -26.125 ( 79.3013 )
    2.333 ( 65.2482 )
    14.429 ( 118.0408 )
    1.625 ( 51.1411 )
    28.000 ( 49.7106 )
    30.200 ( 96.7207 )
        Pl: Change at Day 3 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    14.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    220.000 ( 99999 )
        Pl: Change at Day 4 (n=0, 1, 0, 1, 1, 1, 1)
    99999 ( 99999 )
    -4.000 ( 99999 )
    99999 ( 99999 )
    187.000 ( 99999 )
    25.000 ( 99999 )
    8.000 ( 99999 )
    266.000 ( 99999 )
        Pl: Change at Day 5 (n=5, 13, 7, 16, 14, 14, 30)
    176.200 ( 147.7031 )
    85.538 ( 80.9852 )
    116.571 ( 77.5411 )
    126.000 ( 173.6241 )
    51.429 ( 127.6279 )
    93.214 ( 105.2866 )
    148.467 ( 131.1471 )
        Pl: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    33.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Pl: Change at Day 7 (n=1, 0, 0, 0, 0, 0)
    246.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Pl: Change at Day 11 (n=5, 14, 7, 16, 18, 14, 30)
    224.400 ( 187.1692 )
    184.143 ( 161.7576 )
    146.000 ( 139.5087 )
    161.563 ( 143.9111 )
    97.056 ( 135.6741 )
    62.857 ( 152.4996 )
    189.067 ( 199.0547 )
        Pl: Change at Day 28 (n=4, 2, 3, 4, 7, 5, 5)
    -1.250 ( 77.3235 )
    53.500 ( 187.3833 )
    51.667 ( 46.1988 )
    90.250 ( 114.7123 )
    64.857 ( 80.6090 )
    90.000 ( 82.5530 )
    105.200 ( 93.8840 )
        LU: Change at Day 1 (n=3,6,5,8,8,8,16)
    -0.947 ( 4.2824 )
    -0.458 ( 4.6275 )
    1.496 ( 1.5027 )
    2.224 ( 5.2023 )
    -0.109 ( 1.8526 )
    -1.759 ( 2.4622 )
    -0.646 ( 2.8928 )
        LU: Change at Day 1 7h (n=2,8,3,7,8,8,16)
    4.105 ( 1.5344 )
    -0.026 ( 2.2113 )
    1.830 ( 4.4559 )
    0.779 ( 3.0700 )
    1.449 ( 5.0896 )
    1.004 ( 3.1465 )
    0.737 ( 2.9601 )
        LU: Change at Day 3 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    3.700 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    3.500 ( 99999 )
        LU: Change at Day 4 (n=0, 1, 0, 1, 1, 1, 1)
    99999 ( 99999 )
    2.600 ( 99999 )
    99999 ( 99999 )
    2.900 ( 99999 )
    1.800 ( 99999 )
    -2.410 ( 99999 )
    10.600 ( 99999 )
        LU: Change at Day 5 (n=5, 14, 7, 16, 14, 15, 30)
    4.658 ( 4.0670 )
    2.899 ( 4.1105 )
    2.617 ( 2.8576 )
    1.919 ( 4.1434 )
    1.018 ( 3.5099 )
    -1.158 ( 4.8667 )
    2.047 ( 3.6648 )
        LU: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    1.700 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        LU: Change at Day 7 (n=1, 0, 0, 0, 0, 0)
    -5.200 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        LU: Change at Day 11 (n=5, 14, 7, 16, 18, 15, 30)
    2.202 ( 4.2067 )
    1.343 ( 3.4003 )
    1.560 ( 6.3322 )
    1.051 ( 3.7508 )
    0.966 ( 3.1490 )
    -1.252 ( 5.3719 )
    1.596 ( 3.9254 )
        LU: Change at Day 28 (n=4, 2, 3, 4, 7, 5, 5)
    0.990 ( 3.8787 )
    2.350 ( 5.4447 )
    2.340 ( 3.7843 )
    1.305 ( 5.8319 )
    2.131 ( 2.2922 )
    -0.232 ( 1.2545 )
    1.734 ( 2.8677 )
        MO: Change at Day 1 (n=0,2,5,6,7,4,8)
    99999 ( 99999 )
    0.5400 ( 1.47078 )
    0.4060 ( 0.77797 )
    0.1517 ( 1.29711 )
    -0.1277 ( 0.37158 )
    -0.4441 ( 0.59779 )
    -0.3081 ( 0.96999 )
        MO: Change at Day 1 7h (n=2,3,3,5,5,6,10)
    0.3300 ( 0.12728 )
    -0.4700 ( 0.68088 )
    -0.8033 ( 1.62254 )
    0.4122 ( 0.71410 )
    0.2389 ( 0.43763 )
    -0.2541 ( 0.35293 )
    -0.3696 ( 0.74369 )
        MO: Change at Day 4 (n=0, 0, 0, 1, 0, 1, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.3000 ( 99999 )
    99999 ( 99999 )
    -0.6900 ( 99999 )
    99999 ( 99999 )
        MO: Change at Day 5 (n=2, 6, 7, 12, 10, 9, 18)
    -0.0850 ( 0.19092 )
    0.3633 ( 0.82553 )
    -0.5700 ( 1.47410 )
    -0.0713 ( 0.59409 )
    -0.3018 ( 0.45398 )
    -0.9631 ( 0.78187 )
    -0.2382 ( 0.73679 )
        MO: Change at Day 11 (n=2, 6, 7, 1`2, 14, 9, 19)
    -0.2300 ( 0.25456 )
    -0.6133 ( 0.23763 )
    -0.5600 ( 1.40801 )
    -0.3043 ( 0.98092 )
    -0.2959 ( 0.52460 )
    -0.7158 ( 0.80561 )
    -0.5811 ( 0.74793 )
        MO: Change at Day 28 (n=2, 0, 3, 2, 6, 4, 1)
    -0.2800 ( 0.31113 )
    99999 ( 99999 )
    0.0700 ( 0.72794 )
    -0.1850 ( 0.54447 )
    0.2202 ( 0.61356 )
    -0.5366 ( 0.47212 )
    0.0000 ( 99999 )
        NE: Change at Day 1 (n=0,3,5,6,7,4,8)
    99999 ( 99999 )
    -0.1500 ( 2.11714 )
    -0.1040 ( 0.94664 )
    -0.1117 ( 2.67649 )
    -1.1420 ( 1.36427 )
    -1.3210 ( 1.38441 )
    -1.7673 ( 2.27238 )
        NE: Change at Day 1 7h (n=2,5,3,5,5,6,11)
    -0.3000 ( 0.42426 )
    -0.7100 ( 2.05825 )
    0.7323 ( 0.81159 )
    0.0688 ( 1.92003 )
    -0.2506 ( 0.94318 )
    -0.4207 ( 1.81599 )
    -0.0937 ( 1.63375 )
        NE: Change at Day 4 (n=0, 0, 0, 1, 0, 1, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    5.3000 ( 99999 )
    99999 ( 99999 )
    -1.4800 ( 99999 )
    99999 ( 99999 )
        NE: Change at Day 5 (n=2, 8, 7, 12, 14, 9, 19)
    0.1800 ( 1.32936 )
    -0.6150 ( 1.99115 )
    0.7381 ( 1.94822 )
    0.6671 ( 2.26738 )
    -0.9553 ( 1.06988 )
    -2.1604 ( 4.01227 )
    -0.5921 ( 2.92195 )
        NE: Change at Day 11 (n=2, 8, 7, 12, 14, 9, 19)
    0.2200 ( 1.15966 )
    -0.6350 ( 2.62318 )
    -0.2574 ( 1.89726 )
    -0.1292 ( 2.35877 )
    -1.0729 ( 1.47713 )
    -2.8000 ( 3.77919 )
    -0.7321 ( 3.54809 )
        NE: Change at Day 28 (n=2, 0, 3, 2, 6, 4, 1)
    -0.7350 ( 0.36062 )
    99999 ( 99999 )
    0.8800 ( 0.45133 )
    2.5500 ( 4.73762 )
    -0.6352 ( 0.67595 )
    -2.3981 ( 1.49300 )
    -0.7000 ( 99999 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Reticulocyte Percent, Hematocrit, Basophils/Leukocytes, Eosinophils/Leukocytes, Monocytes/Leukocytes, Neutrophils/Leukocytes, and Lymphocytes/Leukocytes

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    End point title
    MAD: Change From Baseline in Reticulocyte Percent, Hematocrit, Basophils/Leukocytes, Eosinophils/Leukocytes, Monocytes/Leukocytes, Neutrophils/Leukocytes, and Lymphocytes/Leukocytes [57] [58]
    End point description
    Change from baseline in Hematology- RE, HeT, B/LU, E/LU, Ly/LU, N/LU and MO/LU were assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. in respective arm. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline, Day 1, 3, 4, 5, 11 and Day 28
    Notes
    [57] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [58] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: Fraction of 1
    arithmetic mean (standard deviation)
        RE: Change at Day 1 (n=3,3,3,3,6,8,12)
    -0.00100 ( 0.001000 )
    -0.00033 ( 0.000577 )
    0.00210 ( 0.002152 )
    0.00033 ( 0.002517 )
    0.00052 ( 0.001443 )
    -0.00114 ( 0.003794 )
    0.00038 ( 0.002702 )
        RE:Change at Day 1 7h (n=2,5,2,6,5,7,11)
    0.00255 ( 0.006293 )
    -0.00364 ( 0.004219 )
    0.00140 ( 0.003394 )
    0.00330 ( 0.006239 )
    -0.00110 ( 0.00258 )
    0.00010 ( 0.00296 )
    0.00499 ( 0.011443 )
        RE:Change at Day 3 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    0 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.03000 ( 99999 )
        RE:Change at Day 4 (n=0, 1, 0, 0, 1, 0, 1)
    99999 ( 99999 )
    0.00100 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.00200 ( 99999 )
    99999 ( 99999 )
    0.01000 ( 99999 )
        RE:Change at Day 5 (n=5, 8, 4, 9, 11, 15, 21
    0.00650 ( 0.002373 )
    0.00093 ( 0.007055 )
    0.00020 ( 0.002903 )
    0.00253 ( 0.006009 )
    -0.00118 ( 0.003986 )
    -0.00591 ( 0.006861 )
    0.00515 ( 0.008977 )
        RE:Change at Day 7 (n=1, 0, 0, 0, 0, 0)
    0.01220 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        RE: Change at Day 11 (n=5, 8, 5, 9, 13, 15, 21)
    0.00458 ( 0.007345 )
    0.00671 ( 0.007802 )
    0.01088 ( 0.005876 )
    0.00759 ( 0.012458 )
    0.00936 ( 0.008564 )
    0.01654 ( 0.028015 )
    0.00694 ( 0.005788 )
        RE:Change at Day 28 (n=4, 2, 1, 1, 3 ,5, 2)
    -0.00045 ( 0.007967 )
    0.00310 ( 0.015415 )
    -0.00200 ( 99999 )
    0.00200 ( 99999 )
    0.00480 ( 0.006702 )
    0.00484 ( 0.005498 )
    0.00300 ( 0 )
        HeT:Change at Day 1 (n=3,6,5,8,8,8,15)
    -0.0103 ( 0.04636 )
    -0.0067 ( 0.02911 )
    0.0002 ( 0.01472 )
    0.0021 ( 0.01802 )
    -0.0026 ( 0.01160 )
    -0.0330 ( 0.02734 )
    -0.0084 ( 0.02084 )
        HeT:Change at Day 1 7h (n=2,8,3,7,8,8,16)
    0.0145 ( 0.02616 )
    -0.0162 ( 0.03420 )
    -0.0127 ( 0.02969 )
    -0.0170 ( 0.03645 )
    -0.0009 ( 0.02047 )
    -0.0006 ( 0.01862 )
    -0.0104 ( 0.02869 )
        HeT:Change at Day 3 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    -0.0500 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.0010 ( 99999 )
        HeT:Change at Day 4 (n=0, 1, 0, 1, 1, 1, 1)
    99999 ( 99999 )
    -0.0830 ( 99999 )
    99999 ( 99999 )
    -0.0460 ( 99999 )
    0.0210 ( 99999 )
    -0.0060 ( 99999 )
    0.0240 ( 99999 )
        HeT: Change at Day 5 (n=5, 14, 7, 16, 14, 15, 29)
    0.0114 ( 0.03206 )
    0.0052 ( 0.03671 )
    0.0213 ( 0.02721 )
    -0.0049 ( 0.04071 )
    0.0036 ( 0.02690 )
    -0.0070 ( 0.03210 )
    0.0019 ( 0.02624 )
        HeT:Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.0280 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        HeT:Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    -0.0380 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        HeT:Change at Day 11 (n=5, 14, 7, 16, 18, 15, 29)
    0.0104 ( 0.03093 )
    -0.0006 ( 0.03947 )
    0.0130 ( 0.05371 )
    -0.0021 ( 0.03684 )
    -0.0080 ( 0.02276 )
    -0.0247 ( 0.02871 )
    -0.0020 ( 0.02726 )
        HeT:Change at Day 28 (n=4, 2, 3, 4, 7, 5, 4)
    0.0255 ( 0.02947 )
    -0.0585 ( 0.11384 )
    0.0563 ( 0.04649 )
    0.0233 ( 0.04339 )
    0.0279 ( 0.03936 )
    0.0008 ( 0.01829 )
    0.0080 ( 0.03429 )
        B/LU:Change at Day 1 (n=3,6,4,6,8,7,12)
    -0.0007 ( 0.00115 )
    -0.0005 ( 0.00071 )
    0 ( 0.00316 )
    0.0030 ( 0.00548 )
    -0.0038 ( 0.00787 )
    0.0021 ( 0.00353 )
    -0.0001 ( 0.00360 )
        B/LU:Change at Day 1 7h (n=2,4,3,7,7,6,12)
    0.0020 ( 0.00424 )
    -0.0018 ( 0.00556 )
    -0.0040 ( 0.00600 )
    0 ( 0 )
    -0.0003 ( 0.01098 )
    -0.0012 ( 0.00440 )
    0.0006 ( 0.00491 )
        B/LU:Change at Day 3 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    0 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.0040 ( 99999 )
        B/LU:Change at Day 4 (n=0, 1, 0, 1, 1, 1, 1)
    99999 ( 99999 )
    0 ( 99999 )
    99999 ( 99999 )
    -0.0030 ( 99999 )
    0.0050 ( 99999 )
    0.0020 ( 99999 )
    0 ( 99999 )
        B/LU:Change at Day 5 (n=5, 7, 6, 14, 13, 13, 22)
    -0.0002 ( 0.00179 )
    -0.0029 ( 0.00426 )
    -0.0033 ( 0.00333 )
    0.0011 ( 0.00388 )
    -0.0001 ( 0.00971 )
    -0.0002 ( 0.00424 )
    0.0010 ( 0.00501 )
        B/LU:Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.0020 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        B/LU:Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    0.0100 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        B/LU:Change at Day 11 (n=5, 7, 5, 13, 16, 13, 22)
    0.0004 ( 0.00297 )
    -0.0003 ( 0.00585 )
    -0.0032 ( 0.00349 )
    0.0026 ( 0.00441 )
    -0.0024 ( 0.00896 )
    -0.0007 ( 0.00563 )
    -0.0003 ( 0.00372 )
        B/LU:Change at Day 28 (n=4, 2, 3, 3, 6, 5, 4)
    -0.0005 ( 0.00129 )
    0 ( 0.01414 )
    -0.0010 ( 0.00100 )
    0.0033 ( 0.00577 )
    -0.0023 ( 0.00622 )
    -0.0012 ( 0.00507 )
    0.0025 ( 0.00574 )
        E/LU:Change at Day 1 (n=3,3,4,6,8,7,12)
    0.0170 ( 0.01480 )
    -0.0140 ( 0.01400 )
    0.0108 ( 0.01190 )
    -0.0033 ( 0.02069 )
    0.0139 ( 0.00919 )
    0.0016 ( 0.00969 )
    0.0027 ( 0.01069 )
        E/LU:Change at Day 1 7h (n=22,5,2,7,7,6,11)
    0.0040 ( 0.00424 )
    0.0130 ( 0.03655 )
    0.0150 ( 0.00849 )
    -0.0064 ( 0.01796 )
    0.0027 ( 0.00663 )
    0.0110 ( 0.01515 )
    0.0135 ( 0.02070 )
        E/LU:Change at Day 3 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    0.0300 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.0160 ( 99999 )
        E/LU:Change at Day 4 (n=0, 1, 0, 1, 1, 1, 1)
    99999 ( 99999 )
    0.0600 ( 99999 )
    99999 ( 99999 )
    -0.0080 ( 99999 )
    0.0220 ( 99999 )
    0.0020 ( 99999 )
    0.0100 ( 99999 )
        E/LU:Change at Day 5 (n=5, 8, 5 ,14, 13, 13, 21)
    0.0218 ( 0.01388 )
    0.0050 ( 0.01996 )
    0.0220 ( 0.01190 )
    0.0047 ( 0.01722 )
    0.0226 ( 0.01823 )
    0.0130 ( 0.01194 )
    0.0219 ( 0.02104 )
        E/LU:Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.0210 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        E/LU:Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    0.0600 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        E/LU:Change at Day 11 (n=5, 7, 5, 13, 16, 13, 22)
    0.0210 ( 0.01725 )
    0.0019 ( 0.02660 )
    0.0124 ( 0.00814 )
    0.0057 ( 0.02356 )
    0.0226 ( 0.01821 )
    0.0048 ( 0.00826 )
    0.0125 ( 0.01627 )
        E/LU:Change at Day 28 (n=4, 2, 3, 3, 6, 5, 4)
    0.0393 ( 0.02254 )
    0 ( 0.01414 )
    0.0400 ( 0.00265 )
    0.0263 ( 0.01518 )
    0.0313 ( 0.01715 )
    0.0334 ( 0.02924 )
    0.0248 ( 0.03362 )
        Ly/LU:Change at Day 1 (n=3,3,4,6,8,7,12)
    0.0647 ( 0.15279 )
    0.0053 ( 0.06795 )
    0.0313 ( 0.12570 )
    0.1023 ( 0.11833 )
    0.1145 ( 0.13475 )
    0.0309 ( 0.12500 )
    0.0216 ( 0.13094 )
        Ly/LU:Change at Day 1 7h (n=2,6,3,7,7,6,12)
    0.1900 ( 0.05091 )
    0.1003 ( 0.11078 )
    0.0043 ( 0.03550 )
    0.0114 ( 0.13422 )
    0.1856 ( 0.10153 )
    0.1557 ( 0.13484 )
    0.1263 ( 0.15505 )
        Ly/LU:Change at Day 3 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    -0.1000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.2770 ( 99999 )
        Ly/LU:Change at Day 4 (n=0, 1, 0, 1, 1, 1, 1)
    99999 ( 99999 )
    -0.1400 ( 99999 )
    99999 ( 99999 )
    -0.4180 ( 99999 )
    0.3010 ( 99999 )
    0.0590 ( 99999 )
    0.0500 ( 99999 )
        Ly/LU:Change at Day 5 (n=5, 9, 6, 14, 13, 13, 22)
    0.0436 ( 0.16829 )
    0.0973 ( 0.14759 )
    -0.0207 ( 0.06181 )
    0.0243 ( 0.14084 )
    0.2381 ( 0.13613 )
    0.1698 ( 0.17056 )
    0.0719 ( 0.13371 )
        Ly/LU:Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.1740 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Ly/LU:Change at Day 7 (n=1,0,0,0,0,0,0)
    0.1700 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Ly/LU:Change at Day 11(n=5,9,6,13,16,13,22)
    0.0802 ( 0.13331 )
    0.0914 ( 0.15882 )
    0.1217 ( 0.13303 )
    0.0528 ( 0.18947 )
    0.1951 ( 0.17741 )
    0.2074 ( 0.17816 )
    0.0785 ( 0.15841 )
        Ly/LU:Change at Day 28(n=4,2,3,3,6,5,4)
    0.1740 ( 0.18472 )
    0.1850 ( 0.00707 )
    -0.0527 ( 0.05065 )
    -0.1037 ( 0.19995 )
    0.1642 ( 0.16080 )
    0.2072 ( 0.20963 )
    0.1443 ( 0.03622 )
        NE/LU:Change at Day 1(n=3,3,4,6,8,7,12)
    -0.0487 ( 0.14075 )
    -0.0217 ( 0.03731 )
    -0.0315 ( 0.12331 )
    -0.0817 ( 0.15243 )
    -0.1073 ( 0.12579 )
    -0.0257 ( 0.13069 )
    -0.3081 ( 0.96999 )
        NE/LU:Change at Day 1 7h (n=2,6,3,7,7,6,12)
    -0.1835 ( 0.03323 )
    -0.1087 ( 0.07159 )
    0.0167 ( 0.00666 )
    -0.0107 ( 0.17936 )
    -0.1730 ( 0.08578 )
    -0.1290 ( 0.13407 )
    -0.0077 ( 0.13576 )
        NE/LU:Change at Day 3(n=0,1,0,0, 0,0,1)
    99999 ( 99999 )
    0.0500 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.1172 ( 0.12884 )
        NE/LU:Change at Day 4(n=0,1,0,1, 1,1,1)
    99999 ( 99999 )
    0.0700 ( 99999 )
    99999 ( 99999 )
    0.4260 ( 99999 )
    -0.3010 ( 99999 )
    -0.0350 ( 99999 )
    -0.0600 ( 99999 )
        NE/LU:Change at Day 5(n=5,9,6,14, 13,13,22)
    -0.0304 ( 0.15891 )
    -0.0728 ( 0.13749 )
    0.0617 ( 0.06439 )
    0.0050 ( 0.15536 )
    -0.2025 ( 0.12148 )
    -0.1022 ( 0.16801 )
    -0.0815 ( 99999 )
        NE/LU: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.1590 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        NE/LU:Change at Day 7(n=1,0,0,0, 0,0,0)
    -0.2000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        N/L:Change at Day 11(n=5,9,6,13,16,13,22)
    -0.0432 ( 0.12650 )
    -0.0607 ( 0.14905 )
    -0.0408 ( 0.11622 )
    -0.0230 ( 0.21813 )
    -0.1760 ( 0.15354 )
    -0.1668 ( 0.18456 )
    -0.0465 ( 0.16944 )
        NE/LU:Change at Day 28(n=4,2,3,3,6,5,4)
    -0.1605 ( 0.13847 )
    -0.1300 ( 0 )
    0.0447 ( 0.02442 )
    0.1287 ( 0.20146 )
    -0.1763 ( 0.08492 )
    -0.1830 ( 0.24943 )
    -0.1225 ( 0.08685 )
        MO/LU:Change at Day 1(n=3,3,4,6,8,7,12)
    -0.0257 ( 0.03707 )
    0.0273 ( 0.03855 )
    -0.0115 ( 0.00645 )
    -0.0223 ( 0.06961 )
    -0.0057 ( 0.03163 )
    -0.0201 ( 0.02559 )
    -0.0148 ( 0.05153 )
        MO/LU:Change at Day 1, 7h(n= 2, 6, 3, 7, 7, 6, 12)
    -0.0125 ( 0.01768 )
    -0.0018 ( 0.04649 )
    -0.0797 ( 0.11327 )
    0 ( 0.05292 )
    -0.0176 ( 0.03777 )
    -0.0277 ( 0.01461 )
    -0.0215 ( 0.05408 )
        MO/LU: Change at Day 3 (n=0, 1, 0, 0 ,0, 0, 1)
    99999 ( 99999 )
    0.0200 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.0190 ( 99999 )
        MO/LU: Change at Day 4 (n=0, 1, 0, 1, 1, 1, 1)
    99999 ( 99999 )
    -0.0200 ( 99999 )
    99999 ( 99999 )
    -0.0010 ( 99999 )
    -0.0170 ( 99999 )
    -0.0280 ( 99999 )
    -0.0100 ( 99999 )
        MO/LU: Change at Day 5 (n=5, 9, 6 ,14, 13, 13, 22)
    -0.0348 ( 0.01645 )
    -0.0296 ( 0.03387 )
    -0.0953 ( 0.08841 )
    -0.0347 ( 0.04417 )
    -0.0448 ( 0.04020 )
    -0.0763 ( 0.03677 )
    -0.0287 ( 0.04721 )
        MO/LU: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.0380 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        MO/LU: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    -0.0300 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        MO/LU: Change at Day 11 (n=5,9, 6,13,16,13,22)
    -0.0524 ( 0.03692 )
    -0.0353 ( 0.04317 )
    -0.0870 ( 0.06773 )
    -0.0299 ( 0.05849 )
    -0.0236 ( 0.04057 )
    -0.0448 ( 0.03341 )
    -0.0405 ( 0.03295 )
        MO/LU: Change at Day 28 (n=4, 2, 2, 3, 6, 5, 4)
    -0.0448 ( 0.03924 )
    -0.050 ( 0.02828 )
    -0.0445 ( 0.04313 )
    -0.0547 ( 0.02335 )
    0.0110 ( 0.03289 )
    -0.0546 ( 0.03049 )
    -0.0415 ( 0.04273 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Clinical Laboratory Parameter (Hematology- Erythrocytes Mean Corpuscular Hemoglobin)

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    End point title
    MAD: Change From Baseline in Clinical Laboratory Parameter (Hematology- Erythrocytes Mean Corpuscular Hemoglobin) [59] [60]
    End point description
    Change From Baseline in Clinical Laboratory Parameter (Hematology- Erythrocytes Mean Corpuscular Hemoglobin) was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline, Day 1, 3, 4, 5, 6, 7, 11 and Day 28
    Notes
    [59] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [60] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: pg
    arithmetic mean (standard deviation)
        Change at Day 1 (n=3, 6, 5, 8, 8, 8, 8, 16)
    -0.033 ( 0.7572 )
    -0.467 ( 0.4719 )
    -0.020 ( 0.5119 )
    0.587 ( 1.0921 )
    -0.162 ( 0.3249 )
    0.062 ( 0.8400 )
    -0.050 ( 0.5279 )
        Change at Day 1 7h (n=2, 8, 3, 7, 8, 8, 16)
    -0.200 ( 0.8485 )
    0.100 ( 0.4957 )
    0.167 ( 0.4619 )
    -0.600 ( 0.7234 )
    0.225 ( 0.5175 )
    -0.112 ( 0.4190 )
    -0.175 ( 1.1072 )
        Change at Day 3 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    -0.500 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.400 ( 99999 )
        Change at Day 4 (n=0, 1, 0, 1, 1, 1, 1)
    99999 ( 99999 )
    -0.200 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.100 ( 99999 )
        Change at Day 5 (n=5, 14, 7, 16, 14, 15, 30)
    -0.300 ( 0.4472 )
    -0.236 ( 0.5624 )
    -0.371 ( 0.5376 )
    0.250 ( 1.7084 )
    0.000 ( 0.7565 )
    0.087 ( 0.9180 )
    -0.173 ( 0.8068 )
        Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.500 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    -0.500 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Change at Day 11 (n=5, 14, 7, 16, 18, 15, 30)
    -0.460 ( 0.8142 )
    -0.443 ( 0.5019 )
    -0.129 ( 0.5936 )
    -0.138 ( 1.2010 )
    -0.111 ( 0.6970 )
    0.073 ( 1.0229 )
    -0.533 ( 0.5868 )
        Change at Day 28 (n=4, 2, 3, 4, 7, 5, 5)
    -0.050 ( 0.6807 )
    -1.800 ( 0.2828 )
    -1.133 ( 1.6166 )
    -0.550 ( 1.1958 )
    0.343 ( 0.9235 )
    0.320 ( 3.0425 )
    -1.180 ( 1.4025 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Clinical Laboratory Parameter (Hematology- Erythrocytes Mean Corpuscular HGB Concentration)

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    End point title
    MAD: Change From Baseline in Clinical Laboratory Parameter (Hematology- Erythrocytes Mean Corpuscular HGB Concentration) [61] [62]
    End point description
    Change from baseline in clinical laboratory parameter (Hematology- erythrocytes mean corpuscular HGB concentration) was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline to Day 1, 3, 4, 5, 6, 7, 11 and Day 28
    Notes
    [61] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [62] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: g/L
    arithmetic mean (standard deviation)
        Change at Day 1 (n=3, 6, 5, 8, 8, 8, 8, 16)
    -0.667 ( 6.6583 )
    0.000 ( 4.5607 )
    -3.600 ( 6.1887 )
    0.500 ( 8.1670 )
    -0.375 ( 6.6103 )
    -1.500 ( 11.0454 )
    -1.750 ( 6.8069 )
        Change at Day 1 7h (n=2, 8, 3, 7, 8, 8, 16)
    1.000 ( 11.3137 )
    2.875 ( 4.6733 )
    5.333 ( 10.0167 )
    -6.714 ( 6.3957 )
    2.429 ( 9.2711 )
    -0.375 ( 9.1486 )
    -0.063 ( 14.5349 )
        Change at Day 3 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    -2.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    1.000 ( 99999 )
        Change at Day 4 (n=0, 1, 0, 1, 1, 1, 1)
    99999 ( 99999 )
    1.000 ( 99999 )
    99999 ( 99999 )
    10.000 ( 99999 )
    12.000 ( 99999 )
    -6.000 ( 99999 )
    -1.000 ( 99999 )
        Change at Day 5 (n=5, 14, 7, 14, 13, 15, 30)
    1.600 ( 8.0187 )
    2.000 ( 6.8388 )
    0.857 ( 4.4508 )
    0.857 ( 11.4518 )
    5.154 ( 14.3169 )
    4.333 ( 9.6115 )
    3.233 ( 9.8250 )
        Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -2.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    -3.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Change at Day 11 (n=5, 14, 7, 14, 17, 15, 30)
    -1.000 ( 8.6891 )
    3.143 ( 9.3138 )
    -2.571 ( 8.1416 )
    -1.000 ( 10.2582 )
    2.176 ( 8.8898 )
    7.400 ( 13.5320 )
    1.800 ( 8.2144 )
        Change at Day 28 (n=4, 2, 3, 3, 7, 5, 5)
    6.750 ( 6.2383 )
    -8.500 ( 13.4350 )
    4.667 ( 8.5049 )
    2.000 ( 7.0000 )
    0.714 ( 14.9634 )
    -4.600 ( 18.2975 )
    -1.000 ( 7.8740 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Clinical Laboratory Parameter (Erythrocytes Mean Corpuscular Volume [e-MCV] and Mean Platelet Volume [MPV])

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    End point title
    MAD: Change From Baseline in Clinical Laboratory Parameter (Erythrocytes Mean Corpuscular Volume [e-MCV] and Mean Platelet Volume [MPV]) [63] [64]
    End point description
    Change from Baseline in Clinical Laboratory Parameter (e-MCV and MPV) was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline, Day 1, 3, 4, 5, 6, 7, 11 and Day 28
    Notes
    [63] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [64] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: FL
    arithmetic mean (standard deviation)
        e-MCV: Change at Day 1 (n=3,6,5,8,8,8,16)
    0.167 ( 0.7234 )
    -1.300 ( 0.8649 )
    0.760 ( 0.9940 )
    1.325 ( 5.1917 )
    -0.213 ( 1.1344 )
    0.188 ( 1.0480 )
    0.237 ( 1.7258 )
        e-MCV: Change at Day 1 7h (n=2, 8, 3, 7, 8, 8, 16)
    -0.850 ( 0.4950 )
    -0.500 ( 1.3690 )
    -1.033 ( 1.8502 )
    0.043 ( 1.4954 )
    -0.225 ( 1.8584 )
    -0.412 ( 1.2287 )
    -0.375 ( 2.6532 )
        e-MCV: Change at Day 3 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    -0.700 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -1.700 ( 99999 )
        e-MCV: Change at Day 4 (n=0, 1, 0, 1, 1, 1, 1)
    99999 ( 99999 )
    -0.700 ( 99999 )
    99999 ( 99999 )
    -0.100 ( 99999 )
    -0.600 ( 99999 )
    0.200 ( 99999 )
    0.400 ( 99999 )
        e-MCV:Change at Day 5(n=5, 13, 7, 16, 14, 15, 30)
    -1.320 ( 1.6022 )
    -1.177 ( 1.5034 )
    -1.429 ( 1.0095 )
    0.281 ( 3.4582 )
    -1.236 ( 2.9014 )
    -1.107 ( 1.5121 )
    -1.240 ( 2.0346 )
        e-MCV: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -1.300 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        e-MCV: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    -0.900 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        e-MCV: Change at Day 11 (n=5,13,7,16,18,15,30)
    -1.140 ( 1.7925 )
    -2.138 ( 1.9410 )
    0.386 ( 2.1567 )
    0.017 ( 3.7913 )
    -0.861 ( 2.3722 )
    -1.980 ( 2.3373 )
    -2.053 ( 2.1800 )
        e-MCV: Change at Day 28 (n=4, 2, 3, 4, 7, 5, 5)
    -1.775 ( 2.0549 )
    -3.050 ( 4.4548 )
    -4.533 ( 2.9738 )
    -1.925 ( 2.3543 )
    0.571 ( 3.3678 )
    0.820 ( 4.7457 )
    -3.180 ( 3.1364 )
        MPV: Change at Day 1 (n=3,4,5,8,7,13)
    -0.400 ( 0.6557 )
    0.050 ( 0.3697 )
    0.200 ( 0.3391 )
    1.220 ( 1.2317 )
    -0.075 ( 0.5175 )
    0.286 ( 0.8375 )
    0.069 ( 0.5105 )
        MPV: Change at Day 1 7h (n=2, 7, 2, 6, 7, 8, 12)
    0.250 ( 0.2121 )
    0.171 ( 0.4071 )
    -0.050 ( 0.6364 )
    -0.233 ( 0.5750 )
    -0.029 ( 0.3302 )
    -0.075 ( 0.9051 )
    0.183 ( 0.9272 )
        MPV: Change at Day 4 (n=0, 0, 0, 0, 1, 1, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.100 ( 99999 )
    0.000 ( 99999 )
    99999 ( 99999 )
        MPV: Change at Day 5 (n=5, 10, 6, 11, 13, 14, 24)
    0.220 ( 0.1643 )
    -0.200 ( 0.3830 )
    -0.100 ( 0.2828 )
    0.045 ( 0.7815 )
    0.115 ( 0.7777 )
    0.350 ( 0.8707 )
    0.021 ( 0.5517 )
        MPV: Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    -0.200 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        MPV: Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    -0.100 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        MPV: Change at Day 11 (n=5,11,6,11,16,14,23)
    -0.460 ( 0.8019 )
    -0.091 ( 0.6236 )
    0.383 ( 0.5193 )
    0.282 ( 0.7795 )
    0.038 ( 0.4064 )
    0.507 ( 0.7405 )
    -0.087 ( 0.5480 )
        MPV: Change at Day 28 (n=4, 1, 3, 1, 6, 3, 2)
    0.025 ( 0.2986 )
    -0.200 ( 99999 )
    0.267 ( 0.4041 )
    0.800 ( 99999 )
    -0.017 ( 0.8280 )
    -0.367 ( 0.8327 )
    0.050 ( 0.2121 )
    No statistical analyses for this end point

    Primary: MAD: Change From Baseline in Clinical Laboratory Parameter (Erythrocytes Distribution Width)

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    End point title
    MAD: Change From Baseline in Clinical Laboratory Parameter (Erythrocytes Distribution Width) [65] [66]
    End point description
    Change From Baseline in Hematology-Erythrocytes Distribution Width was assessed. Safety analysis set defined as all randomized subjects who received at least 1 dose of study medication. Here "99999" indicates data was not evaluated at specified timepoint. Here "n" indicates number of subjects evaluated at specific timepoints.
    End point type
    Primary
    End point timeframe
    From Baseline to Day 1, 3, 4, 5, 6, 7, 11 and Day 28
    Notes
    [65] - 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: Descriptive statistics were done, no inferential statistical analyses were performed.
    [66] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    33
    Units: Percentage (%)
    arithmetic mean (standard deviation)
        Change at Day 1 (n=3,4,5,5,8,8,13)
    -0.133 ( 0.4726 )
    -0.025 ( 0.0500 )
    -0.100 ( 0.2550 )
    -0.020 ( 0.2775 )
    -0.150 ( 0.2449 )
    0.138 ( 0.4719 )
    0.131 ( 0.4461 )
        Change at Day 1 7h (n=2, 8, 3, 7, 7, 8, 15)
    -0.100 ( 0.2828 )
    -0.087 ( 0.3091 )
    -0.033 ( 0.1528 )
    0.043 ( 0.3735 )
    0.014 ( 0.2795 )
    0.162 ( 0.4069 )
    0.173 ( 0.3990 )
        Change at Day 3 (n=0, 1, 0, 0, 0, 0, 1)
    99999 ( 99999 )
    0.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.400 ( 99999 )
        Change at Day 4 (n=0, 1, 0, 1, 1, 1, 0)
    99999 ( 99999 )
    0.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Change at Day 5 (n=5, 12, 7, 13, 13, 15, 27)
    -0.160 ( 0.5413 )
    -0.083 ( 0.3271 )
    3.271 ( 8.7007 )
    0.031 ( 0.3987 )
    -0.108 ( 0.4699 )
    -0.213 ( 0.5222 )
    0.081 ( 0.4715 )
        Change at Day 6 (n=0, 0, 0, 1, 0, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.100 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Change at Day 7 (n=1, 0, 0, 0, 0, 0, 0)
    -1.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Change at Day 11 (n=5,12,7,13,16,15,26)
    0.280 ( 0.4324 )
    0.350 ( 0.5351 )
    1.286 ( 0.5273 )
    0.646 ( 0.7655 )
    0.406 ( 1.7883 )
    0.007 ( 1.1068 )
    0.281 ( 0.4373 )
        Change at Day 28 (n=4, 2, 3, 2, 6, 5, 3)
    0.150 ( 0.3697 )
    -0.900 ( 1.2728 )
    0.533 ( 0.9609 )
    1.400 ( 0.9899 )
    2.883 ( 1.0797 )
    3.620 ( 1.9690 )
    0.500 ( 0.5292 )
    No statistical analyses for this end point

    Secondary: SAD: Respiratory Syncytial Virus (RSV) viral Ribonucleic Acid (RNA) Concentrations in Nasal Swabs or Aspirates - FAS Infected: Virology Set

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    End point title
    SAD: Respiratory Syncytial Virus (RSV) viral Ribonucleic Acid (RNA) Concentrations in Nasal Swabs or Aspirates - FAS Infected: Virology Set [67]
    End point description
    RSV viral RNA concentration in nasal swabs or aspirates was assessed by quantitative RT-PCR in Log 10 Plaque forming units per mililitre (PFUe/mL). The Full Analysis Set–Infected Virology (FAS-IV) population is defined to include all FAS-I subjects who have sufficient virology data for analysis. Subjects were considered not have sufficient virology data for analysis and will be removed from the FAS-IV population if any of the conditions were met-baseline viral load is less then (<) 2 log10 PFUe/mL; missing baseline viral load; percent of intended volume administered is < 50% for the loading dose or total maintenance dose or < 3 viral load observations during the first 120 hours. Here, 'n' signifies the number of subjects analyzed at specified time point. Here "99999" indicates data was not evaluated at specified timepoint.
    End point type
    Secondary
    End point timeframe
    Baseline to Day 7
    Notes
    [67] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) Placebo
    Number of subjects analysed
    15
    17
    14
    3
    16
    Units: Log 10 PFUe/mL
    arithmetic mean (standard deviation)
        Baseline (n=15, 17, 14, 3, 16)
    4.933 ( 1.3126 )
    5.567 ( 1.3314 )
    6.188 ( 0.7897 )
    4.700 ( 1.3604 )
    5.123 ( 1.6435 )
        Day 1 (n=13, 17, 14, 3, 16)
    4.417 ( 1.8042 )
    5.170 ( 1.4124 )
    5.875 ( 1.4416 )
    4.667 ( 0.4924 )
    5.114 ( 1.6727 )
        Day 2 (n=14, 14, 13, 3, 15)
    4.154 ( 1.8270 )
    4.503 ( 1.2868 )
    5.376 ( 1.2581 )
    4.477 ( 0.4879 )
    4.531 ( 2.2140 )
        Day 3 (n=2, 2, 2, 0, 0)
    4.785 ( 1.3364 )
    5.338 ( 2.6269 )
    5.625 ( 0.2192 )
    99999 ( 99999 )
    99999 ( 99999 )
        Day 4 (n=1, 0, 2, 0, 0)
    4.940 ( 99999 )
    99999 ( 99999 )
    6.055 ( 1.1526 )
    99999 ( 99999 )
    99999 ( 99999 )
        Day 5 (n=0, 0, 2, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    4.665 ( 0.1344 )
    99999 ( 99999 )
    99999 ( 99999 )
        Day 6 (n=0, 0, 1, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    4.890 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        day 7 (n=14, 15, 12, 2, 15)
    2.189 ( 1.4523 )
    2.469 ( 1.5193 )
    3.808 ( 1.5745 )
    2.756 ( 2.2688 )
    2.751 ( 1.9724 )
    No statistical analyses for this end point

    Secondary: SAD: RSV viral RNA Concentrations in Nasal Swabs or Aspirates - FAS: Infected

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    End point title
    SAD: RSV viral RNA Concentrations in Nasal Swabs or Aspirates - FAS: Infected [68]
    End point description
    RSV viral RNA concentrations in nasal swabs or aspirates was assessed by quantitative RT-PCR. The Full Analysis Set–Infected (FAS-I) is defined to include all FAS subjects who were confirmed PCR positive for RSV viral RNA. Here, 'n' signifies the number of subjects analyzed at specified time point. Here "99999" indicates data was not evaluated at specified timepoint.
    End point type
    Secondary
    End point timeframe
    Baseline to Day 7
    Notes
    [68] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg) SAD: Placebo
    Number of subjects analysed
    18
    17
    14
    3
    17
    Units: log10 PFUe/mL
    arithmetic mean (standard deviation)
        Baseline (n=16, 17, 14, 3, 16)
    4.858 ( 1.3027 )
    5.567 ( 1.3314 )
    6.188 ( 0.7897 )
    4.700 ( 1.3604 )
    5.123 ( 1.6435 )
        Day 1 (n=16, 17, 14, 3, 17)
    4.385 ( 1.6393 )
    5.170 ( 1.4124 )
    5.875 ( 1.4416 )
    4.667 ( 0.4924 )
    5.184 ( 1.6450 )
        Day 2 (n=17, 14, 13, 3, 15)
    4.184 ( 1.7204 )
    4.503 ( 1.2868 )
    5.376 ( 1.2581 )
    4.477 ( 0.4879 )
    4.531 ( 2.2140 )
        Day 3 (n=2, 2, 2, 0, 0)
    4.785 ( 1.3364 )
    5.338 ( 2.6269 )
    5.625 ( 0.2192 )
    99999 ( 99999 )
    99999 ( 99999 )
        Day 4 (n=1, 0, 2, 0, 0)
    4.940 ( 99999 )
    99999 ( 99999 )
    6.055 ( 1.1526 )
    99999 ( 99999 )
    99999 ( 99999 )
        Day 5 (n=0, 0, 2, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    4.665 ( 0.1344 )
    99999 ( 99999 )
    99999 ( 99999 )
        Day 6 (n=0, 0, 1, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    4.890 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Day 7 (n=17, 15, 12, 2, 15)
    2.134 ( 1.4451 )
    2.469 ( 1.5193 )
    3.808 ( 1.5745 )
    2.756 ( 2.2688 )
    2.751 ( 1.9724 )
    No statistical analyses for this end point

    Secondary: MAD: RSV viral RNA Concentrations in Nasal Swabs or Aspirates - FAS: Infected: Virology set

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    End point title
    MAD: RSV viral RNA Concentrations in Nasal Swabs or Aspirates - FAS: Infected: Virology set [69]
    End point description
    RSV viral RNA Concentrations in Nasal Swabs or Aspirates was assessed by quantitative RT-PCR. The FAS-IV population is defined to include all FAS-I subjects who have sufficient virology data for analysis. Subjects will be considered to not have sufficient virology data for analysis and will be removed from the FAS-IV population if Baseline viral load is <2 log10 PFUe/mL; Missing baseline viral load; Percent of intended volume administered is <50% for the loading dose or total maintenance dose or <3 viral load observations during the first 120 hours. Here, 'n' signifies the number of subjects analyzed at specified time point. Here "99999" indicates data was not evaluated at specified timepoint.
    End point type
    Secondary
    End point timeframe
    Baseline up to Day 28
    Notes
    [69] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    12
    5
    13
    12
    13
    25
    Units: Log 10 PFUe/mL
    arithmetic mean (standard deviation)
        Baseline (n=5, 12, 5, 13, 12, 13, 25)
    5.176 ( 1.0939 )
    5.534 ( 1.6926 )
    6.584 ( 0.9639 )
    5.578 ( 1.3815 )
    4.671 ( 1.1396 )
    4.768 ( 0.8777 )
    4.743 ( 1.3366 )
        Day 1 (n=5, 12, 5, 13, 12, 13, 24)
    4.528 ( 1.0248 )
    5.386 ( 1.2769 )
    5.760 ( 1.5262 )
    4.668 ( 1.5975 )
    4.051 ( 1.5294 )
    4.079 ( 1.3464 )
    4.348 ( 1.3836 )
        Day 2 (5, 12, 5, 13, 10, 12, 25)
    4.098 ( 1.2297 )
    4.838 ( 1.6102 )
    5.052 ( 1.5155 )
    4.522 ( 1.4690 )
    3.960 ( 1.9010 )
    3.737 ( 0.8746 )
    4.071 ( 1.5695 )
        Day 3 (n=0, 2, 0, 1, 12, 11, 13)
    99999 ( 99999 )
    3.595 ( 1.9445 )
    99999 ( 99999 )
    6.460 ( 99999 )
    3.118 ( 1.9139 )
    3.129 ( 1.0418 )
    3.000 ( 1.6639 )
        Day 4 (0, 1, 0, 1, 7, 8, 11)
    99999 ( 99999 )
    2.900 ( 99999 )
    99999 ( 99999 )
    3.200 ( 99999 )
    1.883 ( 1.3612 )
    2.661 ( 1.3573 )
    2.741 ( 1.5524 )
        Day 5 (n=5, 12, 5, 13, 11, 13, 24)
    2.658 ( 1.4290 )
    3.807 ( 1.8995 )
    4.408 ( 1.1502 )
    3.514 ( 1.7953 )
    1.646 ( 1.4766 )
    2.608 ( 1.1903 )
    2.598 ( 1.7806 )
        Day 6 (n=0, 0, 0, 0, 6, 5, 2)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    1.062 ( 1.2809 )
    2.452 ( 1.0368 )
    1.355 ( 0.0212 )
        Day 7 (n=0, 0, 0, 0, 2, 1, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    1.535 ( 0.2899 )
    2.900 ( 99999 )
    0.300 ( 99999 )
        Day 8 (n=0, 0, 0, 0, 2, 1, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.930 ( 1.3152 )
    1.790 ( 99999 )
    2.720 ( 99999 )
        Day 11 (n=5, 12, 4, 12, 12, 12, 24)
    1.570 ( 1.2253 )
    1.737 ( 1.5841 )
    2.075 ( 1.6607 )
    1.031 ( 1.2529 )
    0.294 ( 0.6004 )
    1.001 ( 1.7687 )
    1.304 ( 1.4359 )
        Day 28 (n=1, 1, 0, 7, 7, 5, 3)
    5.230 ( 99999 )
    0.020 ( 99999 )
    99999 ( 99999 )
    0.793 ( 1.0111 )
    1.347 ( 1.8556 )
    1.942 ( 2.6602 )
    0.087 ( 0.1501 )
    No statistical analyses for this end point

    Secondary: MAD: RSV viral RNA Concentrations in Nasal Swabs or Aspirates - FAS: Infected

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    End point title
    MAD: RSV viral RNA Concentrations in Nasal Swabs or Aspirates - FAS: Infected [70]
    End point description
    RSV viral RNA Concentrations in Nasal Swabs or Aspirates was assessed by quantitative RT-PCR. FAS-I is defined to include all FAS subjects who are confirmed PCR positive for RSV viral RNA. Here, 'n' signifies the number of subjects analyzed at specified time point. Here "99999" indicates data was not evaluated at specified timepoint.
    End point type
    Secondary
    End point timeframe
    Baseline to Day 28
    Notes
    [70] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    5
    13
    8
    16
    18
    16
    31
    Units: Log 10 PFUe/mL
    arithmetic mean (standard deviation)
        Baseline (n=5, 13, 6, 16, 18, 16, 31)
    5.176 ( 1.0939 )
    5.212 ( 1.9932 )
    5.765 ( 2.1835 )
    5.120 ( 1.9784 )
    4.676 ( 1.3800 )
    4.743 ( 0.9484 )
    4.460 ( 1.7332 )
        Day 1 (n=5, 13, 8, 16, 17, 16, 28)
    4.528 ( 1.0248 )
    5.013 ( 1.8168 )
    4.060 ( 2.8505 )
    4.481 ( 1.7503 )
    4.195 ( 1.4386 )
    4.064 ( 1.3392 )
    4.272 ( 1.5434 )
        Day 2 (n=5, 13, 7, 15, 12, 15, 30)
    4.098 ( 1.2297 )
    4.556 ( 1.8455 )
    4.326 ( 2.2737 )
    4.113 ( 1.7465 )
    3.971 ( 1.7865 )
    3.709 ( 1.0221 )
    4.034 ( 1.5983 )
        Day 3 (n=0, 2, 0, 2, 14, 13, 14)
    99999 ( 99999 )
    3.595 ( 1.9445 )
    99999 ( 99999 )
    3.545 ( 4.1224 )
    3.271 ( 1.8706 )
    2.998 ( 1.1195 )
    3.029 ( 1.6024 )
        Day 4 (n=0, 1, 0, 2, 8, 11, 13)
    99999 ( 99999 )
    2.900 ( 99999 )
    99999 ( 99999 )
    2.620 ( 0.8202 )
    2.054 ( 1.3498 )
    2.685 ( 1.5268 )
    2.670 ( 1.7043 )
        Day 5 (n=5, 13, 8, 16, 14, 16, 29)
    2.658 ( 1.4290 )
    3.514 ( 2.1028 )
    2.755 ( 2.4414 )
    3.254 ( 1.8680 )
    1.864 ( 1.7632 )
    2.416 ( 1.2001 )
    2.762 ( 1.9417 )
        Day 6 (n=0, 0, 0, 1, 7, 6, 2)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.720 ( 99999 )
    1.357 ( 1.4065 )
    2.043 ( 1.3645 )
    1.355 ( 0.0212 )
        Day 7 (n=0, 0, 0, 1, 3, 2, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    1.880 ( 99999 )
    2.023 ( 0.8703 )
    1.945 ( 1.3506 )
    0.300 ( 99999 )
        Day 8 (n=0, 0, 0, 0, 3, 1, 1)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.620 ( 1.0739 )
    1.790 ( 99999 )
    2.720 ( 99999 )
        Day 9 (n=0, 0, 0, 0, 1, 0, 0)
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    0.000 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
        Day 11 (n=5, 13, 7, 15, 17, 15, 29)
    1.570 ( 1.2253 )
    1.822 ( 1.5478 )
    1.891 ( 1.4589 )
    1.003 ( 1.1193 )
    0.726 ( 1.5087 )
    0.801 ( 1.6216 )
    1.345 ( 1.4458 )
        Day 28 (n=1, 1, 0, 8, 10, 7, 5)
    5.230 ( 99999 )
    0.020 ( 99999 )
    99999 ( 99999 )
    1.210 ( 1.5060 )
    0.974 ( 1.6320 )
    1.387 ( 2.3698 )
    0.638 ( 1.2862 )
    No statistical analyses for this end point

    Secondary: SAD: Maximum Plasma Observed Concentration (Cmax) of ALS-008112 (JNJ-63549109)

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    End point title
    SAD: Maximum Plasma Observed Concentration (Cmax) of ALS-008112 (JNJ-63549109) [71]
    End point description
    Cmax is the maximum observed plasma concentration. Pharmacokinetics (PK) population was defined as all subjects that received one or more doses of ALS-008176 and with 1 quantifiable blood concentration.
    End point type
    Secondary
    End point timeframe
    On Day 1
    Notes
    [71] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg)
    Number of subjects analysed
    18
    17
    13
    3
    Units: nano-gram/milliliter (ng/ml)
        arithmetic mean (geometric coefficient of variation)
    129.5 ( 43.19 )
    404.3 ( 63 )
    1269 ( 55.86 )
    1909 ( 20.91 )
    No statistical analyses for this end point

    Secondary: SAD: Area Under Curve (AUC) of ALS-008112 (JNJ-63549109)

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    End point title
    SAD: Area Under Curve (AUC) of ALS-008112 (JNJ-63549109) [72]
    End point description
    AUC is the area under plasma concentration curve. PK population was defined as all subjects that received one or more doses of ALS-008176 and with 1 quantifiable blood concentration.
    End point type
    Secondary
    End point timeframe
    On Day 1
    Notes
    [72] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    SAD: ALS-008176 (1.37 mg/kg) SAD: ALS-008176 (4.1 mg/kg) SAD: ALS-008176 (12 mg/kg) SAD: ALS-008176 (25 mg/kg)
    Number of subjects analysed
    18
    17
    13
    3
    Units: nanogram*hour/milliliter (ng*h/ml)
        arithmetic mean (geometric coefficient of variation)
    350.9 ( 14.89 )
    959.9 ( 15.02 )
    2574 ( 10.09 )
    5122 ( 12.73 )
    No statistical analyses for this end point

    Secondary: MAD: Cmax of ALS-008112 (JNJ-63549109)

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    End point title
    MAD: Cmax of ALS-008112 (JNJ-63549109) [73]
    End point description
    Cmax is the maximum observed plasma concentration. PK population was defined as all subjects that received one or more doses of ALS-008176 and with 1 quantifiable blood concentration. Here 'n' signifies the number of subjects analyzed at specified time point.
    End point type
    Secondary
    End point timeframe
    Day 1 and Day 5
    Notes
    [73] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg)
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    Units: ng/ml
    arithmetic mean (geometric coefficient of variation)
        Day 1 (n=5, 14, 8, 17, 17, 16)
    285 ( 25.81 )
    867 ( 49.66 )
    2431 ( 34.45 )
    1895 ( 44.08 )
    3142 ( 38.26 )
    4653 ( 51.44 )
        Day 5 (n=5, 14, 7, 16, 14, 16)
    172.1 ( 29.09 )
    211.8 ( 41.02 )
    591.2 ( 44.23 )
    991.3 ( 46.18 )
    1867 ( 41.22 )
    3380 ( 46.85 )
    No statistical analyses for this end point

    Secondary: MAD: AUC of ALS-008112 (JNJ-63549109)

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    End point title
    MAD: AUC of ALS-008112 (JNJ-63549109) [74]
    End point description
    AUC is area under plasma under curve. PK population was defined as all subjects that received one or more doses of ALS-008176 and with 1 quantifiable blood concentration. Here, 'n' signifies the number of subjects analyzed at specified time point.
    End point type
    Secondary
    End point timeframe
    On Day 1 and Day 5
    Notes
    [74] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg)
    Number of subjects analysed
    5
    14
    8
    17
    18
    16
    Units: ng*h/ml
    arithmetic mean (geometric coefficient of variation)
        Day 1 (5, 14, 8, 17, 17, 16)
    1305 ( 10.04 )
    2466 ( 11.34 )
    6508 ( 8.843 )
    7459 ( 15.62 )
    10940 ( 11.88 )
    16770 ( 10.28 )
        Day 5 (n=5, 14, 7, 16, 14, 16)
    1114 ( 7.467 )
    1529 ( 8.405 )
    3912 ( 8.483 )
    6117 ( 7.843 )
    10820 ( 13.76 )
    18790 ( 9.45 )
    No statistical analyses for this end point

    Secondary: MAD: Number of Subjects with Emerging Genetic Variations in the RSV L Gene Considering the 4 Positions of Interest at the Last Evaluable On-treatment Time Point

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    End point title
    MAD: Number of Subjects with Emerging Genetic Variations in the RSV L Gene Considering the 4 Positions of Interest at the Last Evaluable On-treatment Time Point [75]
    End point description
    The emergence of genetic variations at RSV L amino acid positions 628, 789, 795, and 796 was evaluated. An emerging genetic variation is defined as a genetic variation (amino acid substitution, insertion or deletion) that is absent, that is with next-generation sequencing (NGS) read frequency <3%, at baseline but present with an NGS read frequency >= 15% at a later post-baseline time point. Safety Analysis Set defined as all randomized subjects who received at least 1 dose of study medication. Evaluable subjects for the secondary endpoint are subjects in the MAD Part with baseline and post-baseline RSV sequencing data available.
    End point type
    Secondary
    End point timeframe
    From Baseline to Day 28
    Notes
    [75] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Endpoint was planned to be reported for the specified arms only.
    End point values
    MAD: ALS-008176 (4.1/1.37 mg/kg) MAD: ALS-008176 (10/2 mg/kg) MAD: ALS-008176 (30/6 mg/kg) MAD: ALS-008176 (30/10 mg/kg) MAD: ALS-008176 (40/20 mg/kg) MAD: ALS-008176 (60/40 mg/kg) MAD: Placebo
    Number of subjects analysed
    3
    8
    3
    4
    13
    9
    13
    Units: Subjects
        number (not applicable)
    0
    0
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Approximately 4 years
    Adverse event reporting additional description
    Safety Analysis Set defined as all randomized subjects who received at least 1 dose of study medication. Some grade 3 and grade 4 low neutrophil counts were not reported as Adverse Events.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    16.1
    Reporting groups
    Reporting group title
    Single dose of ALS-008176 (1.37 mg/kg)
    Reporting group description
    Subjects received single oral dose of 1.37 milligrams per kilogram (mg/kg) of ALS-008176.

    Reporting group title
    Single dose of ALS-008176 (4.1 mg/kg)
    Reporting group description
    Subjects received single oral dose of 4.1 mg/kg of ALS-008176.

    Reporting group title
    Single dose of ALS-008176 (12 mg/kg)
    Reporting group description
    Subjects received single oral dose of 12 mg/kg of ALS-008176.

    Reporting group title
    Single dose of ALS-008176 (25 mg/kg)
    Reporting group description
    Subjects received single oral dose of 25 mg/kg of ALS-008176.

    Reporting group title
    Multiple dose of ALS-008176 (4.1/1.37 mg/kg)
    Reporting group description
    Subjects received 1 loading dose of 4.1 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 1.37 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    Multiple dose of ALS-008176 (10/2 mg/kg)
    Reporting group description
    Subjects received loading dose of 10 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 2 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    Multiple dose of ALS-008176 (30/6 mg/kg)
    Reporting group description
    Subjects received loading dose of 30 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 6 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    Multiple dose of ALS-008176 (30/10 mg/kg)
    Reporting group description
    Subjects received loading dose of 30 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 10 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    Multiple dose of ALS-008176 (40/20 mg/kg)
    Reporting group description
    Subjects received loading dose of 40 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 20 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    Multiple dose of ALS-008176 (60/40 mg/kg)
    Reporting group description
    Subjects received loading dose of 60 mg/kg of ALS-008176 for dose 1 on Day 1 followed by 9 doses of 40 mg/kg of ALS-008176 twice daily for 5 consecutive days.

    Reporting group title
    Placebo
    Reporting group description
    Subjects received single and multiple doses of Placebo orally.

    Serious adverse events
    Single dose of ALS-008176 (1.37 mg/kg) Single dose of ALS-008176 (4.1 mg/kg) Single dose of ALS-008176 (12 mg/kg) Single dose of ALS-008176 (25 mg/kg) Multiple dose of ALS-008176 (4.1/1.37 mg/kg) Multiple dose of ALS-008176 (10/2 mg/kg) Multiple dose of ALS-008176 (30/6 mg/kg) Multiple dose of ALS-008176 (30/10 mg/kg) Multiple dose of ALS-008176 (40/20 mg/kg) Multiple dose of ALS-008176 (60/40 mg/kg) Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    2 / 18 (11.11%)
    0 / 16 (0.00%)
    2 / 50 (4.00%)
         number of deaths (all causes)
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
         number of deaths resulting from adverse events
    Vascular disorders
    Phlebitis
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Sinus Tachycardia
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Lymphadenitis
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    1 / 50 (2.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Respiratory Failure
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Pneumonia Bacterial
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    1 / 50 (2.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory Syncytial Virus Bronchiolitis
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Single dose of ALS-008176 (1.37 mg/kg) Single dose of ALS-008176 (4.1 mg/kg) Single dose of ALS-008176 (12 mg/kg) Single dose of ALS-008176 (25 mg/kg) Multiple dose of ALS-008176 (4.1/1.37 mg/kg) Multiple dose of ALS-008176 (10/2 mg/kg) Multiple dose of ALS-008176 (30/6 mg/kg) Multiple dose of ALS-008176 (30/10 mg/kg) Multiple dose of ALS-008176 (40/20 mg/kg) Multiple dose of ALS-008176 (60/40 mg/kg) Placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    13 / 18 (72.22%)
    8 / 18 (44.44%)
    6 / 14 (42.86%)
    2 / 3 (66.67%)
    4 / 5 (80.00%)
    9 / 14 (64.29%)
    4 / 8 (50.00%)
    12 / 17 (70.59%)
    12 / 18 (66.67%)
    14 / 16 (87.50%)
    22 / 50 (44.00%)
    Investigations
    Alanine Aminotransferase Increased
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    1 / 14 (7.14%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    3 / 16 (18.75%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    1
    0
    0
    1
    3
    0
    Aspartate Aminotransferase Increased
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    1 / 14 (7.14%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    2 / 14 (14.29%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    3 / 18 (16.67%)
    3 / 16 (18.75%)
    2 / 50 (4.00%)
         occurrences all number
    1
    0
    1
    0
    1
    2
    0
    0
    3
    3
    2
    Bilirubin Conjugated Increased
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    1 / 16 (6.25%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    Blood Alkaline Phosphatase Increased
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    1 / 16 (6.25%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    Blood Bicarbonate Decreased
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Blood Bilirubin Increased
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    1 / 16 (6.25%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    Blood Creatine Phosphokinase Increased
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    1 / 14 (7.14%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    1 / 50 (2.00%)
         occurrences all number
    1
    0
    1
    0
    1
    0
    0
    0
    0
    0
    1
    Blood Potassium Increased
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 14 (7.14%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Blood Pressure Diastolic Increased
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Blood Pressure Systolic Increased
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Cardiac Murmur
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    1 / 8 (12.50%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    Electrocardiogram QT Prolonged
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Hepatic Enzyme Increased
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    1 / 14 (7.14%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    0
    0
    0
    1
    0
    0
    Lymphocyte Count Increased
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Monocyte Count Increased
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Neutrophil Count Decreased
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Platelet Count Increased
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    2 / 50 (4.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2
    Reticulocyte Count Increased
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    2 / 16 (12.50%)
    1 / 50 (2.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2
    1
    Weight Decreased
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 18 (5.56%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    White Blood Cell Count Increased
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    1 / 50 (2.00%)
         occurrences all number
    1
    0
    0
    0
    1
    0
    0
    0
    0
    0
    1
    Injury, poisoning and procedural complications
    Contusion
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 14 (7.14%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Cardiac disorders
    Bradycardia
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Sinus Tachycardia
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 18 (5.56%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Tachycardia
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 18 (5.56%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Ventricular Extrasystoles
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    1 / 14 (7.14%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    1 / 50 (2.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    3
    0
    0
    1
    Hyperleukocytosis
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Leukocytosis
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 18 (5.56%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    1 / 16 (6.25%)
    0 / 50 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    1
    0
    Neutropenia
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    2 / 18 (11.11%)
    3 / 16 (18.75%)
    1 / 50 (2.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    2
    3
    1
    Thrombocytosis
         subjects affected / exposed
    4 / 18 (22.22%)
    1 / 18 (5.56%)
    1 / 14 (7.14%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    1 / 14 (7.14%)
    1 / 8 (12.50%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    1 / 16 (6.25%)
    1 / 50 (2.00%)
         occurrences all number
    4
    1
    1
    0
    1
    1
    1
    0
    0
    1
    1
    General disorders and administration site conditions
    Instillation Site Swelling
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    2 / 18 (11.11%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    2
    0
    0
    Pyrexia
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    1 / 18 (5.56%)
    1 / 16 (6.25%)
    1 / 50 (2.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    3
    1
    1
    2
    Eye disorders
    Periorbital Oedema
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Gastrointestinal disorders
    Abnormal Faeces
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Aphthous Ulcer
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Constipation
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 18 (5.56%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Diarrhoea
         subjects affected / exposed
    2 / 18 (11.11%)
    0 / 18 (0.00%)
    1 / 14 (7.14%)
    1 / 3 (33.33%)
    2 / 5 (40.00%)
    2 / 14 (14.29%)
    1 / 8 (12.50%)
    1 / 17 (5.88%)
    2 / 18 (11.11%)
    3 / 16 (18.75%)
    5 / 50 (10.00%)
         occurrences all number
    2
    0
    1
    1
    2
    2
    1
    2
    2
    3
    5
    Vomiting
         subjects affected / exposed
    2 / 18 (11.11%)
    1 / 18 (5.56%)
    0 / 14 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    1 / 14 (7.14%)
    1 / 8 (12.50%)
    3 / 17 (17.65%)
    2 / 18 (11.11%)
    5 / 16 (31.25%)
    2 / 50 (4.00%)
         occurrences all number
    3
    1
    0
    1
    0
    1
    1
    5
    3
    9
    2
    Hepatobiliary disorders
    Hepatocellular Injury
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 14 (7.14%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Epistaxis
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 14 (7.14%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    1 / 50 (2.00%)
         occurrences all number
    0
    0
    0
    0
    0
    2
    0
    0
    0
    0
    3
    Rhinorrhoea
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    1 / 16 (6.25%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    1
    0
    Upper Respiratory Tract Inflammation
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    1 / 16 (6.25%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    Skin and subcutaneous tissue disorders
    Dermatitis Contact
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 14 (7.14%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    1 / 16 (6.25%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    1
    0
    Dermatitis Diaper
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 18 (5.56%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    2 / 5 (40.00%)
    2 / 14 (14.29%)
    1 / 8 (12.50%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    3 / 16 (18.75%)
    4 / 50 (8.00%)
         occurrences all number
    0
    1
    0
    0
    2
    2
    1
    1
    0
    3
    4
    Dry Skin
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    1 / 16 (6.25%)
    0 / 50 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    Eczema
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    2 / 5 (40.00%)
    1 / 14 (7.14%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    1 / 18 (5.56%)
    1 / 16 (6.25%)
    1 / 50 (2.00%)
         occurrences all number
    1
    0
    0
    0
    2
    1
    0
    1
    1
    1
    1
    Eczema Infantile
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    1 / 16 (6.25%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    Erythema
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    2 / 17 (11.76%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    1 / 50 (2.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    2
    2
    0
    1
    Miliaria
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    1
    0
    0
    Rash
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    1 / 14 (7.14%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 14 (7.14%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    1 / 16 (6.25%)
    2 / 50 (4.00%)
         occurrences all number
    1
    0
    1
    0
    0
    1
    0
    0
    1
    1
    2
    Rash Erythematous
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Rash Macular
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Rash Papular
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    1 / 8 (12.50%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    Seborrhoeic Dermatitis
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 14 (7.14%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Skin Lesion
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Skin Reaction
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    1 / 50 (2.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    1
    Infections and infestations
    Adenovirus Infection
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Bronchitis
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    1 / 50 (2.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    1
    Candida Infection
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 18 (5.56%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Conjunctivitis
         subjects affected / exposed
    1 / 18 (5.56%)
    1 / 18 (5.56%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    1 / 8 (12.50%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    1 / 16 (6.25%)
    1 / 50 (2.00%)
         occurrences all number
    1
    1
    0
    0
    0
    0
    1
    0
    0
    1
    1
    Eye Infection Bacterial
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 18 (5.56%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Nasopharyngitis
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    1 / 16 (6.25%)
    4 / 50 (8.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    1
    5
    Otitis Media Acute
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 18 (5.56%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Otitis Media Viral
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 18 (5.56%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Pneumonia Bacterial
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    1 / 14 (7.14%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    1 / 50 (2.00%)
         occurrences all number
    0
    0
    1
    0
    0
    0
    0
    0
    1
    0
    1
    Respiratory Syncytial Virus Bronchiolitis
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Tinea Infection
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Tonsillitis
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Upper Respiratory Tract Infection
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 14 (7.14%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    2 / 50 (4.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    1
    0
    0
    2
    Urinary Tract Infection
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Viral Rash
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Viral Upper Respiratory Tract Infection
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    1 / 17 (5.88%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Metabolism and nutrition disorders
    Fluid Overload
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Hyperglycaemia
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 14 (7.14%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    0 / 18 (0.00%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Hypokalaemia
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Hypomagnesaemia
         subjects affected / exposed
    0 / 18 (0.00%)
    0 / 18 (0.00%)
    0 / 14 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 14 (0.00%)
    0 / 8 (0.00%)
    0 / 17 (0.00%)
    1 / 18 (5.56%)
    0 / 16 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    19 Dec 2013
    Instituted sentinel groups and age de-escalation; refined age strata.
    17 Dec 2014
    Independent Data Monitoring Committee (IDMC) authorized to change doses to be studied within defined limits; eligibility criteria related to hospitalization duration, Respiratory syncytial virus (RSV) symptoms duration, and concomitant medications updated.
    24 Aug 2015
    Follow up Day 28 visit added; initial Japanese Multiple ascending dose (MAD) cohort will be a lower dose than subjects in rest of world; RSV diagnosis for eligibility can be performed using any RSV assay; allowance of corticosteroids clarified; IDMC authorized to determine appropriate timing for transition from single ascending dose (SAD) to MAD part of study.
    22 Jan 2016
    Added cohort of neonate subjects; allow every 12 hours or twice daily dosing; disallow substrates for Organic Anion Transporter 3 (OAT3) transporter and RSV prophylactic medications.
    13 Sep 2016
    Potential additional cohorts added; further defined IDMC authority for decision making within defined limits; Japanese subjects will now be dosed at same dose levels as subjects in rest of world; Nasal aspirate changed to nasal swab procedure; updated eligibility criteria related to RSV symptoms duration; study drug can be administered without regard to food.

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    10 Dec 2016
    Enrollment paused for evaluation of neutropenia
    12 May 2017

    Limitations and caveats

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