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    Clinical Trial Results:
    A Phase 3, Open-label, Rollover Study to Evaluate the Safety and Efficacy of Long term Treatment With VX 661 in Combination With Ivacaftor in Subjects Aged 12 Years and Older With Cystic Fibrosis, Homozygous or Heterozygous for the F508del CFTR Mutation

    Summary
    EudraCT number
    2014-004827-29
    Trial protocol
    IT   IE   GB   BE   SE   AT   FR   DK   NL   DE   ES  
    Global end of trial date
    05 Dec 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    21 Jun 2023
    First version publication date
    21 Jun 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    VX14-661-110
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02565914
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Vertex Pharmaceuticals Incorporated
    Sponsor organisation address
    50 Northern Avenue , Boston, Massachusetts, United States,
    Public contact
    Medical Monitor, Vertex Pharmaceuticals Incorporated, +1 617-341-6777, medicalinfo@vrtx.com
    Scientific contact
    Medical Monitor, Vertex Pharmaceuticals Incorporated, +1 617-341-6777, medicalinfo@vrtx.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-001640-PIP01-14
    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
    13 Jan 2023
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    05 Dec 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    05 Dec 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the long-term safety and tolerability of VX-661 in combination with ivacaftor(IVA) in subjects with cystic fibrosis (CF), homozygous or heterozygous for the F508del-CFTR mutation who are in the treatment Cohort.
    Protection of trial subjects
    The study was conducted in accordance with the ethical principles stated in the Declaration of Helsinki and the International Conference on Harmonization (ICH) Guideline for Good Clinical Practice (GCP).
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    03 Aug 2015
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety, Efficacy
    Long term follow-up duration
    2 Years
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Netherlands: 61
    Country: Number of subjects enrolled
    United Kingdom: 85
    Country: Number of subjects enrolled
    Austria: 18
    Country: Number of subjects enrolled
    Belgium: 12
    Country: Number of subjects enrolled
    Denmark: 11
    Country: Number of subjects enrolled
    France: 85
    Country: Number of subjects enrolled
    Germany: 124
    Country: Number of subjects enrolled
    Ireland: 82
    Country: Number of subjects enrolled
    Italy: 73
    Country: Number of subjects enrolled
    Australia: 78
    Country: Number of subjects enrolled
    Canada: 37
    Country: Number of subjects enrolled
    Israel: 31
    Country: Number of subjects enrolled
    Switzerland: 19
    Country: Number of subjects enrolled
    United States: 402
    Country: Number of subjects enrolled
    Sweden: 13
    Worldwide total number of subjects
    1131
    EEA total number of subjects
    479
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    213
    Adults (18-64 years)
    911
    From 65 to 84 years
    7
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    This study consists of 3 parts: Parts A, B, and C. A total of 1131 subjects were randomized in this study.

    Pre-assignment
    Screening details
    Subjects from Parent Studies 103 (NCT02070744), 106 (NCT02347657), 107 (NCT02516410), 108 (NCT02392234), 109 (NCT02412111) and 111 (NCT02508207), 112 (NCT02730208),114 (NCT03150719), were enrolled in this study. This study was conducted in subjects aged 12 and older with CF who are homozygous or heterozygous for the F508del-CFTR mutation.

    Period 1
    Period 1 title
    Overall Period
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    No

    Arm title
    Part A: TEZ/IVA
    Arm description
    Subjects who received either TEZ/IVA, IVA monotherapy or Placebo in parent studies 103, 106, 107, 108, 109 and 111 were administered TEZ 100 milligram (mg)/IVA 150 mg fixed-dose tablet in the morning and IVA 150 mg mono tablet in the evening for 96 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Tezacaftor/Ivacaftor
    Investigational medicinal product code
    VX-661/VX-770
    Other name
    TEZ/IVA
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received TEZ/IVA FDC once daily in the morning.

    Investigational medicinal product name
    Ivacaftor
    Investigational medicinal product code
    VX-770
    Other name
    IVA
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received IVA once daily in the evening.

    Arm title
    Part B: TEZ/IVA
    Arm description
    Subjects who received either TEZ/IVA, IVA monotherapy or Placebo in parent studies 106, 108, 109, 112 and 114 were administered TEZ 100 mg/IVA 150 mg fixed-dose tablet in the morning and IVA 150 mg mono tablet in the evening for 96 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Tezacaftor/Ivacaftor
    Investigational medicinal product code
    VX-661/VX-770
    Other name
    TEZ/IVA
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received TEZ/IVA fixed dose once daily in the morning.

    Investigational medicinal product name
    Ivacaftor
    Investigational medicinal product code
    VX-770
    Other name
    IVA
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received IVA once daily in the evening.

    Arm title
    Part C: TEZ/IVA
    Arm description
    Subjects who received TEZ/IVA, IVA monotherapy or Placebo in parent studies 106, 108, and 114 were administered TEZ 100 mg/IVA 150 mg fixed dose tablet in the morning and IVA 150 mg mono tablet in the evening for 192 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Tezacaftor/Ivacaftor
    Investigational medicinal product code
    VX-661/VX-770
    Other name
    TEZ/IVA
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received TEZ/IVA fixed dose once daily in the morning.

    Investigational medicinal product name
    Ivacaftor
    Investigational medicinal product code
    VX-770
    Other name
    IVA
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received IVA once daily in the evening.

    Number of subjects in period 1
    Part A: TEZ/IVA Part B: TEZ/IVA Part C: TEZ/IVA
    Started
    1044
    464
    204
    Safety Set
    1042
    463
    204
    Completed
    951
    228
    7
    Not completed
    93
    236
    197
         Physician decision
    6
    1
    5
         Death
    1
    -
    -
         Other
    18
    1
    -
         Enrolled, but did not receive study drug
    2
    1
    -
         Adverse event
    17
    4
    1
         Study terminated by sponsor
    1
    -
    -
         Sponsor Decision
    -
    2
    -
         Lost to follow-up
    12
    -
    -
         Other non-compliance
    6
    -
    2
         Rolled over into another study
    -
    25
    11
         Withdrawal of consent (not due to AE)
    25
    6
    4
         Commercial drug is available for subject
    5
    196
    174

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Part A: TEZ/IVA
    Reporting group description
    Subjects who received either TEZ/IVA, IVA monotherapy or Placebo in parent studies 103, 106, 107, 108, 109 and 111 were administered TEZ 100 milligram (mg)/IVA 150 mg fixed-dose tablet in the morning and IVA 150 mg mono tablet in the evening for 96 weeks.

    Reporting group title
    Part B: TEZ/IVA
    Reporting group description
    Subjects who received either TEZ/IVA, IVA monotherapy or Placebo in parent studies 106, 108, 109, 112 and 114 were administered TEZ 100 mg/IVA 150 mg fixed-dose tablet in the morning and IVA 150 mg mono tablet in the evening for 96 weeks.

    Reporting group title
    Part C: TEZ/IVA
    Reporting group description
    Subjects who received TEZ/IVA, IVA monotherapy or Placebo in parent studies 106, 108, and 114 were administered TEZ 100 mg/IVA 150 mg fixed dose tablet in the morning and IVA 150 mg mono tablet in the evening for 192 weeks.

    Reporting group values
    Part A: TEZ/IVA Part B: TEZ/IVA Part C: TEZ/IVA Total
    Number of subjects
    1044 464 204
    Age categorical
    Units: Subjects
    Age continuous
    There were 1131 unique subjects enrolled in the study. Out of 1044 subjects from Part A, 377 subjects is participated in Part B and 195 subjects is also participated in Part C. Out of 463 subjects from Part B, 204 subjects is participated in Part C.
    Units: years
        arithmetic mean (standard deviation)
    29.13 ± 12.00 29.61 ± 11.89 29.60 ± 11.68 -
    Gender categorical
    There were 1131 unique subjects enrolled in the study. Out of 1044 subjects from Part A, 377 subjects is participated in Part B and 195 subjects is also participated in Part C. Out of 463 subjects from Part B, 204 subjects is participated in Part C.
    Units: Subjects
        Female
    505 221 89 555
        Male
    539 243 115 576
    Ethnicity
    There were 1131 unique subjects enrolled in the study. Out of 1044 subjects from Part A, 377 subjects is participated in Part B and 195 subjects is also participated in Part C. Out of 463 subjects from Part B, 204 subjects is participated in Part C.
    Units: Subjects
        Hispanic or Latino
    25 6 5 25
        Not Hispanic or Latino
    1002 437 184 1077
        Not collected per local regulations
    17 21 15 29
    Race
    There were 1131 unique subjects enrolled in the study. Out of 1044 subjects from Part A, 377 subjects is participated in Part B and 195 subjects is also participated in Part C. Out of 463 subjects from Part B, 204 subjects is participated in Part C.
    Units: Subjects
        White
    1017 447 193 1092
        Black or African American
    7 1 0 7
        Asian
    2 2 1 2
        American Indian or Alaska Native
    1 0 0 1
        Native Hawaiian or Other Pacific Islander
    0 0 0 0
        Not collected per local regulations
    11 13 10 23
        Other
    6 1 0 6

    End points

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    End points reporting groups
    Reporting group title
    Part A: TEZ/IVA
    Reporting group description
    Subjects who received either TEZ/IVA, IVA monotherapy or Placebo in parent studies 103, 106, 107, 108, 109 and 111 were administered TEZ 100 milligram (mg)/IVA 150 mg fixed-dose tablet in the morning and IVA 150 mg mono tablet in the evening for 96 weeks.

    Reporting group title
    Part B: TEZ/IVA
    Reporting group description
    Subjects who received either TEZ/IVA, IVA monotherapy or Placebo in parent studies 106, 108, 109, 112 and 114 were administered TEZ 100 mg/IVA 150 mg fixed-dose tablet in the morning and IVA 150 mg mono tablet in the evening for 96 weeks.

    Reporting group title
    Part C: TEZ/IVA
    Reporting group description
    Subjects who received TEZ/IVA, IVA monotherapy or Placebo in parent studies 106, 108, and 114 were administered TEZ 100 mg/IVA 150 mg fixed dose tablet in the morning and IVA 150 mg mono tablet in the evening for 192 weeks.

    Subject analysis set title
    Part B: F/F Mutation
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Subjects who received TEZ/IVA in parent studies 106, 111, 112 and 114 were received TEZ 100 mg/IVA 150 mg FDC tablet in the morning and IVA 150 mg mono tablet in the evening for 96 weeks.

    Subject analysis set title
    Part B: F/RF Mutation
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Subjects who received TEZ/IVA in parent study 108 were received TEZ 100 mg/IVA 150 mg FDC tablet in the morning and IVA 150 mg mono tablet in the evening for 96 weeks.

    Primary: Part A: Safety and Tolerability as Assessed by Number of Subjects With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

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    End point title
    Part A: Safety and Tolerability as Assessed by Number of Subjects With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) [1] [2]
    End point description
    Safety set included all subjects who received at least 1 dose of study drug.
    End point type
    Primary
    End point timeframe
    Day 1 up to Week 100
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistics were planned. No statistical comparisons were planned for this endpoint
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    1042
    Units: Subjects
        Subjects with TEAEs
    995
        Subjects with SAEs
    351
    No statistical analyses for this end point

    Secondary: Part B: Safety and Tolerability as Assessed by Number of Subjects With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

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    End point title
    Part B: Safety and Tolerability as Assessed by Number of Subjects With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) [3]
    End point description
    Safety set included all subjects who received at least 1 dose of study drug.
    End point type
    Secondary
    End point timeframe
    Day 1 up to Week 100
    Notes
    [3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part B.
    End point values
    Part B: TEZ/IVA
    Number of subjects analysed
    463
    Units: Subjects
        Subjects with TEAEs
    427
        Subjects with SAEs
    136
    No statistical analyses for this end point

    Secondary: Part C: Safety and Tolerability as Assessed by Number of Subjects With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

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    End point title
    Part C: Safety and Tolerability as Assessed by Number of Subjects With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) [4]
    End point description
    Safety set included all subjects who received at least 1 dose of study drug.
    End point type
    Secondary
    End point timeframe
    Day 1 up to Week 196
    Notes
    [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: This endpoint is only applicable for Part C.
    End point values
    Part C: TEZ/IVA
    Number of subjects analysed
    204
    Units: Subjects
        Subjects with TEAEs
    168
        Subjects with SAEs
    44
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 106/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 106/110 Efficacy Set [5]
    End point description
    FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 106 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 106 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline except for Placebo-TEZ/IVA category, for which baseline was study 110 baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    459
    Units: Percentage points
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=231)
    2.1 (0.8 to 3.3)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=228)
    2.0 (0.7 to 3.2)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 108/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 108/110 Efficacy Set [6]
    End point description
    FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 108 and TEZ/IVA in current study 110); IVA-TEZ/IVA category (subjects who received IVA monotherapy in parent study 108 and TEZ/IVA in current study 110); and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 108 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    226
    Units: Percentage points
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=80)
    4.1 (2.2 to 6.0)
        IVA-TEZ/IVA: Change at Week 96 (n=70)
    6.7 (4.7 to 8.7)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=76)
    7.5 (5.6 to 9.4)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 103/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 103/110 Efficacy Set [7]
    End point description
    FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Data are reported for TEZ/IVA-TEZ/IVA group (subjects who received TEZ/IVA in both parent study 103 and in current study 110). Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [7] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    23
    Units: Percentage points
        arithmetic mean (standard deviation)
    2.7 ± 10.0
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 111/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 111/110 Efficacy Set [8]
    End point description
    FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 111 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 111 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    33
    Units: Percentage points
    arithmetic mean (standard deviation)
        Placebo-TEZ/IVA: Change at Week 96 (n=7)
    4.1 ± 10.2
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=26)
    2.6 ± 6.6
    No statistical analyses for this end point

    Secondary: Part A: Relative Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 106/110 Efficacy Set

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    End point title
    Part A: Relative Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 106/110 Efficacy Set [9]
    End point description
    FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 106 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 106 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline except for Placebo-TEZ/IVA category, for which baseline was study 110 baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [9] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    459
    Units: Percent change
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=231)
    4.3 (2.1 to 6.5)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=228)
    4.2 (2.0 to 6.4)
    No statistical analyses for this end point

    Secondary: Part A: Relative Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 108/110 Efficacy Set

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    End point title
    Part A: Relative Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 108/110 Efficacy Set [10]
    End point description
    FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 108 and TEZ/IVA in current study 110); IVA-TEZ/IVA category (subjects who received IVA monotherapy in parent study 108 and TEZ/IVA in current study 110); and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 108 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    226
    Units: Percent change
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=80)
    7.9 (4.7 to 11.1)
        IVA-TEZ/IVA: Change at Week 96 (n=70)
    11.6 (8.2 to 15.0)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=76)
    13.0 (9.7 to 16.2)
    No statistical analyses for this end point

    Secondary: Part A: Relative Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 103/110 Efficacy Set

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    End point title
    Part A: Relative Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 103/110 Efficacy Set [11]
    End point description
    FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Data are reported for TEZ/IVA-TEZ/IVA group (participants who received TEZ/IVA in both parent study 103 and in current study 110). Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [11] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    23
    Units: Percent change
        arithmetic mean (standard deviation)
    6.4 ± 21.1
    No statistical analyses for this end point

    Secondary: Part A: Relative Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 111/110 Efficacy Set

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    End point title
    Part A: Relative Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 111/110 Efficacy Set [12]
    End point description
    FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Data are reported separately for Placebo-TEZ/IVA category (participants who received placebo in parent study 111 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (participants who received TEZ/IVA in both parent study 111 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    33
    Units: Percent change
    arithmetic mean (standard deviation)
        Placebo-TEZ/IVA: Change at Week 96 (n=7)
    6.1 ± 14.4
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=26)
    5.2 ± 11.5
    No statistical analyses for this end point

    Secondary: Part A: Number of Pulmonary Exacerbation (PEx) Events for 106/110 PEx Analysis Set

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    End point title
    Part A: Number of Pulmonary Exacerbation (PEx) Events for 106/110 PEx Analysis Set [13]
    End point description
    Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 106 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 106 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline except for Placebo-TEZ/IVA category, for which baseline was study 110 baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline up to Study 110 Week 96
    Notes
    [13] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    479
    Units: PEx events
    number (not applicable)
        Placebo-TEZ/IVA (n=231)
    306
        TEZ/IVA-TEZ/IVA (n=248)
    423
    No statistical analyses for this end point

    Secondary: Part A: Number of Pulmonary Exacerbation (PEx) Events for 108/110 PEx Analysis Set

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    End point title
    Part A: Number of Pulmonary Exacerbation (PEx) Events for 108/110 PEx Analysis Set [14]
    End point description
    Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms. Data are reported separately for Placebo-TEZ/IVA category (participants who received placebo in parent study 108 and TEZ/IVA in current study 110); IVA-TEZ/IVA category (subjects who received IVA monotherapy in parent study 108 and TEZ/IVA in current study 110); and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 108 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline up to Week 96
    Notes
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    233
    Units: PEx events
    number (not applicable)
        Placebo-TEZ/IVA (n=81)
    89
        IVA-TEZ/IVA (n=74)
    51
        TEZ/IVA-TEZ/IVA (n=78)
    46
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Body Mass Index (BMI) for 106/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Body Mass Index (BMI) for 106/110 Efficacy Set [15]
    End point description
    BMI was defined as weight in kilogram (kg) divided by height in square meter (m^2). Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 106 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 106 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline except for Placebo-TEZ/IVA category, for which baseline was study 110 baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [15] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    459
    Units: kg/m^2
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=231)
    0.47 (0.30 to 0.65)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=228)
    0.38 (0.20 to 0.55)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Body Mass Index (BMI) for 108/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Body Mass Index (BMI) for 108/110 Efficacy Set [16]
    End point description
    BMI was defined as weight in kg divided by height in square meter (m^2). Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 108 and TEZ/IVA in current study 110); IVA-TEZ/IVA category (subjects who received IVA monotherapy in parent study 108 and TEZ/IVA in current study 110); and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 108 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    226
    Units: kg/m^2
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=80)
    1.07 (0.59 to 1.55)
        IVA-TEZ/IVA: Change at Week 96 (n=70)
    0.96 (0.45 to 1.47)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=76)
    1.05 (0.56 to 1.55)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Body Mass Index (BMI) for 103/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Body Mass Index (BMI) for 103/110 Efficacy Set [17]
    End point description
    BMI was defined as weight in kg divided by height in square meter (m^2). Data are reported for TEZ/IVA-TEZ/IVA group (subjects who received TEZ/IVA in both parent study 103 and in current study 110). Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [17] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    23
    Units: kg/m^2
        arithmetic mean (standard deviation)
    1.38 ± 1.73
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Body Mass Index (BMI) for Study 111/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Body Mass Index (BMI) for Study 111/110 Efficacy Set [18]
    End point description
    BMI was defined as weight in kg divided by height in square meter (m^2). Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 111 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 111 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    33
    Units: kg/m^2
    arithmetic mean (standard deviation)
        Placebo-TEZ/IVA: Change at Week 96 (n=7)
    1.59 ± 2.08
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=26)
    0.26 ± 0.88
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in BMI Z-score for 106/110 Efficacy Set

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    End point title
    Part A: Absolute Change in BMI Z-score for 106/110 Efficacy Set [19]
    End point description
    The z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean. Data are reported separately for Placebo-TEZ/IVA category (participants who received placebo in parent study 106 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 106 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline except for Placebo-TEZ/IVA category, for which baseline was study 110 baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [19] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    93
    Units: z-score
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=44)
    0.10 (-0.04 to 0.25)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=49)
    -0.14 (-0.28 to 0.00)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in BMI Z-score for 108/110 Efficacy Set

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    End point title
    Part A: Absolute Change in BMI Z-score for 108/110 Efficacy Set [20]
    End point description
    The z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 108 and TEZ/IVA in current study 110); IVA-TEZ/IVA category (subjects who received IVA monotherapy in parent study 108 and TEZ/IVA in current study 110); and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 108 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    30
    Units: z-score
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=13)
    0.11 (-0.32 to 0.54)
        IVA-TEZ/IVA: Change at Week 96 (n=7)
    0.07 (-0.52 to 0.65)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=10)
    0.30 (-0.21 to 0.80)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score for 106/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score for 106/110 Efficacy Set [21]
    End point description
    The CFQ-R is a validated subject-reported outcome measuring health-related quality of life for subjects with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 106 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 106 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline except for Placebo-TEZ/IVA category, for which baseline was study 110 baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [21] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    459
    Units: units on a scale
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=231)
    1.7 (-0.6 to 4.0)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=228)
    3.0 (0.7 to 5.3)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score for 108/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score for 108/110 Efficacy Set [22]
    End point description
    The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life. Data are reported separately for Placebo-TEZ/IVA category (participants who received placebo in parent study 108 and TEZ/IVA in current study 110); IVA-TEZ/IVA category (participants who received IVA monotherapy in parent study 108 and TEZ/IVA in current study 110); and TEZ/IVA-TEZ/IVA category (participants who received TEZ/IVA in both parent study 108 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [22] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    226
    Units: units on a scale
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=80)
    10.3 (7.0 to 13.6)
        IVA-TEZ/IVA: Change at Week 96 (n=70)
    11.2 (7.7 to 14.7)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=76)
    13.8 (10.3 to 17.2)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score for 103/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score for 103/110 Efficacy Set [23]
    End point description
    The CFQ-R is a validated subject-reported outcome measuring health-related quality of life for subjects with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life. Data are reported for TEZ/IVA-TEZ/IVA group (subjects who received TEZ/IVA in both parent study 103 and in current study 110). Baseline was defined as the parent study baseline
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [23] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    23
    Units: units on a scale
        arithmetic mean (standard deviation)
    8.6 ± 12.1
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Body Weight for Study 106/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Body Weight for Study 106/110 Efficacy Set [24]
    End point description
    Data are reported separately for Placebo-TEZ/IVA category (participants who received placebo in parent study 106 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 106 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline except for Placebo-TEZ/IVA category, for which baseline was study 110 baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    459
    Units: kg
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=231)
    2.0 (1.4 to 2.5)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=228)
    2.1 (1.5 to 2.6)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Body Weight for 108/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Body Weight for 108/110 Efficacy Set [25]
    End point description
    Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 108 and TEZ/IVA in current study 110); IVA-TEZ/IVA category (subjects who received IVA monotherapy in parent study 108 and TEZ/IVA in current study 110); and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 108 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [25] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    226
    Units: kg
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=80)
    3.5 (1.9 to 5.1)
        IVA-TEZ/IVA: Change at Week 96 (n=70)
    3.5 (1.8 to 5.2)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=76)
    3.6 (2.0 to 5.2)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Body Weight for 103/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Body Weight for 103/110 Efficacy Set [26]
    End point description
    Data are reported for TEZ/IVA-TEZ/IVA group (subjects who received TEZ/IVA in both parent study 103 and in current study 110). Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    23
    Units: kg
        arithmetic mean (standard deviation)
    4.0 ± 5.0
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Body Weight for 111/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Body Weight for 111/110 Efficacy Set [27]
    End point description
    Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 111 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 111 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [27] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    33
    Units: kg
    arithmetic mean (standard deviation)
        Placebo-TEZ/IVA: Change at Week 96 (n=7)
    4.2 ± 5.7
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=26)
    0.6 ± 2.6
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Body Weight Z-score for 106/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Body Weight Z-score for 106/110 Efficacy Set [28]
    End point description
    The z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 106 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 106 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline except for Placebo-TEZ/IVA category, for which baseline was study 110 baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    93
    Units: z-score
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=44)
    0.07 (-0.06 to 0.20)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=49)
    -0.06 (-0.19 to 0.07)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Body Weight Z-score for 108/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Body Weight Z-score for 108/110 Efficacy Set [29]
    End point description
    The z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 108 and TEZ/IVA in current study 110); IVA-TEZ/IVA category (subjects who received IVA monotherapy in parent study 108 and TEZ/IVA in current study 110); and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 108 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [29] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    30
    Units: z-score
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=13)
    0.15 (-0.25 to 0.55)
        IVA-TEZ/IVA: Change at Week 96 (n=7)
    0.09 (-0.45 to 0.62)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=10)
    0.43 (-0.04 to 0.90)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Height Z-score for 106/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Height Z-score for 106/110 Efficacy Set [30]
    End point description
    The z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 106 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 106 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline except for Placebo-TEZ/IVA category, for which baseline was study 110 baseline
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    91
    Units: z-score
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=42)
    0.01 (-0.08 to 0.11)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=49)
    0.13 (0.04 to 0.22)
    No statistical analyses for this end point

    Secondary: Part A: Absolute Change in Height Z-score for 108/110 Efficacy Set

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    End point title
    Part A: Absolute Change in Height Z-score for 108/110 Efficacy Set [31]
    End point description
    The z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 108 and TEZ/IVA in current study 110); IVA-TEZ/IVA category (subjects who received IVA monotherapy in parent study 108 and TEZ/IVA in current study 110); and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 108 and in current study 110) as per pre-specified analysis plan. Baseline was defined as the parent study baseline.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    Notes
    [31] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    30
    Units: z-score
    least squares mean (confidence interval 95%)
        Placebo-TEZ/IVA: Change at Week 96 (n=13)
    -0.04 (-0.23 to 0.15)
        IVA-TEZ/IVA: Change at Week 96 (n=7)
    0.20 (-0.05 to 0.45)
        TEZ/IVA-TEZ/IVA: Change at Week 96 (n=10)
    0.23 (0.00 to 0.46)
    No statistical analyses for this end point

    Secondary: Part A: Time-to-first Pulmonary Exacerbation (PEx) for 106/110 PEx Analysis Set

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    End point title
    Part A: Time-to-first Pulmonary Exacerbation (PEx) for 106/110 PEx Analysis Set [32]
    End point description
    Time-to-first pulmonary exacerbation was analyzed using Kaplan-Meier estimates and expressed in terms of event-free probability. PEx was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 106 and TEZ/IVA in current study 110) and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 106 and in current study 110) as per pre-specified analysis plan.
    End point type
    Secondary
    End point timeframe
    96 weeks
    Notes
    [32] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    479
    Units: event-free probability
    number (confidence interval 95%)
        Placebo-TEZ/IVA (n=231)
    0.470 (0.402 to 0.535)
        TEZ/IVA-TEZ/IVA (n=248)
    0.438 (0.374 to 0.501)
    No statistical analyses for this end point

    Secondary: Part A: Time-to-first Pulmonary Exacerbation (PEx) for 108/110 PEx Analysis Set

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    End point title
    Part A: Time-to-first Pulmonary Exacerbation (PEx) for 108/110 PEx Analysis Set [33]
    End point description
    Time-to-first pulmonary exacerbation was analyzed using Kaplan-Meier estimates and expressed in terms of event-free probability. PEx was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms. Data are reported separately for Placebo-TEZ/IVA category (subjects who received placebo in parent study 108 and TEZ/IVA in current study 110); IVA-TEZ/IVA category (subjects who received IVA monotherapy in parent study 108 and TEZ/IVA in current study 110); and TEZ/IVA-TEZ/IVA category (subjects who received TEZ/IVA in both parent study 108 and in current study 110) as per pre-specified analysis plan.
    End point type
    Secondary
    End point timeframe
    96 weeks
    Notes
    [33] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    233
    Units: event-free probability
    number (confidence interval 95%)
        Placebo-TEZ/IVA (n=81)
    0.497 (0.383 to 0.601)
        IVA-TEZ/IVA (n=74)
    0.493 (0.372 to 0.603)
        TEZ/IVA-TEZ/IVA (n=78)
    0.639 (0.519 to 0.737)
    No statistical analyses for this end point

    Secondary: Part A: Plasma Concentrations of TEZ, TEZ Metabolite (M1-TEZ), Ivacaftor (IVA) and Ivacaftor Metabolite (M1-IVA)

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    End point title
    Part A: Plasma Concentrations of TEZ, TEZ Metabolite (M1-TEZ), Ivacaftor (IVA) and Ivacaftor Metabolite (M1-IVA) [34]
    End point description
    The Pharmacokinetic (PK) set included data for all participants who received TEZ/IVA treatment and met PK data inclusion and exclusion criteria.
    End point type
    Secondary
    End point timeframe
    Week 24
    Notes
    [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: This endpoint is only applicable for Part A.
    End point values
    Part A: TEZ/IVA
    Number of subjects analysed
    853
    Units: nanogram/milliliter (ng/mL)
    arithmetic mean (standard deviation)
        VX-661
    2070 ± 1390
        M1-661
    4580 ± 2080
        IVA
    892 ± 700
        M1-IVA
    1740 ± 1070
    No statistical analyses for this end point

    Secondary: Part B: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)

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    End point title
    Part B: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
    End point description
    FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
    End point type
    Secondary
    End point timeframe
    From Baseline at Study 110 Week 96
    End point values
    Part B: F/F Mutation Part B: F/RF Mutation
    Number of subjects analysed
    132
    49
    Units: percentage points
        arithmetic mean (standard deviation)
    1.7 ± 10.2
    8.3 ± 8.6
    No statistical analyses for this end point

    Secondary: Part B: Absolute Change in Body Mass Index (BMI)

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    End point title
    Part B: Absolute Change in Body Mass Index (BMI)
    End point description
    BMI was defined as weight in kilogram (kg) divided by height in square meter (m^2).
    End point type
    Secondary
    End point timeframe
    From Baseline at Week 96
    End point values
    Part B: F/F Mutation Part B: F/RF Mutation
    Number of subjects analysed
    138
    60
    Units: kg/m^2
        arithmetic mean (standard deviation)
    0.70 ± 1.45
    1.84 ± 2.21
    No statistical analyses for this end point

    Secondary: Part B: Absolute Change in BMI Z-score

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    End point title
    Part B: Absolute Change in BMI Z-score
    End point description
    The z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean.
    End point type
    Secondary
    End point timeframe
    From Baseline at Week 96
    End point values
    Part B: F/F Mutation Part B: F/RF Mutation
    Number of subjects analysed
    21
    6
    Units: z-score
        arithmetic mean (standard deviation)
    -0.03 ± 0.71
    0.21 ± 0.46
    No statistical analyses for this end point

    Secondary: Part B: Number of Pulmonary Exacerbation (PEx) Events

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    End point title
    Part B: Number of Pulmonary Exacerbation (PEx) Events
    End point description
    Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms
    End point type
    Secondary
    End point timeframe
    From Baseline up to Week 96
    End point values
    Part B: F/F Mutation Part B: F/RF Mutation
    Number of subjects analysed
    347
    106
    Units: PEx events
        number (not applicable)
    386
    94
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Day 1 Through Safety Follow-up Visit (up to Week 100 for Part A, up to Week 100 for Part B, and up to Week 196 for Part C)
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    25.1
    Reporting groups
    Reporting group title
    Part A: TEZ/IVA
    Reporting group description
    Subjects who received either TEZ/IVA, IVA monotherapy or Placebo in parent studies 103,106,107,108,109 and 111 were administered TEZ 100 mg/IVA 150 mg fixed-dose tablet in the morning and IVA 150 mg mono tablet in the evening for 96 weeks.

    Reporting group title
    Part B: TEZ/IVA
    Reporting group description
    Subjects who received either TEZ/IVA, IVA monotherapy or Placebo in parent studies 106, 108, 109, 112 and 114 were administered TEZ 100 mg/IVA 150 mg fixed-dose tablet in the morning and IVA 150 mg mono tablet in the evening for 96 weeks

    Reporting group title
    Part C: TEZ/IVA
    Reporting group description
    Subjects who received TEZ/IVA, IVA monotherapy or Placebo in parent studies 106, 108, and 114 were administered TEZ 100 mg/IVA 150 mg fixed dose tablet in the morning and IVA 150 mg mono tablet in the evening for 192 weeks.

    Serious adverse events
    Part A: TEZ/IVA Part B: TEZ/IVA Part C: TEZ/IVA
    Total subjects affected by serious adverse events
         subjects affected / exposed
    351 / 1042 (33.69%)
    136 / 463 (29.37%)
    44 / 204 (21.57%)
         number of deaths (all causes)
    1
    0
    0
         number of deaths resulting from adverse events
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adenocarcinoma of colon
         subjects affected / exposed
    1 / 1042 (0.10%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Basal cell carcinoma
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Oesophageal adenocarcinoma
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Malignant glioma
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Benign male reproductive tract neoplasm
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Schwannoma
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Oesophageal carcinoma
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Fatigue
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Device related thrombosis
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Chest pain
         subjects affected / exposed
    0 / 1042 (0.00%)
    2 / 463 (0.43%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Medical device site erythema
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Non-cardiac chest pain
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    Food allergy
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Drug hypersensitivity
         subjects affected / exposed
    2 / 1042 (0.19%)
    2 / 463 (0.43%)
    3 / 204 (1.47%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Anaphylactic reaction
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Type IV hypersensitivity reaction
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Ovarian cyst
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gynaecomastia
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Bronchial wall thickening
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Bronchiectasis
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cough
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Dyspnoea
         subjects affected / exposed
    0 / 1042 (0.00%)
    3 / 463 (0.65%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pleural effusion
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nasal polyps
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Haemoptysis
         subjects affected / exposed
    25 / 1042 (2.40%)
    10 / 463 (2.16%)
    6 / 204 (2.94%)
         occurrences causally related to treatment / all
    0 / 32
    1 / 15
    0 / 13
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pleuritic pain
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pneumothorax spontaneous
         subjects affected / exposed
    2 / 1042 (0.19%)
    2 / 463 (0.43%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 6
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Sinus polyp
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Sleep apnoea syndrome
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Sputum increased
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Bipolar I disorder
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Anxiety
         subjects affected / exposed
    5 / 1042 (0.48%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 5
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Depression
         subjects affected / exposed
    2 / 1042 (0.19%)
    1 / 463 (0.22%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Panic attack
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Disruptive mood dysregulation disorder
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Paranoia
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Suicidal ideation
         subjects affected / exposed
    1 / 1042 (0.10%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Suicide attempt
         subjects affected / exposed
    3 / 1042 (0.29%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    3 / 1042 (0.29%)
    1 / 463 (0.22%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    3 / 3
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Aspartate aminotransferase increased
         subjects affected / exposed
    4 / 1042 (0.38%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    3 / 4
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Bacterial test positive
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood alkaline phosphatase increased
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood creatinine increased
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood creatine phosphokinase increased
         subjects affected / exposed
    7 / 1042 (0.67%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    4 / 7
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Chest X-ray abnormal
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Computerised tomogram thorax abnormal
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Forced expiratory volume decreased
         subjects affected / exposed
    3 / 1042 (0.29%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Influenza A virus test positive
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Influenza B virus test positive
         subjects affected / exposed
    1 / 1042 (0.10%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pulmonary function test decreased
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Urine amphetamine positive
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory syncytial virus test positive
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Weight decreased
         subjects affected / exposed
    1 / 1042 (0.10%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Anaesthetic complication cardiac
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Foot fracture
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Ear injury
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Foreign body in eye
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hand fracture
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Ligament injury
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Ligament rupture
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Limb injury
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Meniscus injury
         subjects affected / exposed
    2 / 1042 (0.19%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Patella fracture
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Peroneal nerve injury
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Post lumbar puncture syndrome
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Post procedural haemorrhage
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Procedural nausea
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Procedural pain
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Radius fracture
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Tendon injury
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Congenital, familial and genetic disorders
    Cystic fibrosis lung
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cardiac failure
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cardiomyopathy
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Left ventricular dysfunction
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Myocarditis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Encephalopathy
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Dizziness
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Headache
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Lumbar radiculopathy
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Loss of consciousness
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Migraine
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Facial paralysis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Seizure
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Quadrantanopia
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Neuropathy peripheral
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Toxic encephalopathy
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Bone marrow failure
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Lymphadenitis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    7 / 1042 (0.67%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 7
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Appendiceal mucocoele
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Colitis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    8 / 1042 (0.77%)
    3 / 463 (0.65%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 8
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cyclic vomiting syndrome
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Distal intestinal obstruction syndrome
         subjects affected / exposed
    12 / 1042 (1.15%)
    3 / 463 (0.65%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    2 / 17
    0 / 4
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Enteritis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Enterocolitis haemorrhagic
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastritis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Large intestinal obstruction
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    4 / 1042 (0.38%)
    3 / 463 (0.65%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Ileus
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Obstructive pancreatitis
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Melaena
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Oesophageal achalasia
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Oesophageal varices haemorrhage
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pancreatitis acute
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pancreatitis chronic
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Small intestinal obstruction
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Subileus
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Volvulus
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Biliary colic
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Biliary dilatation
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cholecystitis
         subjects affected / exposed
    1 / 1042 (0.10%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cholelithiasis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cholecystitis chronic
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cholecystitis acute
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gallbladder rupture
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hepatic mass
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hepatitis toxic
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hypertransaminasaemia
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    1 / 1042 (0.10%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Urticarial vasculitis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Urticaria
         subjects affected / exposed
    0 / 1042 (0.00%)
    2 / 463 (0.43%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hydronephrosis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal impairment
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal failure
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal colic
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nephrolithiasis
         subjects affected / exposed
    4 / 1042 (0.38%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal infarct
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Ureterolithiasis
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    Pituitary enlargement
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Musculoskeletal chest pain
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Intervertebral disc protrusion
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Diastasis recti abdominis
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Neuropathic arthropathy
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Rhabdomyolysis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Anal abscess
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Appendicitis
         subjects affected / exposed
    5 / 1042 (0.48%)
    1 / 463 (0.22%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Atypical mycobacterial lower respiratory tract infection
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Atypical mycobacterial pneumonia
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Bronchitis
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Bronchopulmonary aspergillosis allergic
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    COVID-19
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Erysipelas
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Diverticulitis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Clostridium difficile infection
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal viral infection
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Groin abscess
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Herpes simplex
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infectious mononucleosis
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infective exacerbation of bronchiectasis
         subjects affected / exposed
    4 / 1042 (0.38%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infective pulmonary exacerbation of cystic fibrosis
         subjects affected / exposed
    243 / 1042 (23.32%)
    103 / 463 (22.25%)
    28 / 204 (13.73%)
         occurrences causally related to treatment / all
    5 / 406
    0 / 169
    0 / 45
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Influenza
         subjects affected / exposed
    7 / 1042 (0.67%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 7
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Lower respiratory tract infection
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Lung infection
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    7 / 1042 (0.67%)
    4 / 463 (0.86%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 7
    0 / 5
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Meningitis viral
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Lung infection pseudomonal
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory tract infection
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory syncytial virus infection
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pneumonia pseudomonal
         subjects affected / exposed
    1 / 1042 (0.10%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory tract infection viral
         subjects affected / exposed
    3 / 1042 (0.29%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Salpingitis
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Sinusitis
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Tonsillitis
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Typhoid fever
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Upper respiratory tract infection bacterial
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Vascular device infection
         subjects affected / exposed
    2 / 1042 (0.19%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    2 / 1042 (0.19%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hyperglycaemia
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hypocalcaemia
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    1 / 204 (0.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hyperkalaemia
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hypovolaemia
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hypomagnesaemia
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hypoglycaemia
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hypokalaemia
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Malnutrition
         subjects affected / exposed
    1 / 1042 (0.10%)
    0 / 463 (0.00%)
    0 / 204 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Part A: TEZ/IVA Part B: TEZ/IVA Part C: TEZ/IVA
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    938 / 1042 (90.02%)
    391 / 463 (84.45%)
    149 / 204 (73.04%)
    Investigations
    Aspartate aminotransferase increased
         subjects affected / exposed
    53 / 1042 (5.09%)
    7 / 463 (1.51%)
    0 / 204 (0.00%)
         occurrences all number
    61
    8
    0
    Blood creatine phosphokinase increased
         subjects affected / exposed
    76 / 1042 (7.29%)
    3 / 463 (0.65%)
    0 / 204 (0.00%)
         occurrences all number
    90
    3
    0
    Bacterial test positive
         subjects affected / exposed
    48 / 1042 (4.61%)
    28 / 463 (6.05%)
    11 / 204 (5.39%)
         occurrences all number
    69
    43
    11
    Pulmonary function test decreased
         subjects affected / exposed
    55 / 1042 (5.28%)
    8 / 463 (1.73%)
    3 / 204 (1.47%)
         occurrences all number
    71
    8
    3
    Nervous system disorders
    Headache
         subjects affected / exposed
    146 / 1042 (14.01%)
    47 / 463 (10.15%)
    20 / 204 (9.80%)
         occurrences all number
    299
    147
    110
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    135 / 1042 (12.96%)
    40 / 463 (8.64%)
    20 / 204 (9.80%)
         occurrences all number
    214
    58
    30
    Fatigue
         subjects affected / exposed
    100 / 1042 (9.60%)
    23 / 463 (4.97%)
    7 / 204 (3.43%)
         occurrences all number
    125
    25
    7
    Immune system disorders
    Immunisation reaction
         subjects affected / exposed
    0 / 1042 (0.00%)
    0 / 463 (0.00%)
    15 / 204 (7.35%)
         occurrences all number
    0
    0
    24
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    101 / 1042 (9.69%)
    35 / 463 (7.56%)
    7 / 204 (3.43%)
         occurrences all number
    135
    46
    9
    Abdominal pain upper
         subjects affected / exposed
    44 / 1042 (4.22%)
    26 / 463 (5.62%)
    2 / 204 (0.98%)
         occurrences all number
    51
    29
    2
    Constipation
         subjects affected / exposed
    69 / 1042 (6.62%)
    24 / 463 (5.18%)
    8 / 204 (3.92%)
         occurrences all number
    80
    25
    10
    Diarrhoea
         subjects affected / exposed
    105 / 1042 (10.08%)
    27 / 463 (5.83%)
    5 / 204 (2.45%)
         occurrences all number
    126
    30
    5
    Nausea
         subjects affected / exposed
    105 / 1042 (10.08%)
    21 / 463 (4.54%)
    9 / 204 (4.41%)
         occurrences all number
    139
    27
    12
    Vomiting
         subjects affected / exposed
    80 / 1042 (7.68%)
    12 / 463 (2.59%)
    7 / 204 (3.43%)
         occurrences all number
    105
    16
    9
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    99 / 1042 (9.50%)
    28 / 463 (6.05%)
    9 / 204 (4.41%)
         occurrences all number
    124
    35
    11
    Cough
         subjects affected / exposed
    374 / 1042 (35.89%)
    112 / 463 (24.19%)
    29 / 204 (14.22%)
         occurrences all number
    702
    193
    48
    Haemoptysis
         subjects affected / exposed
    167 / 1042 (16.03%)
    64 / 463 (13.82%)
    25 / 204 (12.25%)
         occurrences all number
    328
    105
    47
    Nasal congestion
         subjects affected / exposed
    77 / 1042 (7.39%)
    7 / 463 (1.51%)
    2 / 204 (0.98%)
         occurrences all number
    100
    7
    2
    Oropharyngeal pain
         subjects affected / exposed
    136 / 1042 (13.05%)
    39 / 463 (8.42%)
    9 / 204 (4.41%)
         occurrences all number
    190
    55
    18
    Productive cough
         subjects affected / exposed
    56 / 1042 (5.37%)
    15 / 463 (3.24%)
    3 / 204 (1.47%)
         occurrences all number
    99
    22
    3
    Rhinorrhoea
         subjects affected / exposed
    55 / 1042 (5.28%)
    16 / 463 (3.46%)
    1 / 204 (0.49%)
         occurrences all number
    76
    20
    1
    Sinus congestion
         subjects affected / exposed
    53 / 1042 (5.09%)
    2 / 463 (0.43%)
    2 / 204 (0.98%)
         occurrences all number
    66
    2
    2
    Sputum increased
         subjects affected / exposed
    223 / 1042 (21.40%)
    46 / 463 (9.94%)
    13 / 204 (6.37%)
         occurrences all number
    322
    64
    18
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    57 / 1042 (5.47%)
    23 / 463 (4.97%)
    11 / 204 (5.39%)
         occurrences all number
    65
    24
    20
    Arthralgia
         subjects affected / exposed
    62 / 1042 (5.95%)
    29 / 463 (6.26%)
    9 / 204 (4.41%)
         occurrences all number
    78
    38
    14
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    227 / 1042 (21.79%)
    88 / 463 (19.01%)
    13 / 204 (6.37%)
         occurrences all number
    367
    133
    17
    Influenza
         subjects affected / exposed
    62 / 1042 (5.95%)
    26 / 463 (5.62%)
    2 / 204 (0.98%)
         occurrences all number
    67
    27
    2
    Infective pulmonary exacerbation of cystic fibrosis
         subjects affected / exposed
    444 / 1042 (42.61%)
    202 / 463 (43.63%)
    87 / 204 (42.65%)
         occurrences all number
    977
    511
    192
    COVID-19
         subjects affected / exposed
    0 / 1042 (0.00%)
    1 / 463 (0.22%)
    18 / 204 (8.82%)
         occurrences all number
    0
    1
    19
    Viral upper respiratory tract infection
         subjects affected / exposed
    69 / 1042 (6.62%)
    15 / 463 (3.24%)
    1 / 204 (0.49%)
         occurrences all number
    92
    21
    1
    Upper respiratory tract infection
         subjects affected / exposed
    135 / 1042 (12.96%)
    43 / 463 (9.29%)
    12 / 204 (5.88%)
         occurrences all number
    180
    71
    23
    Sinusitis
         subjects affected / exposed
    80 / 1042 (7.68%)
    20 / 463 (4.32%)
    7 / 204 (3.43%)
         occurrences all number
    115
    26
    7
    Rhinitis
         subjects affected / exposed
    55 / 1042 (5.28%)
    28 / 463 (6.05%)
    5 / 204 (2.45%)
         occurrences all number
    77
    35
    8

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    21 Oct 2015
    Amended to remove the sponsor’s discretion with respect to subject discontinuation in the event of commercially available VX-661/ivacaftor.
    10 Mar 2016
    Amended to remove the age restriction for the Observational Cohort.
    27 May 2016
    Amended to allow subjects to screen for other qualified Vertex studies of investigational CFTR modulators while participating in the Treatment Cohort of Study VX14-661-110 and to provide the opportunity to re-enroll in the Treatment Cohort of Study VX14-661-110 for eligible subjects who discontinued Study VX14-661-110 to participate in another qualified Vertex study. The list of parent studies was revised to allow eligible subjects to enroll in the Treatment Cohort of Study VX14-661-110 from other Vertex studies investigating VX-661 in combination with ivacaftor.
    24 May 2017
    Amended to revise the study design to add Part B, to enroll subjects from eligible Vertex studies of VX-661 in combination with ivacaftor.
    25 May 2017
    Amended to add Part B, to enroll subjects from eligible Vertex studies of VX-661 in combination with ivacaftor. A Data Monitoring Committee was added to Part A. The statistical analysis plan for Part A was revised and the analysis plan for Part B was added.
    25 Apr 2019
    Amended to revise the study design to add Part C.
    16 Feb 2021
    Amended to extend the treatment duration of Part C to up to approximately 192 weeks.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

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