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    Clinical Trial Results:
    A Phase 3B, Randomized, Double-Blind Clinical Trial to Evaluate the Efficacy and Safety of Abatacept SC in Combination with Methotrexate Compared to Methotrexate Monotherapy in Achieving Clinical Remission in Adults with Early Rheumatoid Arthritis who are Methotrexate Naive

    Summary
    EudraCT number
    2015-001275-50
    Trial protocol
    CZ   AT   DE   GB   HU   SE   FR   FI   ES   NL   RO   IT  
    Global end of trial date
    19 Mar 2020

    Results information
    Results version number
    v1(current)
    This version publication date
    04 Apr 2021
    First version publication date
    04 Apr 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    IM101-550
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Bristol-Myers Squibb
    Sponsor organisation address
    Chaussée de la Hulpe 185, Brussels, Belgium, 1170
    Public contact
    EU Study Start-Up Unit, Bristol-Myers Squibb International Corporation, clinical.trials@bms.com
    Scientific contact
    Bristol-Myers Squibb Study Director, Bristol-Myers Squibb, Clinical.Trials@bms.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    21 Aug 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    16 Jan 2017
    Global end of trial reached?
    Yes
    Global end of trial date
    19 Mar 2020
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective for this study is to compare the clinical efficacy of weekly abatacept in combination with MTX to MTX alone in achieving Remission, defined as SDAI ≤ 3.3, at Week 24.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Conference on Harmonization Good Clinical Practice Guidelines. All the local regulatory requirements pertinent to safety of trial subjects were followed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    31 Aug 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
    Argentina: 141
    Country: Number of subjects enrolled
    Australia: 23
    Country: Number of subjects enrolled
    Austria: 3
    Country: Number of subjects enrolled
    Brazil: 110
    Country: Number of subjects enrolled
    Canada: 24
    Country: Number of subjects enrolled
    Colombia: 66
    Country: Number of subjects enrolled
    Finland: 4
    Country: Number of subjects enrolled
    France: 14
    Country: Number of subjects enrolled
    Hungary: 40
    Country: Number of subjects enrolled
    Israel: 15
    Country: Number of subjects enrolled
    Italy: 18
    Country: Number of subjects enrolled
    Korea, Republic of: 16
    Country: Number of subjects enrolled
    Monaco: 4
    Country: Number of subjects enrolled
    Mexico: 154
    Country: Number of subjects enrolled
    Peru: 59
    Country: Number of subjects enrolled
    Poland: 41
    Country: Number of subjects enrolled
    Qatar: 4
    Country: Number of subjects enrolled
    Romania: 1
    Country: Number of subjects enrolled
    Russian Federation: 40
    Country: Number of subjects enrolled
    Singapore: 4
    Country: Number of subjects enrolled
    Sweden: 7
    Country: Number of subjects enrolled
    United States: 239
    Country: Number of subjects enrolled
    Chile: 70
    Country: Number of subjects enrolled
    Czechia: 39
    Country: Number of subjects enrolled
    Germany: 69
    Country: Number of subjects enrolled
    Spain: 25
    Country: Number of subjects enrolled
    United Kingdom: 22
    Country: Number of subjects enrolled
    Japan: 124
    Country: Number of subjects enrolled
    Taiwan: 19
    Country: Number of subjects enrolled
    South Africa: 63
    Worldwide total number of subjects
    1458
    EEA total number of subjects
    261
    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)
    1254
    From 65 to 84 years
    202
    85 years and over
    2

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    994 treated in the induction period (IP). 184 from IP randomized and treated in De-Escalation (DeE), 685 treated in the Open Label (OL) and 120 treated in the Open Label Extension (OLE) period. Subjects (pt) in IP could move to the OL period after IP completion or through early IP escape. PT from DeE could transfer to OL or to OLE.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP)
    Arm description
    Abatacept 125 mg subcutaneous injection once per week + Methotrexate at least 15mg per week tablet or capsule orally once per week
    Arm type
    Experimental

    Investigational medicinal product name
    Abatacept
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    SC 125mg in 1ml pre-filled syringes

    Investigational medicinal product name
    Methotrexate
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    2.5 mg Tablet

    Arm title
    Placebo + Methotrexate (Cohort 1, IP)
    Arm description
    Placebo of Abatacept 125 mg subcutaneous injection once per week + Methotrexate at least 15mg per week tablet or capsule orally once per week
    Arm type
    Placebo

    Investigational medicinal product name
    Abatacept
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    SC placebo in 1ml pre-filled syringes

    Investigational medicinal product name
    Methotrexate
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    2.5 mg Tablet

    Arm title
    Combination Therapy: Abatacept + Methotrexate (Cohort 2, IP)
    Arm description
    Active abatacept SC (125 mg) weekly + methotrexate weekly
    Arm type
    Experimental

    Investigational medicinal product name
    Methotrexate
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    2.5 mg Tablet

    Investigational medicinal product name
    Abatacept
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    SC 125mg in 1ml pre-filled syringes

    Number of subjects in period 1 [1]
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP) Placebo + Methotrexate (Cohort 1, IP) Combination Therapy: Abatacept + Methotrexate (Cohort 2, IP)
    Started
    451
    301
    242
    Induction to Open Label (OL)
    289 [2]
    196 [3]
    147 [4]
    Early Escaped to Open Label
    10 [5]
    21 [6]
    8 [7]
    Induction to De-Escalation (DeE)
    94 [8]
    37 [9]
    53 [10]
    Completed
    388
    233
    201
    Not completed
    63
    68
    41
         Withdrawal of Consent
    11
    10
    3
         Adverse event, serious fatal
    1
    1
    -
         No Longer Meets Study Criteria
    2
    3
    -
         Poor/Non-Compliance
    3
    2
    3
         Not Disclosed
    1
    -
    2
         Adverse event, non-fatal
    18
    8
    14
         Pregnancy
    2
    -
    -
         Lost to follow-up
    3
    6
    4
         Subject Request to Discontinue
    11
    3
    6
         Lack of efficacy
    11
    35
    9
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: 994 subjects enrolled and treated
    [2] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: This represents subjects who transitioned to DeEscalation or Open label periods
    [3] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: This represents subjects who transitioned to DeEscalation or Open label periods
    [4] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: This represents subjects who transitioned to DeEscalation or Open label periods
    [5] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: This represents subjects who transitioned to DeEscalation or Open label periods
    [6] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: This represents subjects who transitioned to DeEscalation or Open label periods
    [7] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: This represents subjects who transitioned to DeEscalation or Open label periods
    [8] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: This represents subjects who transitioned to DeEscalation or Open label periods
    [9] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: This represents subjects who transitioned to DeEscalation or Open label periods
    [10] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left.
    Justification: This represents subjects who transitioned to DeEscalation or Open label periods

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall Study
    Reporting group description
    Inclusive of all treatments, all periods

    Reporting group values
    Overall Study Total
    Number of subjects
    994 994
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    865 865
        From 65-84 years
    129 129
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    49.1 ± 13.17 -
    Sex: Female, Male
    Units: Participants
        Female
    781 781
        Male
    213 213
    Race
    Units: Subjects
        WHITE
    698 698
        BLACK/AFRICAN AMERICAN
    43 43
        AMERICAN INDIAN/ALASKA NATIVE
    4 4
        ASIAN
    140 140
        RACE - OTHER/ NOT REPORTED
    109 109
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    22 22
        Not Hispanic or Latino
    112 112
        Ethnicity not reported
    860 860
    MODIFIED SHARP/VAN DER HEIJDE TOTAL SCORE (mTSS)
    The Modified Total Sharp Score (mTSS) is calculated as the bilateral sum of erosion and Joint Space Narrowing (JSN) scores across all joints of the hands and feet.The score range for mTSS is 0-448. Higher scores indicate more joint damage.
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    11.08 ± 17.839 -
    Tender Joints - 28
    number of painful joints from 28 joints
    Units: Joint Count
        arithmetic mean (standard deviation)
    13.4 ± 6.76 -
    Swollen Joints - 28
    number of swollen joints from 28 joints
    Units: Joint Count
        arithmetic mean (standard deviation)
    10.3 ± 5.77 -
    Subject global assessment of disease activity
    Subject’s global assessment of disease activity by using a Visual Analog Scale (VAS). The scale ranges from 0 mm to 100 mm, [0 mm=no pain to 100 mm=worst possible pain]
    Units: mm
        arithmetic mean (standard deviation)
    64.5 ± 23.28 -
    Physician global assessment of disease activity
    physician's global assessment of disease activity using a Visual Analog Scale (VAS). The scale ranges from 0 to 100 mm, [0=no arthritis activity to 100 =extremely active arthritis]
    Units: mm
        arithmetic mean (standard deviation)
    65.5 ± 18.99 -
    C-Reactive Protein (CRP)
    Units: mg/dL
        arithmetic mean (standard deviation)
    1.960 ± 2.5129 -
    DAS28-CRP
    The Disease Activity Score (DAS28-CRP) =0.56×sqrt(tender joints [count:1-28])+0.28×sqrt(swollen joints [count:1-28])+0.36×Ln(CRP level+1)+0.014×(patient’s disease assessment on 0-100 mm scale [100=most severe])+0.96. Range: 0.96 to no upper limit. Higher score=more severe disease.
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    5.58 ± 1.049 -
    SDAI
    Simple Disease Activity Index is the numerical sum of five outcome parameters: tender joint count and swollen joint count based on a 28-joint assessment, patient global assessment and physician global assessment assessed on a visual analogue scale scale (range 0 to 10 cm), and C-reactive protein measured in mg/dL. SDAI total score range: 0 to 86. SDAI <= 3.3 indicates disease remission and SDAI >26 = high disease activity.
    Units: Scores on a scale
        arithmetic mean (standard deviation)
    38.69 ± 13.961 -

    End points

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    End points reporting groups
    Reporting group title
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP)
    Reporting group description
    Abatacept 125 mg subcutaneous injection once per week + Methotrexate at least 15mg per week tablet or capsule orally once per week

    Reporting group title
    Placebo + Methotrexate (Cohort 1, IP)
    Reporting group description
    Placebo of Abatacept 125 mg subcutaneous injection once per week + Methotrexate at least 15mg per week tablet or capsule orally once per week

    Reporting group title
    Combination Therapy: Abatacept + Methotrexate (Cohort 2, IP)
    Reporting group description
    Active abatacept SC (125 mg) weekly + methotrexate weekly

    Primary: Percentage of participants in Simple Disease Activity Index (SDAI) remission at Week 24

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    End point title
    Percentage of participants in Simple Disease Activity Index (SDAI) remission at Week 24
    End point description
    Simple Disease Activity Index (SDAI) is calculated using the following formula: TJC + SJC + PGA + MDGA + CRP (TJC = number of painful joints from 28 joints, SJC = number of swollen joints from 28 joints, PGA = patient global assessment on a visual analog scale 0-10 cm, MDGA = physician global assessment on a visual analog scale 0-10 cm, and CRP = c-reactive protein in mg/dL) SDAI Remission is defined as SDAI <= 3.3. Using a logistic regression model that includes treatment arm, randomization stratification factor, and baseline SDAI as continuous variable and point estimate of adjusted ORs, corresponding 95% CI and p-value was provided. SDAI total score range: 0 to 86. SDAI <= 3.3 indicates disease remission and SDAI >26 = high disease activity.
    End point type
    Primary
    End point timeframe
    Week 24
    End point values
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP) Placebo + Methotrexate (Cohort 1, IP) Combination Therapy: Abatacept + Methotrexate (Cohort 2, IP)
    Number of subjects analysed
    225
    150
    0 [1]
    Units: Percentage of participants
        number (confidence interval 95%)
    21.3 (16.0 to 26.7)
    16.0 (10.1 to 21.9)
    ( to )
    Notes
    [1] - Arm is not part of the Analysis population
    Statistical analysis title
    SDAI at 24 weeks
    Comparison groups
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP) v Placebo + Methotrexate (Cohort 1, IP)
    Number of subjects included in analysis
    375
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.2359
    Method
    Regression, Logistic
    Confidence interval

    Secondary: Percentage of participants in Disease Activity Score (DAS)28 - c-reactive protein (CRP) remission at Week 24

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    End point title
    Percentage of participants in Disease Activity Score (DAS)28 - c-reactive protein (CRP) remission at Week 24
    End point description
    DAS28-CRP = Disease Activity Score 28 based on C-reactive protein DAS28-CRP Remission is defined as DAS28-CRP <= 2.6 Using a logistic regression model that includes treatment arm, stratification variable and baseline measure as continuous variable and point estimate of adjusted ORs, corresponding 95% CI and p-value was provided.
    End point type
    Secondary
    End point timeframe
    Week 24
    End point values
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP) Placebo + Methotrexate (Cohort 1, IP) Combination Therapy: Abatacept + Methotrexate (Cohort 2, IP)
    Number of subjects analysed
    225
    150
    0 [2]
    Units: Percentage of Participants
        number (confidence interval 95%)
    38.7 (32.3 to 45.0)
    25.3 (18.4 to 32.3)
    ( to )
    Notes
    [2] - Arm is not part of the Analysis population
    Statistical analysis title
    DAS 28
    Comparison groups
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP) v Placebo + Methotrexate (Cohort 1, IP)
    Number of subjects included in analysis
    375
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.0112
    Method
    Regression, Logistic
    Confidence interval

    Secondary: Percentage of participants in SDAI remission at Week 52

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    End point title
    Percentage of participants in SDAI remission at Week 52
    End point description
    Simple Disease Activity Index (SDAI) is calculated using the following formula: TJC + SJC + PGA + MDGA + CRP (TJC = number of painful joints from 28 joints, SJC = number of swollen joints from 28 joints, PGA = patient global assessment on a visual analog scale 0-10 cm, MDGA = physician global assessment on a visual analog scale 0-10 cm, and CRP = c-reactive protein in mg/dL) SDAI Remission is defined as SDAI <= 3.3. Using a logistic regression model that includes treatment arm, randomization stratification factor, and baseline SDAI as continuous variable and point estimate of adjusted ORs, corresponding 95% CI and p-value was provided. SDAI total score range: 0 to 86. SDAI <= 3.3 indicates disease remission and SDAI >26 = high disease activity.
    End point type
    Secondary
    End point timeframe
    Week 52
    End point values
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP) Placebo + Methotrexate (Cohort 1, IP) Combination Therapy: Abatacept + Methotrexate (Cohort 2, IP)
    Number of subjects analysed
    225
    150
    0 [3]
    Units: Percentage of participants
        number (confidence interval 95%)
    29.8 (23.8 to 35.8)
    15.3 (9.6 to 21.1)
    ( to )
    Notes
    [3] - Arm is not part of the Analysis population
    Statistical analysis title
    SDAI at 52 weeks
    Comparison groups
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP) v Placebo + Methotrexate (Cohort 1, IP)
    Number of subjects included in analysis
    375
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.0021
    Method
    Regression, Logistic
    Confidence interval

    Secondary: Mean change from baseline in radiographic progression of joint damage as measured by modified Sharp/van der Heijide Total Sharp scores (TSS) at Week 52

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    End point title
    Mean change from baseline in radiographic progression of joint damage as measured by modified Sharp/van der Heijide Total Sharp scores (TSS) at Week 52
    End point description
    The Modified Total Sharp Score (mTSS) is calculated as the bilateral sum of erosion and Joint Space Narrowing (JSN) scores across all joints of the hands and feet.The score range for mTSS is 0-448. Higher scores indicate more joint damage. The mean change from baseline in TSS using modified Sharp/van der Heijide scores was assessed using a rank-based nonparametric ANCOVA model.
    End point type
    Secondary
    End point timeframe
    Week 52
    End point values
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP) Placebo + Methotrexate (Cohort 1, IP) Combination Therapy: Abatacept + Methotrexate (Cohort 2, IP)
    Number of subjects analysed
    401
    249
    0 [4]
    Units: Total Sharp Score
        arithmetic mean (standard deviation)
    0.53 ± 2.279
    2.52 ± 6.205
    ±
    Notes
    [4] - Arm is not part of the Analysis population
    Statistical analysis title
    TTS
    Comparison groups
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP) v Placebo + Methotrexate (Cohort 1, IP)
    Number of subjects included in analysis
    650
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    < 0.0001
    Method
    rank-based ANCOVA
    Confidence interval

    Secondary: Percentage of participants in Boolean remission at Week 52

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    End point title
    Percentage of participants in Boolean remission at Week 52
    End point description
    Boolean Remission is defined as Tender joint count less than 1, Swollen joint count less than 1, CRP less than 1 mg/dL, patient global assessment less than 1 (on 0 to 10 VAS scale). Logistic regression was used for this endpoint.
    End point type
    Secondary
    End point timeframe
    Week 52
    End point values
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP) Placebo + Methotrexate (Cohort 1, IP) Combination Therapy: Abatacept + Methotrexate (Cohort 2, IP)
    Number of subjects analysed
    451
    301
    0 [5]
    Units: Percentage of participants
        number (confidence interval 95%)
    21.5 (17.7 to 25.3)
    11.6 (8.0 to 15.2)
    ( to )
    Notes
    [5] - Arm is not part of the Analysis population
    Statistical analysis title
    Boolean Remission
    Comparison groups
    Combination Therapy: Abatacept + Methotrexate (Cohort 1, IP) v Placebo + Methotrexate (Cohort 1, IP)
    Number of subjects included in analysis
    752
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.0006
    Method
    Regression, Logistic
    Confidence interval

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events were collected from start of treatment up to 56 days after last treatment.
    Adverse event reporting additional description
    Randomization of DeE lead to 4 arms: Aba Weekly + MTX(50 subjects), Aba EoW + MTX (50 subjects), Aba Mono (47 subjects) , MTX alone (37 subjects) which had a total of 184 subjects.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    23.0
    Reporting groups
    Reporting group title
    Cohort 1:Aba + MTX
    Reporting group description
    Subjects received abatacept 125 milligram (mg) subcutaneously (sc) with a combination of methotrexate of at least 15 mg tablet administered orally once per week (qw) up to week 24.

    Reporting group title
    Cohort 1:MTX Alone
    Reporting group description
    Subjects received abatacept matching placebo 125 mg sc with a combination of methotrexate of at least 15 mg tablet administered orally qw up to week 24.

    Reporting group title
    Cohort 2:Aba + MTX
    Reporting group description
    Subjects received abatacept 125 mg sc with a combination of methotrexate of at least 15 mg tablet administered orally qw up to week 56.

    Reporting group title
    Aba Weekly + MTX
    Reporting group description
    Subjects who completed the 56 week Induction Period were randomized to this De-escalation Period received abatacept 125 mg sc with a combination of methotrexate of at least 15 mg tablet administered orally qw up to week 104.

    Reporting group title
    Aba EOW + MTX
    Reporting group description
    Subjects who completed the 56 week Induction Period were randomized to this De-escalation Period received abatacept 125 mg sc every other week (EOW) alternating with a matching placebo of abatacept with a combination of methotrexate of at least 15 mg tablet administered orally weekly up to week 80.

    Reporting group title
    Aba Mono
    Reporting group description
    Subjects who completed the 56 week Induction Period were randomized to this De-escalation Period received abatacept 125 mg sc with a combination of methotrexate matching placebo of at least 15 mg tablet administered orally weekly up to week 104.

    Reporting group title
    MTX Alone
    Reporting group description
    Subjects who completed the 56 week Induction Period were randomized to this De-escalation Period received abatacept matching placebo 125 mg sc with a combination of methotrexate of at least 15 mg tablet administered orally weekly up to week 104.

    Reporting group title
    OL Aba + MTX
    Reporting group description
    Subjects who completed the 104 week of treatment entered Open-Label Period received abatacept 125 mg sc with a combination of methotrexate matching placebo of at least 15 mg tablet administered orally qw up to week 104.

    Reporting group title
    OLE Aba
    Reporting group description
    Subjects who completed the Induction Period and De-escalation Period with escape or remission entered 24 week optional Open Label Extension Period andreceived abatacept 125 mg sc qw up to week 128.

    Serious adverse events
    Cohort 1:Aba + MTX Cohort 1:MTX Alone Cohort 2:Aba + MTX Aba Weekly + MTX Aba EOW + MTX Aba Mono MTX Alone OL Aba + MTX OLE Aba
    Total subjects affected by serious adverse events
         subjects affected / exposed
    32 / 451 (7.10%)
    9 / 301 (2.99%)
    23 / 242 (9.50%)
    3 / 50 (6.00%)
    3 / 50 (6.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    40 / 685 (5.84%)
    0 / 120 (0.00%)
         number of deaths (all causes)
    1
    1
    0
    0
    1
    0
    0
    1
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Carcinoid tumour of the gastrointestinal tract
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pancreatic carcinoma
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Basal cell carcinoma
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Benign ovarian tumour
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cervix carcinoma
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intraductal proliferative breast lesion
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Invasive ductal breast carcinoma
         subjects affected / exposed
    0 / 451 (0.00%)
    1 / 301 (0.33%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metastases to lung
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Prostate cancer
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal cancer
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Squamous cell carcinoma
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Squamous cell carcinoma of skin
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Superficial spreading melanoma stage unspecified
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Uterine leiomyoma
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Hypotension
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Surgical and medical procedures
    Knee operation
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    1 / 50 (2.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    1 / 50 (2.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    Anaphylactic reaction
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Adenomyosis
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Benign prostatic hyperplasia
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    1 / 50 (2.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hydrometra
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metrorrhagia
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ovarian cyst
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vaginal polyp
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory failure
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bronchiectasis
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia aspiration
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumothorax
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    1 / 50 (2.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary congestion
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Bipolar disorder
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Oxygen saturation decreased
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Weight decreased
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Overdose
         subjects affected / exposed
    2 / 451 (0.44%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Subdural haematoma
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Femur fracture
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Fracture displacement
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Humerus fracture
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Meniscus injury
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumoconiosis
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Radius fracture
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin laceration
         subjects affected / exposed
    1 / 451 (0.22%)
    1 / 301 (0.33%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Angina unstable
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atrial fibrillation
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac arrest
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    Cardiac failure congestive
         subjects affected / exposed
    0 / 451 (0.00%)
    1 / 301 (0.33%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Acute myocardial infarction
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Angina pectoris
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Coronary artery occlusion
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myocardial ischaemia
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pericarditis
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Subarachnoid haemorrhage
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cerebrovascular accident
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Seizure
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Dysarthria
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Encephalopathy
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Epilepsy
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lacunar infarction
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lacunar stroke
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypoxic-Ischaemic encephalopathy
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    2 / 685 (0.29%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    Cataract
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Macular degeneration
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Macular hole
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Gastritis erosive
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pancreatitis
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intestinal ischaemia
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Malocclusion
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Melaena
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pancreatitis acute
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    1 / 50 (2.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholecystitis acute
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    2 / 242 (0.83%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cholecystitis chronic
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cholelithiasis
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    1 / 50 (2.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Bladder prolapse
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    Goitre
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intervertebral disc protrusion
         subjects affected / exposed
    2 / 451 (0.44%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Osteoarthritis
         subjects affected / exposed
    1 / 451 (0.22%)
    1 / 301 (0.33%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Rheumatoid arthritis
         subjects affected / exposed
    0 / 451 (0.00%)
    1 / 301 (0.33%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Spinal pain
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Spondylolisthesis
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Synovial cyst
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Exostosis
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Appendicitis
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diverticulitis
         subjects affected / exposed
    0 / 451 (0.00%)
    1 / 301 (0.33%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    2 / 451 (0.44%)
    2 / 301 (0.66%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    1 / 50 (2.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    2 / 685 (0.29%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    1 / 2
    1 / 1
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyelonephritis
         subjects affected / exposed
    0 / 451 (0.00%)
    1 / 301 (0.33%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    2 / 451 (0.44%)
    1 / 301 (0.33%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    1 / 1
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abscess intestinal
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cellulitis
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haemophilus infection
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infectious mononucleosis
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    1 / 50 (2.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peritonsillar abscess
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    2 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumocystis jirovecii pneumonia
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyelonephritis acute
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tuberculosis
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hyperglycaemia
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hyperkalaemia
         subjects affected / exposed
    0 / 451 (0.00%)
    0 / 301 (0.00%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    0 / 685 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Cohort 1:Aba + MTX Cohort 1:MTX Alone Cohort 2:Aba + MTX Aba Weekly + MTX Aba EOW + MTX Aba Mono MTX Alone OL Aba + MTX OLE Aba
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    237 / 451 (52.55%)
    152 / 301 (50.50%)
    123 / 242 (50.83%)
    12 / 50 (24.00%)
    22 / 50 (44.00%)
    10 / 47 (21.28%)
    16 / 37 (43.24%)
    230 / 685 (33.58%)
    15 / 120 (12.50%)
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    24 / 451 (5.32%)
    15 / 301 (4.98%)
    10 / 242 (4.13%)
    2 / 50 (4.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    20 / 685 (2.92%)
    0 / 120 (0.00%)
         occurrences all number
    33
    20
    11
    2
    0
    0
    0
    23
    0
    Aspartate aminotransferase increased
         subjects affected / exposed
    14 / 451 (3.10%)
    10 / 301 (3.32%)
    9 / 242 (3.72%)
    3 / 50 (6.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    11 / 685 (1.61%)
    0 / 120 (0.00%)
         occurrences all number
    16
    14
    11
    3
    0
    0
    0
    11
    0
    Influenza a virus test positive
         subjects affected / exposed
    1 / 451 (0.22%)
    0 / 301 (0.00%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    1 / 47 (2.13%)
    2 / 37 (5.41%)
    1 / 685 (0.15%)
    0 / 120 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    2
    1
    0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    11 / 451 (2.44%)
    8 / 301 (2.66%)
    5 / 242 (2.07%)
    0 / 50 (0.00%)
    3 / 50 (6.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    4 / 685 (0.58%)
    0 / 120 (0.00%)
         occurrences all number
    11
    8
    5
    0
    3
    0
    0
    4
    0
    Nervous system disorders
    Headache
         subjects affected / exposed
    31 / 451 (6.87%)
    21 / 301 (6.98%)
    8 / 242 (3.31%)
    0 / 50 (0.00%)
    1 / 50 (2.00%)
    1 / 47 (2.13%)
    1 / 37 (2.70%)
    20 / 685 (2.92%)
    0 / 120 (0.00%)
         occurrences all number
    38
    24
    12
    0
    1
    1
    1
    23
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    12 / 451 (2.66%)
    18 / 301 (5.98%)
    4 / 242 (1.65%)
    1 / 50 (2.00%)
    1 / 50 (2.00%)
    0 / 47 (0.00%)
    1 / 37 (2.70%)
    10 / 685 (1.46%)
    1 / 120 (0.83%)
         occurrences all number
    12
    22
    5
    1
    1
    0
    1
    11
    1
    General disorders and administration site conditions
    Drug intolerance
         subjects affected / exposed
    7 / 451 (1.55%)
    4 / 301 (1.33%)
    0 / 242 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    2 / 37 (5.41%)
    4 / 685 (0.58%)
    0 / 120 (0.00%)
         occurrences all number
    7
    5
    0
    0
    0
    0
    2
    4
    0
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    42 / 451 (9.31%)
    24 / 301 (7.97%)
    22 / 242 (9.09%)
    1 / 50 (2.00%)
    2 / 50 (4.00%)
    0 / 47 (0.00%)
    1 / 37 (2.70%)
    23 / 685 (3.36%)
    0 / 120 (0.00%)
         occurrences all number
    56
    27
    25
    1
    4
    0
    1
    24
    0
    Stomatitis
         subjects affected / exposed
    27 / 451 (5.99%)
    8 / 301 (2.66%)
    1 / 242 (0.41%)
    0 / 50 (0.00%)
    1 / 50 (2.00%)
    2 / 47 (4.26%)
    2 / 37 (5.41%)
    21 / 685 (3.07%)
    2 / 120 (1.67%)
         occurrences all number
    45
    14
    3
    0
    1
    9
    4
    31
    4
    Abdominal pain upper
         subjects affected / exposed
    12 / 451 (2.66%)
    5 / 301 (1.66%)
    14 / 242 (5.79%)
    1 / 50 (2.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    0 / 37 (0.00%)
    8 / 685 (1.17%)
    1 / 120 (0.83%)
         occurrences all number
    12
    6
    15
    1
    0
    0
    0
    9
    1
    Diarrhoea
         subjects affected / exposed
    17 / 451 (3.77%)
    12 / 301 (3.99%)
    13 / 242 (5.37%)
    1 / 50 (2.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    1 / 37 (2.70%)
    13 / 685 (1.90%)
    1 / 120 (0.83%)
         occurrences all number
    17
    13
    17
    1
    0
    0
    4
    15
    1
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    15 / 451 (3.33%)
    16 / 301 (5.32%)
    13 / 242 (5.37%)
    1 / 50 (2.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    1 / 37 (2.70%)
    11 / 685 (1.61%)
    1 / 120 (0.83%)
         occurrences all number
    16
    17
    13
    1
    0
    0
    1
    11
    1
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    63 / 451 (13.97%)
    43 / 301 (14.29%)
    36 / 242 (14.88%)
    2 / 50 (4.00%)
    6 / 50 (12.00%)
    4 / 47 (8.51%)
    5 / 37 (13.51%)
    59 / 685 (8.61%)
    6 / 120 (5.00%)
         occurrences all number
    81
    60
    47
    3
    7
    4
    6
    75
    9
    Pharyngitis
         subjects affected / exposed
    22 / 451 (4.88%)
    17 / 301 (5.65%)
    14 / 242 (5.79%)
    0 / 50 (0.00%)
    1 / 50 (2.00%)
    1 / 47 (2.13%)
    2 / 37 (5.41%)
    18 / 685 (2.63%)
    0 / 120 (0.00%)
         occurrences all number
    24
    19
    14
    0
    1
    1
    3
    18
    0
    Upper respiratory tract infection
         subjects affected / exposed
    24 / 451 (5.32%)
    16 / 301 (5.32%)
    18 / 242 (7.44%)
    1 / 50 (2.00%)
    2 / 50 (4.00%)
    1 / 47 (2.13%)
    3 / 37 (8.11%)
    28 / 685 (4.09%)
    3 / 120 (2.50%)
         occurrences all number
    28
    20
    18
    1
    3
    1
    3
    31
    4
    Bronchitis
         subjects affected / exposed
    19 / 451 (4.21%)
    12 / 301 (3.99%)
    16 / 242 (6.61%)
    3 / 50 (6.00%)
    6 / 50 (12.00%)
    1 / 47 (2.13%)
    0 / 37 (0.00%)
    24 / 685 (3.50%)
    1 / 120 (0.83%)
         occurrences all number
    20
    12
    20
    3
    6
    1
    0
    25
    1
    Gastroenteritis
         subjects affected / exposed
    13 / 451 (2.88%)
    9 / 301 (2.99%)
    10 / 242 (4.13%)
    0 / 50 (0.00%)
    3 / 50 (6.00%)
    1 / 47 (2.13%)
    2 / 37 (5.41%)
    13 / 685 (1.90%)
    1 / 120 (0.83%)
         occurrences all number
    13
    10
    11
    0
    4
    1
    2
    13
    1
    Herpes zoster
         subjects affected / exposed
    3 / 451 (0.67%)
    2 / 301 (0.66%)
    1 / 242 (0.41%)
    1 / 50 (2.00%)
    0 / 50 (0.00%)
    0 / 47 (0.00%)
    2 / 37 (5.41%)
    7 / 685 (1.02%)
    0 / 120 (0.00%)
         occurrences all number
    3
    4
    1
    1
    0
    0
    2
    7
    0
    Urinary tract infection
         subjects affected / exposed
    17 / 451 (3.77%)
    9 / 301 (2.99%)
    13 / 242 (5.37%)
    2 / 50 (4.00%)
    1 / 50 (2.00%)
    1 / 47 (2.13%)
    0 / 37 (0.00%)
    26 / 685 (3.80%)
    0 / 120 (0.00%)
         occurrences all number
    20
    13
    18
    2
    1
    1
    0
    34
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    29 Sep 2015
    Incorporates changes in response to health authorities in countries participating in the Voluntary Harmonization Procedure (VHP)
    22 Feb 2016
    Provide clarifications of interpretation of the protocol and increase consistency in the protocol
    27 Nov 2017
    Added a new period (Optional Open Label Abatacept Extension for Subjects who Complete the DE Period); added a section 3.1.6.5 to describe the new period; added a sentence in Section 8.4.3, Safety analyses, to describe the analyses of those subjects. Updated the Medical Monitor Contact, added name of the Study Director, added abatacept/placebo and MTX reconciliation at Week 56 of IP, deleted BNP sample collection, added CRP collection at DE Week 64, added HAQ at Week 64, clarified corticosteroid rescue treatment to be for RA, corrected SAE reporting section.
    08 Jan 2018
    Corrected errors in Section 5.1, Table 5.1-6. Indicated the second phone call visit is at Week 112, deleted CRP testing at the office visits, added dosing of weekly SC abatacept, added diary cards will be collected at Week 116 and Week 128/ET, and indicated the office visit will be +/- 3 days of the target visit day.
    26 Apr 2018
    Updated the schematic in both the synopsis and body of the protocol to add the new optional open label SC abatacept period for DE completers. Added a paragraph in the synopsis to describe the optional open label SC abatacept period for DE completers. Modified the definition of serious breach. Two corrections made to Table 5.1-4 for procedures required at the ET or Final Visit.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

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