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    Clinical Trial Results:
    Treatment of chronic subdural hematoma by corticosteroids : a prospective randomized study

    Summary
    EudraCT number
    2015-000927-96
    Trial protocol
    FR  
    Global end of trial date
    20 Mar 2019

    Results information
    Results version number
    v1(current)
    This version publication date
    12 Jan 2024
    First version publication date
    12 Jan 2024
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    SUCRE
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02650609
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    SUCRE: Morandi SUCRE
    Sponsors
    Sponsor organisation name
    CHU de Rennes
    Sponsor organisation address
    2 rue Henri Le Guilloux, Rennes, France, 35000
    Public contact
    Ganivet, CHU of Rennes, 33 299282555, anne.ganivet@chu-rennes.fr
    Scientific contact
    Ganivet, CHU of Rennes, 33 299282555, anne.ganivet@chu-rennes.fr
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    05 Mar 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    20 Mar 2019
    Global end of trial reached?
    Yes
    Global end of trial date
    20 Mar 2019
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To show that a treatment with methylprednisolone can decrease the need for surgical treatment in patients with chronic subdural hematoma without clinical or radiological signs of severity
    Protection of trial subjects
    An independent Data and Safety Monitoring Board will be constituted at the beginning of the study with 5 members who are not involved in the study, including a neurosurgeon, a neurologist, a pharmacologist, a methodologist, and a statistician. In order to prematurely stop the study in case of efficacy, two interim analyses are planned. These analyses will be performed on the primary endpoint but will also evaluate safety data in order to rapidly detect any unexpected serious adverse events due to the absence of systematic surgical treatment or to corticosteroids. The Data and Safety Monitoring Board will meet after each interim analysis and at the end of the study. It can also meet on request of the coordinating investigator or the methodologist if serious adverse events or results which can jeopardize the existence of the protocol occur. The Data and Safety Monitoring Board will propose to stop the study if the interim statistical analyses reache significance or if it appears that study continuation would be contrary to ethics rules (occurrence of serious adverse events, publication of trial results providing the answer to the question...).
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Oct 2015
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 198
    Worldwide total number of subjects
    198
    EEA total number of subjects
    198
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    38
    From 65 to 84 years
    123
    85 years and over
    37

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    The screening phase will take place during the hospitalisation or the consultation during which the diagnosis of CSDH will be confirmed

    Period 1
    Period 1 title
    Baseline V1 (D0)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator
    Blinding implementation details
    This study is double-blind. Active treatment and placebo will be identical and prepared in capsules by the PPRIGO platform at Brest University Hospital

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Methylprednisolone
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Methylprednisolone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Capsules will be administered orally in the morning, during breakfast with a glass of water. Dose is adapted according to the weight of the patient (1mg/kg): - <60 kg: 3 pills of 16 mg/day - 60-80kg: 4 pills of 16 mg/day - >80kg: 5 pills of 16 mg/day The duration of the treatment is 21 days. No progressive decrease of treatment dose is necessary because treatment duration is less than one month. The duration of treatment was choosen to avoid the necessity of progressive decrease of treatment dose and is supported by the pathophysiology of the CSDH formation (inflammatory process supposed to be maximal at 2 to 3 weeks).

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Active treatment and placebo will be identical

    Number of subjects in period 1
    Methylprednisolone Placebo
    Started
    99
    99
    Completed
    99
    99
    Period 2
    Period 2 title
    Follow-up visits
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Methylprednisolone
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Methylprednisolone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Capsules will be administered orally in the morning, during breakfast with a glass of water. Dose is adapted according to the weight of the patient (1mg/kg): - <60 kg: 3 pills of 16 mg/day - 60-80kg: 4 pills of 16 mg/day - >80kg: 5 pills of 16 mg/day The duration of the treatment is 21 days. No progressive decrease of treatment dose is necessary because treatment duration is less than one month. The duration of treatment was choosen to avoid the necessity of progressive decrease of treatment dose and is supported by the pathophysiology of the CSDH formation (inflammatory process supposed to be maximal at 2 to 3 weeks).

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Active treatment and placebo will be identical

    Number of subjects in period 2
    Methylprednisolone Placebo
    Started
    99
    99
    Completed
    99
    99
    Period 3
    Period 3 title
    Day 7
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Methylprednisolone
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Methylprednisolone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Capsules will be administered orally in the morning, during breakfast with a glass of water. Dose is adapted according to the weight of the patient (1mg/kg): - <60 kg: 3 pills of 16 mg/day - 60-80kg: 4 pills of 16 mg/day - >80kg: 5 pills of 16 mg/day The duration of the treatment is 21 days. No progressive decrease of treatment dose is necessary because treatment duration is less than one month. The duration of treatment was choosen to avoid the necessity of progressive decrease of treatment dose and is supported by the pathophysiology of the CSDH formation (inflammatory process supposed to be maximal at 2 to 3 weeks).

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Active treatment and placebo will be identical

    Number of subjects in period 3
    Methylprednisolone Placebo
    Started
    99
    99
    Completed
    99
    99
    Period 4
    Period 4 title
    Day 14
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Methylprednisolone
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Methylprednisolone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Capsules will be administered orally in the morning, during breakfast with a glass of water. Dose is adapted according to the weight of the patient (1mg/kg): - <60 kg: 3 pills of 16 mg/day - 60-80kg: 4 pills of 16 mg/day - >80kg: 5 pills of 16 mg/day The duration of the treatment is 21 days. No progressive decrease of treatment dose is necessary because treatment duration is less than one month. The duration of treatment was choosen to avoid the necessity of progressive decrease of treatment dose and is supported by the pathophysiology of the CSDH formation (inflammatory process supposed to be maximal at 2 to 3 weeks).

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Active treatment and placebo will be identical

    Number of subjects in period 4
    Methylprednisolone Placebo
    Started
    99
    99
    Completed
    99
    99
    Period 5
    Period 5 title
    Day 21
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Methylprednisolone
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Methylprednisolone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Capsules will be administered orally in the morning, during breakfast with a glass of water. Dose is adapted according to the weight of the patient (1mg/kg): - <60 kg: 3 pills of 16 mg/day - 60-80kg: 4 pills of 16 mg/day - >80kg: 5 pills of 16 mg/day The duration of the treatment is 21 days. No progressive decrease of treatment dose is necessary because treatment duration is less than one month. The duration of treatment was choosen to avoid the necessity of progressive decrease of treatment dose and is supported by the pathophysiology of the CSDH formation (inflammatory process supposed to be maximal at 2 to 3 weeks).

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Active treatment and placebo will be identical

    Number of subjects in period 5
    Methylprednisolone Placebo
    Started
    99
    99
    Completed
    99
    99
    Period 6
    Period 6 title
    Month 1
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Methylprednisolone
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Methylprednisolone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Capsules will be administered orally in the morning, during breakfast with a glass of water. Dose is adapted according to the weight of the patient (1mg/kg): - <60 kg: 3 pills of 16 mg/day - 60-80kg: 4 pills of 16 mg/day - >80kg: 5 pills of 16 mg/day The duration of the treatment is 21 days. No progressive decrease of treatment dose is necessary because treatment duration is less than one month. The duration of treatment was choosen to avoid the necessity of progressive decrease of treatment dose and is supported by the pathophysiology of the CSDH formation (inflammatory process supposed to be maximal at 2 to 3 weeks).

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Active treatment and placebo will be identical

    Number of subjects in period 6
    Methylprednisolone Placebo
    Started
    99
    99
    Completed
    99
    99
    Period 7
    Period 7 title
    Month 3
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Methylprednisolone
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Methylprednisolone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Capsules will be administered orally in the morning, during breakfast with a glass of water. Dose is adapted according to the weight of the patient (1mg/kg): - <60 kg: 3 pills of 16 mg/day - 60-80kg: 4 pills of 16 mg/day - >80kg: 5 pills of 16 mg/day The duration of the treatment is 21 days. No progressive decrease of treatment dose is necessary because treatment duration is less than one month. The duration of treatment was choosen to avoid the necessity of progressive decrease of treatment dose and is supported by the pathophysiology of the CSDH formation (inflammatory process supposed to be maximal at 2 to 3 weeks).

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Active treatment and placebo will be identical

    Number of subjects in period 7
    Methylprednisolone Placebo
    Started
    99
    99
    Completed
    99
    99
    Period 8
    Period 8 title
    Month 6
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Methylprednisolone
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Methylprednisolone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Capsules will be administered orally in the morning, during breakfast with a glass of water. Dose is adapted according to the weight of the patient (1mg/kg): - <60 kg: 3 pills of 16 mg/day - 60-80kg: 4 pills of 16 mg/day - >80kg: 5 pills of 16 mg/day The duration of the treatment is 21 days. No progressive decrease of treatment dose is necessary because treatment duration is less than one month. The duration of treatment was choosen to avoid the necessity of progressive decrease of treatment dose and is supported by the pathophysiology of the CSDH formation (inflammatory process supposed to be maximal at 2 to 3 weeks).

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pillules
    Routes of administration
    Oral use
    Dosage and administration details
    Active treatment and placebo will be identical

    Number of subjects in period 8
    Methylprednisolone Placebo
    Started
    99
    99
    Completed
    99
    99

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Methylprednisolone
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Reporting group values
    Methylprednisolone Placebo Total
    Number of subjects
    99 99 198
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    73.86 ( 13.87 ) 73.92 ( 11.86 ) -
    Gender categorical
    Units: Subjects
        Female
    23 28 51
        Male
    76 71 147

    End points

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    End points reporting groups
    Reporting group title
    Methylprednisolone
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -
    Reporting group title
    Methylprednisolone
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -
    Reporting group title
    Methylprednisolone
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -
    Reporting group title
    Methylprednisolone
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -
    Reporting group title
    Methylprednisolone
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -
    Reporting group title
    Methylprednisolone
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -
    Reporting group title
    Methylprednisolone
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -
    Reporting group title
    Methylprednisolone
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Primary: Delay of occurrence of surgical treatment

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    End point title
    Delay of occurrence of surgical treatment
    End point description
    The primary evaluation criterion is the delay of occurrence of surgical treatment (censored criteria) of the CSDH at one month
    End point type
    Primary
    End point timeframe
    during the month following the diagnosis of CSDH (Chronic subdural hematomas)
    End point values
    Methylprednisolone Placebo
    Number of subjects analysed
    99
    99
    Units: day
    4
    12
    Statistical analysis title
    Survival probability
    Statistical analysis description
    Survival probability at 30 days
    Comparison groups
    Methylprednisolone v Placebo
    Number of subjects included in analysis
    198
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0313
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.31
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.1
         upper limit
    0.96

    Secondary: Time to surgical treatment during the first 6 months (censored criteria)

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    End point title
    Time to surgical treatment during the first 6 months (censored criteria)
    End point description
    End point type
    Secondary
    End point timeframe
    At 180 days
    End point values
    Methylprednisolone Placebo
    Number of subjects analysed
    99
    99
    Units: days
    10
    18
    Statistical analysis title
    Survival probability
    Comparison groups
    Methylprednisolone v Placebo
    Number of subjects included in analysis
    198
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0864
    Method
    Logrank
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.51
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.24
         upper limit
    1.12

    Secondary: SF12: Quality of life assessed by the SF12 scale - PCS

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    End point title
    SF12: Quality of life assessed by the SF12 scale - PCS
    End point description
    End point type
    Secondary
    End point timeframe
    At 1, 3 and 6 months
    End point values
    Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo
    Number of subjects analysed
    86
    85
    83
    84
    77
    75
    Units: unit(s)
        arithmetic mean (standard deviation)
    43.46 ( 8.48 )
    45.40 ( 7.54 )
    47.58 ( 8.29 )
    46.34 ( 8.94 )
    47.6 ( 8.4 )
    48.10 ( 7.97 )
    Attachments
    Untitled (Filename: CHART_SF12-PCS_SUCRE.JPG)
    Statistical analysis title
    Visit
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    490
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    490
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.8002
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Visit*Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    490
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0732
    Method
    ANOVA
    Confidence interval

    Secondary: SF12: Quality of life assessed by the SF12 scale - MCS

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    End point title
    SF12: Quality of life assessed by the SF12 scale - MCS
    End point description
    End point type
    Secondary
    End point timeframe
    At 1, 3 and 6 months
    End point values
    Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo
    Number of subjects analysed
    86
    85
    83
    84
    77
    75
    Units: unit(s)
        arithmetic mean (standard deviation)
    47.27 ( 10.93 )
    48.28 ( 10.89 )
    49.32 ( 9.70 )
    51.34 ( 9.15 )
    50.73 ( 9.03 )
    50.44 ( 9.87 )
    Attachments
    Untitled (Filename: CHART_SF12-MCS_SUCRE.JPG)
    Statistical analysis title
    Visit
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    490
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    490
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.3861
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Visit*Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    490
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.2982
    Method
    ANOVA
    Confidence interval

    Secondary: Rate of surgical treatment of the CSDH

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    End point title
    Rate of surgical treatment of the CSDH
    End point description
    End point type
    Secondary
    End point timeframe
    At 1, 3 and 6 months
    End point values
    Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo
    Number of subjects analysed
    96
    93
    90
    92
    86
    87
    Units: %
    4
    12
    9
    17
    10
    18
    Statistical analysis title
    M1
    Comparison groups
    Methylprednisolone v Placebo
    Number of subjects included in analysis
    189
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.031
    Method
    Chi-squared
    Confidence interval
    Statistical analysis title
    M3
    Comparison groups
    Methylprednisolone v Placebo
    Number of subjects included in analysis
    182
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.1022
    Method
    Chi-squared
    Confidence interval
    Statistical analysis title
    M6
    Comparison groups
    Methylprednisolone v Placebo
    Number of subjects included in analysis
    173
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.1057
    Method
    Chi-squared
    Confidence interval

    Secondary: Functional scales: daily living (IADL)

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    End point title
    Functional scales: daily living (IADL)
    End point description
    End point type
    Secondary
    End point timeframe
    At 1, 3 and 6 months
    End point values
    Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo
    Number of subjects analysed
    88
    87
    82
    83
    78
    75
    Units: unit(s)
        arithmetic mean (standard deviation)
    6.68 ( 2.03 )
    6.85 ( 1.85 )
    7.01 ( 1.65 )
    7.0 ( 1.70 )
    6.91 ( 1.74 )
    7.28 ( 1.57 )
    Statistical analysis title
    Visit
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    493
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0483
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    493
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.5519
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Visit*Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    493
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.1678
    Method
    ANOVA
    Confidence interval

    Secondary: Functional scales: cognitive (MMSE)

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    End point title
    Functional scales: cognitive (MMSE)
    End point description
    End point type
    Secondary
    End point timeframe
    At 1, 3 and 6 months
    End point values
    Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo
    Number of subjects analysed
    86
    86
    83
    82
    79
    75
    Units: unit(s)
        arithmetic mean (standard deviation)
    26.58 ( 3.5 )
    27.33 ( 3.2 )
    27.01 ( 3.4 )
    27.61 ( 2.96 )
    27.28 ( 3.19 )
    27.2 ( 3.31 )
    Statistical analysis title
    Visit
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    491
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    491
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.2349
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Visit*Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    491
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.302
    Method
    ANOVA
    Confidence interval

    Secondary: Functional scales: modified Rankin Scale (mRs)

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    End point title
    Functional scales: modified Rankin Scale (mRs)
    End point description
    End point type
    Secondary
    End point timeframe
    At 1, 3 and 6 months
    End point values
    Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo
    Number of subjects analysed
    90
    87
    85
    85
    82
    75
    Units: unit(s)
        arithmetic mean (standard deviation)
    0.83 ( 1.10 )
    0.82 ( 1.04 )
    0.55 ( 0.92 )
    0.53 ( 0.87 )
    0.35 ( 0.82 )
    0.28 ( 0.71 )
    Statistical analysis title
    Visit
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    504
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    504
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.8494
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Visit*Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    504
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.8655
    Method
    ANOVA
    Confidence interval

    Secondary: Plasma sodium

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    End point title
    Plasma sodium
    End point description
    End point type
    Secondary
    End point timeframe
    At day 0, 7, 14, and 21 and at 1-month
    End point values
    Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo
    Number of subjects analysed
    85
    86
    89
    85
    84
    85
    80
    81
    69
    74
    Units: mmol/L
        arithmetic mean (standard deviation)
    139.24 ( 3.13 )
    139.65 ( 3.06 )
    139.49 ( 3.52 )
    139.89 ( 3.34 )
    138.75 ( 3.96 )
    139.91 ( 3.57 )
    139.03 ( 3.59 )
    140.99 ( 2.77 )
    139.33 ( 3.77 )
    140.33 ( 3.10 )
    Statistical analysis title
    Visit
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    818
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0031
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    818
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0405
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Visit*Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    818
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0009
    Method
    ANOVA
    Confidence interval

    Secondary: Plasma potassium

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    End point title
    Plasma potassium
    End point description
    End point type
    Secondary
    End point timeframe
    At 0, 7, 14 and 21 days and Month 1
    End point values
    Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo
    Number of subjects analysed
    85
    85
    89
    85
    84
    85
    80
    80
    69
    74
    Units: mmol/L
        arithmetic mean (standard deviation)
    4.16 ( 0.37 )
    4.15 ( 0.46 )
    4.26 ( 0.5 )
    4.46 ( 0.54 )
    4.45 ( 0.57 )
    4.56 ( 0.54 )
    4.44 ( 0.48 )
    4.49 ( 0.47 )
    4.35 ( 0.40 )
    4.42 ( 0.40 )
    Statistical analysis title
    Visit
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    816
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    816
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.1712
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Visit*Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    816
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.1649
    Method
    ANOVA
    Confidence interval

    Secondary: Fasting glucose

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    End point title
    Fasting glucose
    End point description
    End point type
    Secondary
    End point timeframe
    At 0, 7, 14 and 21 days and Month 1
    End point values
    Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo
    Number of subjects analysed
    80
    81
    87
    84
    82
    84
    77
    81
    67
    71
    Units: g/l
        arithmetic mean (standard deviation)
    1.02 ( 0.20 )
    0.95 ( 0.12 )
    0.92 ( 0.23 )
    0.96 ( 0.12 )
    0.91 ( 0.24 )
    0.95 ( 0.12 )
    0.90 ( 0.25 )
    0.94 ( 0.11 )
    1.01 ( 0.25 )
    0.95 ( 0.14 )
    Statistical analysis title
    Visit
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    794
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    794
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0273
    Method
    ANOVA
    Confidence interval
    Statistical analysis title
    Visit*Group
    Comparison groups
    Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo v Methylprednisolone v Placebo
    Number of subjects included in analysis
    794
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001
    Method
    ANOVA
    Confidence interval

    Secondary: Survival

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    End point title
    Survival
    End point description
    End point type
    Secondary
    End point timeframe
    At 6 months
    End point values
    Methylprednisolone Placebo
    Number of subjects analysed
    99
    99
    Units: Day
    2
    1
    Statistical analysis title
    Survival probability
    Comparison groups
    Methylprednisolone v Placebo
    Number of subjects included in analysis
    198
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.5679
    Method
    Logrank
    Confidence interval

    Secondary: Radiological improvement

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    End point title
    Radiological improvement
    End point description
    End point type
    Secondary
    End point timeframe
    At 1, 3 and 6 months
    End point values
    Methylprednisolone Placebo Methylprednisolone Placebo Methylprednisolone Placebo
    Number of subjects analysed
    92
    91
    89
    88
    80
    81
    Units: %
    79
    71
    75
    80
    58
    65
    Statistical analysis title
    M1
    Comparison groups
    Methylprednisolone v Placebo
    Number of subjects included in analysis
    183
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.1674
    Method
    Chi-squared
    Confidence interval
    Statistical analysis title
    M3
    Comparison groups
    Methylprednisolone v Placebo
    Number of subjects included in analysis
    177
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.1807
    Method
    Chi-squared
    Confidence interval
    Statistical analysis title
    M6
    Comparison groups
    Methylprednisolone v Placebo
    Number of subjects included in analysis
    161
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.2471
    Method
    Chi-squared
    Confidence interval

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From 24/06/2016 to 20/03/2019
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22.0
    Reporting groups
    Reporting group title
    Methylprednisolone at M6
    Reporting group description
    Methylprednisolone is administered orally with one administration in the morning during breakfast with water. Dose is adapted according to the weight of the patient (1mg/kg): <60 kg : 3 pills of 16 mg/day 60-80kg : 4 pills of 16 mg/day >80kg : 5 pills of 16 mg/day Treatment is prescribed for 3 weeks with a sudden stop without decrease.

    Reporting group title
    Placebo at M6
    Reporting group description
    -

    Reporting group title
    Methylprednisolone at M2
    Reporting group description
    -

    Reporting group title
    Placebo at M2
    Reporting group description
    -

    Serious adverse events
    Methylprednisolone at M6 Placebo at M6 Methylprednisolone at M2 Placebo at M2
    Total subjects affected by serious adverse events
         subjects affected / exposed
    17 / 95 (17.89%)
    10 / 94 (10.64%)
    15 / 95 (15.79%)
    5 / 94 (5.32%)
         number of deaths (all causes)
    0
    2
    2
    0
         number of deaths resulting from adverse events
    0
    2
    2
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Metastatic neoplasm
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Vascular disorders
    Venous thrombosis
    Additional description: Venous thrombosis / Pulmonary embolism
         subjects affected / exposed
    1 / 95 (1.05%)
    2 / 94 (2.13%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    Hypertension
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Surgical and medical procedures
    Subdural haematoma evacuation
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Palliative care
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atrial appendage closure
    Additional description: "Left atrial appendage occlusion"
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Fall
         subjects affected / exposed
    3 / 95 (3.16%)
    5 / 94 (5.32%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 5
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Asthenia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Condition aggravated
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    2 / 95 (2.11%)
    0 / 94 (0.00%)
    2 / 95 (2.11%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    Inflammation
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Chest pain
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Prostatitis
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Agitation
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Confusional state
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hallucination
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Alcoholism
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Alcohol withdrawal syndrome
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Femur fracture
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Craniocerebral injury
         subjects affected / exposed
    1 / 95 (1.05%)
    2 / 94 (2.13%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Accidental overdose
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Medication error
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Spinal fracture
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Rib fracture
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Alcohol poisoning
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Subdural haematoma
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Traumatic intracranial haemorrhage
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumothorax traumatic
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Prescribed overdose
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardio-respiratory arrest
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    Supraventricular tachycardia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Angina unstable
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac failure
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Headache
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Epilepsy
         subjects affected / exposed
    6 / 95 (6.32%)
    2 / 94 (2.13%)
    3 / 95 (3.16%)
    1 / 94 (1.06%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 2
    0 / 3
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Cerebral haemorrhage
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cerebrovascular accident
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ischaemic stroke
         subjects affected / exposed
    2 / 95 (2.11%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    VIIth nerve injury
    Additional description: "VIIth nerve paralysis"
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cognitive disorder
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Aphasia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sensorimotor disorder
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Subarachnoid haemorrhage
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Dementia with Lewy bodies
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Thrombocytopenia
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Anaemia
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Normochromic normocytic anaemia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Rectal haemorrhage
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Oesophagitis
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Inguinal hernia strangulated
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    Hiatus hernia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Urinary retention
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Acute kidney injury
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    Adrenocortical insufficiency acute
         subjects affected / exposed
    3 / 95 (3.16%)
    0 / 94 (0.00%)
    3 / 95 (3.16%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    3 / 3
    0 / 0
    3 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Glucocorticoid deficiency
         subjects affected / exposed
    2 / 95 (2.11%)
    1 / 94 (1.06%)
    2 / 95 (2.11%)
    1 / 94 (1.06%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Neck pain
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Staphylococcal bacteraemia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diverticulitis
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lung diffusion disorder
    Additional description: Lung infection
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Septic shock
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Bronchopneumopathy
    Additional description: Bronchopneumonia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hypokalaemia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diabetes mellitus
    Additional description: "Diabetes"
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hyperglycaemia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gout
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hyperkalaemia
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Methylprednisolone at M6 Placebo at M6 Methylprednisolone at M2 Placebo at M2
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    48 / 95 (50.53%)
    36 / 94 (38.30%)
    43 / 95 (45.26%)
    26 / 94 (27.66%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Parathyroid tumour benign
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Salivary gland neoplasm
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Chronic lymphocytic leukaemia
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Meningioma
         subjects affected / exposed
    0 / 95 (0.00%)
    2 / 94 (2.13%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    2
    0
    1
    Metastatic neoplasm
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Vascular disorders
    Orthostatic hypotension
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Venous thrombosis
    Additional description: Venous thrombosis / Pulmonary embolism
         subjects affected / exposed
    2 / 95 (2.11%)
    2 / 94 (2.13%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences all number
    3
    2
    2
    1
    Hypertension
         subjects affected / exposed
    4 / 95 (4.21%)
    3 / 94 (3.19%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    4
    3
    1
    0
    Haematoma
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences all number
    1
    1
    1
    1
    Microangiopathy
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    2
    0
    0
    Surgical and medical procedures
    Subdural haematoma evacuation
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Palliative care
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Rehabilitation therapy
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Left atrial appendage closure implant
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Cataract operation
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Prostate ablation
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    General disorders and administration site conditions
    Weight increased
         subjects affected / exposed
    3 / 95 (3.16%)
    1 / 94 (1.06%)
    3 / 95 (3.16%)
    1 / 94 (1.06%)
         occurrences all number
    3
    1
    3
    1
    Hypokalaemia
         subjects affected / exposed
    2 / 95 (2.11%)
    2 / 94 (2.13%)
    2 / 95 (2.11%)
    2 / 94 (2.13%)
         occurrences all number
    2
    2
    2
    2
    Oedema peripheral
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Diabetes mellitus
    Additional description: "Diabetes"
         subjects affected / exposed
    2 / 95 (2.11%)
    0 / 94 (0.00%)
    2 / 95 (2.11%)
    0 / 94 (0.00%)
         occurrences all number
    2
    0
    2
    0
    Hyperglycaemia
         subjects affected / exposed
    8 / 95 (8.42%)
    6 / 94 (6.38%)
    8 / 95 (8.42%)
    6 / 94 (6.38%)
         occurrences all number
    8
    6
    8
    6
    Gout
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    1
    1
    0
    1
    Hyperthermia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Asthenia
         subjects affected / exposed
    7 / 95 (7.37%)
    6 / 94 (6.38%)
    7 / 95 (7.37%)
    3 / 94 (3.19%)
         occurrences all number
    7
    6
    7
    3
    Fatigue
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Gait disturbance
         subjects affected / exposed
    2 / 95 (2.11%)
    2 / 94 (2.13%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences all number
    2
    3
    1
    2
    Condition aggravated
         subjects affected / exposed
    2 / 95 (2.11%)
    0 / 94 (0.00%)
    2 / 95 (2.11%)
    0 / 94 (0.00%)
         occurrences all number
    2
    0
    2
    0
    General physical health deterioration
         subjects affected / exposed
    2 / 95 (2.11%)
    3 / 94 (3.19%)
    2 / 95 (2.11%)
    1 / 94 (1.06%)
         occurrences all number
    2
    3
    2
    1
    Influenza like illness
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Walking disability
    Additional description: Abasia
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Inflammation
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Chest pain
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Reproductive system and breast disorders
    Breast pain
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Prostatitis
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Erectile dysfunction
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Lung disorder
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Interstitial lung disease
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Sleep apnoea syndrome
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Psychiatric disorders
    Agitation
         subjects affected / exposed
    11 / 95 (11.58%)
    1 / 94 (1.06%)
    9 / 95 (9.47%)
    1 / 94 (1.06%)
         occurrences all number
    11
    1
    9
    1
    Anxiety
         subjects affected / exposed
    2 / 95 (2.11%)
    2 / 94 (2.13%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences all number
    2
    2
    1
    1
    Nervousness
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Confusional state
         subjects affected / exposed
    4 / 95 (4.21%)
    1 / 94 (1.06%)
    4 / 95 (4.21%)
    1 / 94 (1.06%)
         occurrences all number
    4
    2
    4
    1
    Depression
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences all number
    1
    1
    1
    1
    Depressed mood
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Persecutory delusion
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Hallucination
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    1
    1
    0
    Euphoric mood
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences all number
    1
    1
    1
    1
    Irritability
         subjects affected / exposed
    2 / 95 (2.11%)
    0 / 94 (0.00%)
    2 / 95 (2.11%)
    0 / 94 (0.00%)
         occurrences all number
    2
    0
    2
    0
    Affective disorder
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Apathy
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Abnormal behaviour
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Sleep disorder
         subjects affected / exposed
    20 / 95 (21.05%)
    5 / 94 (5.32%)
    20 / 95 (21.05%)
    3 / 94 (3.19%)
         occurrences all number
    21
    5
    21
    3
    Delirium tremens
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Alcoholism
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences all number
    1
    1
    1
    1
    Withdrawal syndrome
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Alcohol abuse
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Alcohol withdrawal syndrome
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Investigations
    Weight decreased
         subjects affected / exposed
    3 / 95 (3.16%)
    2 / 94 (2.13%)
    3 / 95 (3.16%)
    0 / 94 (0.00%)
         occurrences all number
    3
    2
    3
    0
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    5 / 95 (5.26%)
    11 / 94 (11.70%)
    2 / 95 (2.11%)
    2 / 94 (2.13%)
         occurrences all number
    6
    12
    2
    2
    Femur fracture
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Rib fracture
         subjects affected / exposed
    0 / 95 (0.00%)
    2 / 94 (2.13%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    2
    0
    1
    Craniocerebral injury
         subjects affected / exposed
    1 / 95 (1.05%)
    7 / 94 (7.45%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    2
    7
    1
    0
    Accidental overdose
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Medication error
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Myocardial necrosis marker increased
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Foot fracture
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Spinal fracture
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Alcohol poisoning
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Subdural haematoma
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Traumatic intracranial haemorrhage
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Pneumothorax traumatic
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Wound
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Limb injury
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Skin wound
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Prescribed overdose
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Congenital, familial and genetic disorders
    Huntington's disease
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Cardiac disorders
    Atrioventricular block
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    1
    1
    0
    Atrial fibrillation
         subjects affected / exposed
    2 / 95 (2.11%)
    0 / 94 (0.00%)
    2 / 95 (2.11%)
    0 / 94 (0.00%)
         occurrences all number
    2
    0
    2
    0
    Cardio-respiratory arrest
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Palpitations
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Tachycardia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Supraventricular tachycardia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Angina unstable
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Cardiac failure
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Nervous system disorders
    Headache
         subjects affected / exposed
    13 / 95 (13.68%)
    16 / 94 (17.02%)
    11 / 95 (11.58%)
    8 / 94 (8.51%)
         occurrences all number
    13
    18
    11
    9
    Memory impairment
         subjects affected / exposed
    4 / 95 (4.21%)
    2 / 94 (2.13%)
    2 / 95 (2.11%)
    1 / 94 (1.06%)
         occurrences all number
    4
    2
    2
    1
    Epilepsy
         subjects affected / exposed
    7 / 95 (7.37%)
    4 / 94 (4.26%)
    4 / 95 (4.21%)
    1 / 94 (1.06%)
         occurrences all number
    8
    4
    4
    1
    Cerebral haemorrhage
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Cerebrovascular accident
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Ischaemic stroke
         subjects affected / exposed
    3 / 95 (3.16%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    4
    0
    1
    0
    VIth nerve paralysis
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Cognitive disorder
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Dyskinesia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Movement disorder
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Hemiparesis
         subjects affected / exposed
    0 / 95 (0.00%)
    3 / 94 (3.19%)
    0 / 95 (0.00%)
    3 / 94 (3.19%)
         occurrences all number
    0
    4
    0
    3
    Tremor
         subjects affected / exposed
    2 / 95 (2.11%)
    2 / 94 (2.13%)
    2 / 95 (2.11%)
    1 / 94 (1.06%)
         occurrences all number
    2
    2
    2
    1
    Balance disorder
         subjects affected / exposed
    4 / 95 (4.21%)
    3 / 94 (3.19%)
    4 / 95 (4.21%)
    1 / 94 (1.06%)
         occurrences all number
    4
    3
    4
    1
    Cerebellar syndrome
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    1
    1
    0
    Aphasia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Right hemisphere deficit syndrome
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Somnolence
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences all number
    1
    1
    1
    1
    Psychomotor skills impaired
         subjects affected / exposed
    0 / 95 (0.00%)
    2 / 94 (2.13%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    2
    0
    1
    Clonus
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    1
    1
    0
    1
    Dizziness
         subjects affected / exposed
    7 / 95 (7.37%)
    7 / 94 (7.45%)
    3 / 95 (3.16%)
    4 / 94 (4.26%)
         occurrences all number
    7
    7
    3
    4
    Dizziness postural
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Paraesthesia
         subjects affected / exposed
    2 / 95 (2.11%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    2
    0
    1
    0
    Speech disorder
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences all number
    1
    1
    1
    1
    Sensorimotor disorder
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Subarachnoid haemorrhage
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Dementia with Lewy bodies
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Cogwheel rigidity
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Hyperreflexia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Dysgraphia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Syncope
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Restless legs syndrome
         subjects affected / exposed
    0 / 95 (0.00%)
    2 / 94 (2.13%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    2
    0
    0
    Dysarthria
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Sciatica
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Radicular pain
         subjects affected / exposed
    2 / 95 (2.11%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    2
    0
    0
    0
    Cerebral atrophy
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Subdural hygroma
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    White matter lesion
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Blood and lymphatic system disorders
    Iron deficiency anaemia
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Anaemia
         subjects affected / exposed
    0 / 95 (0.00%)
    2 / 94 (2.13%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    2
    0
    1
    Normochromic normocytic anaemia
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    1
    1
    0
    Thrombocytopenia
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Ear and labyrinth disorders
    Deafness
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences all number
    1
    1
    1
    1
    Tympanic membrane perforation
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Tinnitus
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Eye disorders
    Ocular hypertension
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Exophthalmos
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Vision blurred
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Visual impairment
         subjects affected / exposed
    2 / 95 (2.11%)
    0 / 94 (0.00%)
    2 / 95 (2.11%)
    0 / 94 (0.00%)
         occurrences all number
    2
    0
    2
    0
    Keratitis
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Retinal haemorrhage
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Eyelid oedema
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Ocular hyperaemia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Asthenopia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    2 / 95 (2.11%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences all number
    2
    1
    1
    1
    Faeces soft
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Abdominal pain
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Nausea
         subjects affected / exposed
    3 / 95 (3.16%)
    0 / 94 (0.00%)
    3 / 95 (3.16%)
    0 / 94 (0.00%)
         occurrences all number
    3
    0
    3
    0
    Vomiting
         subjects affected / exposed
    3 / 95 (3.16%)
    0 / 94 (0.00%)
    3 / 95 (3.16%)
    0 / 94 (0.00%)
         occurrences all number
    3
    0
    3
    0
    Stomatitis
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Inguinal hernia strangulated
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Constipation
         subjects affected / exposed
    3 / 95 (3.16%)
    0 / 94 (0.00%)
    3 / 95 (3.16%)
    0 / 94 (0.00%)
         occurrences all number
    3
    0
    3
    0
    Intestinal obstruction
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Lip disorder
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Lip oedema
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Hiatus hernia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Umbilical hernia
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Dental alveolar anomaly
         subjects affected / exposed
    2 / 95 (2.11%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    2
    1
    0
    0
    Dental cyst
         subjects affected / exposed
    2 / 95 (2.11%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    2
    1
    0
    0
    Rectal haemorrhage
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Oesophagitis
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Skin and subcutaneous tissue disorders
    Urticaria
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Dermatitis diaper
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Drug eruption
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Erythema
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Pruritus
         subjects affected / exposed
    0 / 95 (0.00%)
    2 / 94 (2.13%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    2
    0
    1
    Rash
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Decubitus ulcer
         subjects affected / exposed
    0 / 95 (0.00%)
    2 / 94 (2.13%)
    0 / 95 (0.00%)
    2 / 94 (2.13%)
         occurrences all number
    0
    2
    0
    2
    Acne
         subjects affected / exposed
    2 / 95 (2.11%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    2
    1
    1
    0
    Renal and urinary disorders
    Chronic kidney disease
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Renal failure
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Urinary retention
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Acute kidney injury
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Endocrine disorders
    Hyperadrenocorticism
         subjects affected / exposed
    2 / 95 (2.11%)
    3 / 94 (3.19%)
    2 / 95 (2.11%)
    3 / 94 (3.19%)
         occurrences all number
    2
    3
    2
    3
    Glucocorticoid deficiency
         subjects affected / exposed
    7 / 95 (7.37%)
    1 / 94 (1.06%)
    7 / 95 (7.37%)
    1 / 94 (1.06%)
         occurrences all number
    7
    1
    7
    1
    Adrenocortical insufficiency acute
         subjects affected / exposed
    3 / 95 (3.16%)
    0 / 94 (0.00%)
    3 / 95 (3.16%)
    0 / 94 (0.00%)
         occurrences all number
    3
    0
    3
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    2 / 95 (2.11%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    2
    0
    0
    0
    Myalgia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Muscle atrophy
         subjects affected / exposed
    2 / 95 (2.11%)
    0 / 94 (0.00%)
    2 / 95 (2.11%)
    0 / 94 (0.00%)
         occurrences all number
    2
    0
    2
    0
    Muscle spasms
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    2
    0
    2
    0
    Back pain
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    1
    1
    0
    1
    Neck pain
         subjects affected / exposed
    3 / 95 (3.16%)
    1 / 94 (1.06%)
    2 / 95 (2.11%)
    0 / 94 (0.00%)
         occurrences all number
    4
    1
    2
    0
    Polyarthritis
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Periarthritis
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Infections and infestations
    Gastroenteritis
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Tooth abscess
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    0
    Conjunctivitis
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Wound infection
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Bronchitis
         subjects affected / exposed
    2 / 95 (2.11%)
    3 / 94 (3.19%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    2
    3
    1
    0
    Nasopharyngitis
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Sinusitis
         subjects affected / exposed
    0 / 95 (0.00%)
    3 / 94 (3.19%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    3
    0
    1
    Urinary tract infection
         subjects affected / exposed
    2 / 95 (2.11%)
    2 / 94 (2.13%)
    2 / 95 (2.11%)
    1 / 94 (1.06%)
         occurrences all number
    2
    2
    2
    1
    Nasal herpes
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Ophthalmic herpes simplex
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Influenza
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Staphylococcal bacteraemia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Acarodermatitis
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Bronchopneumopathy
    Additional description: + Bronchopneumonia
         subjects affected / exposed
    2 / 95 (2.11%)
    0 / 94 (0.00%)
    2 / 95 (2.11%)
    0 / 94 (0.00%)
         occurrences all number
    2
    0
    2
    0
    Septic shock
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Cat scratch disease
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Diverticulitis
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    0 / 95 (0.00%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Metabolism and nutrition disorders
    Hyperphagia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Sodium retention
         subjects affected / exposed
    1 / 95 (1.05%)
    1 / 94 (1.06%)
    1 / 95 (1.05%)
    1 / 94 (1.06%)
         occurrences all number
    1
    1
    1
    1
    Malnutrition
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1
    Hypercalcaemia
         subjects affected / exposed
    1 / 95 (1.05%)
    0 / 94 (0.00%)
    1 / 95 (1.05%)
    0 / 94 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Hyperkalaemia
         subjects affected / exposed
    10 / 95 (10.53%)
    8 / 94 (8.51%)
    10 / 95 (10.53%)
    8 / 94 (8.51%)
         occurrences all number
    10
    8
    10
    8
    Hyponatraemia
         subjects affected / exposed
    2 / 95 (2.11%)
    2 / 94 (2.13%)
    2 / 95 (2.11%)
    2 / 94 (2.13%)
         occurrences all number
    3
    2
    3
    2
    Hypoglycaemia
         subjects affected / exposed
    4 / 95 (4.21%)
    1 / 94 (1.06%)
    4 / 95 (4.21%)
    1 / 94 (1.06%)
         occurrences all number
    4
    3
    4
    3
    Vitamin D deficiency
         subjects affected / exposed
    0 / 95 (0.00%)
    1 / 94 (1.06%)
    0 / 95 (0.00%)
    1 / 94 (1.06%)
         occurrences all number
    0
    1
    0
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    18 Jan 2016
    - Addition of a non-inclusion criteria: diabetic patient - Correction of the inclusion criteria: no clinical sign of severity (Glasgow scale > 12, motor deficit ≥ 4/5) - Update of the list of investigators (modification of an investigator and a location) - Change of research director
    25 Aug 2017
    - Update of the Investigational Drug File (addition of an appeal procedure for manufacture of the experimental treatment and modification of the size of the capsules) - Update of the list of investigators (modification of principal investigators and closure of centers)
    27 Apr 2018
    Changes: - Increase in the inclusion period and the duration of the study. - Update of the list of investigators (modification of principal investigators and closure of centers) Rationale: - 174/202 patients are included today (27/04/2018). The end date of inclusions is scheduled for 24/06/2018. In order to reach the necessary number of subjects, we want to increase the inclusion period by 4 months. i.e. until 24/10/2018. The end of the study will also be extended to 24/10/2019. - The principal investigators are modified for 2 centers and one center is closed for lack of inclusions.

    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

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/28583162
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