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    Clinical Trial Results:
    An open-label, prospective, non-randomized, multicenter study to evaluate clear skin effect on health-related quality of life outcomes at 16 and 52 weeks in patients with moderate to severe plaque psoriasis treated with secukinumab 300 mg s.c. with or without previous exposure to systemic therapy

    Summary
    EudraCT number
    2015-003701-42
    Trial protocol
    ES   DE   GB   BE   LV   PT   SK   LT   PL   GR   RO   IT  
    Global end of trial date
    28 Mar 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Apr 2019
    First version publication date
    06 Apr 2019
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CAIN457A3401
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02752776
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Pharma, AG
    Sponsor organisation address
    CH-4002, Basel, Switzerland,
    Public contact
    Clinical Disclosure Manager, Novartis Pharma, AG, +41 613241111, novartis.email@novartis.com
    Scientific contact
    Clinical Disclosure Manager, Novartis Pharma, AG, +41 613241111, novartis.email@novartis.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    28 Mar 2018
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    28 Mar 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of the study was to assess the proportion of patients achieving a Dermatology Life Quality Index (DLQI) 0/1 response at Week 16 in 3 pre-defined subpopulations and in the overall study population.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and the International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines. All the local regulatory requirements pertinent to safety of trial subjects were also followed during the conduct of the trial.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    17 Mar 2016
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Belgium: 20
    Country: Number of subjects enrolled
    Bulgaria: 25
    Country: Number of subjects enrolled
    Czech Republic: 33
    Country: Number of subjects enrolled
    Estonia: 46
    Country: Number of subjects enrolled
    France: 297
    Country: Number of subjects enrolled
    Germany: 506
    Country: Number of subjects enrolled
    United Kingdom: 108
    Country: Number of subjects enrolled
    Greece: 16
    Country: Number of subjects enrolled
    Israel: 30
    Country: Number of subjects enrolled
    Italy: 40
    Country: Number of subjects enrolled
    Latvia: 34
    Country: Number of subjects enrolled
    Lithuania: 32
    Country: Number of subjects enrolled
    Poland: 148
    Country: Number of subjects enrolled
    Portugal: 34
    Country: Number of subjects enrolled
    Romania: 21
    Country: Number of subjects enrolled
    Slovakia: 31
    Country: Number of subjects enrolled
    Spain: 239
    Worldwide total number of subjects
    1660
    EEA total number of subjects
    1630
    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)
    1524
    From 65 to 84 years
    134
    85 years and over
    2

    Subject disposition

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    Recruitment
    Recruitment details
    A total of 1660 participants were treated and included in the Safety set.

    Pre-assignment
    Screening details
    A total of 1858 patients were screened in this study.

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

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Subpopulation A (naive)
    Arm description
    Subjects who were naïve to any systemic treatment, e.g. participants failing or intolerant to previous topical treatment, including narrow band UVB, but never exposed to any systemic treatment, with or without contraindications to the use of conventional systemic treatment and in a need of a first systemic treatment.
    Arm type
    Experimental

    Investigational medicinal product name
    secukinumab
    Investigational medicinal product code
    AIN457
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    secukinumab/AIN457 300 mg s.c. as per EU SmPC. Secukinumab 300 mg (2 × PFS of the 150 mg dose) was self-administered by the patient (or caregiver).

    Arm title
    Subpopulation B (non-biologic)
    Arm description
    Subjects who have been previously exposed to at least one conventional systemic therapy; either because of failure or intolerance to their previous conventional systemic treatment, they were in a need of a first biologic systemic treatment.
    Arm type
    Experimental

    Investigational medicinal product name
    secukinumab
    Investigational medicinal product code
    AIN457
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    secukinumab/AIN457 300 mg s.c. as per EU SmPC. Secukinumab 300 mg (2 × PFS of the 150 mg dose) was self-administered by the patient (or caregiver).

    Arm title
    Subpopulation C (biologic)
    Arm description
    Subjects who have been previously exposed to at least one biologic systemic therapy; either because of failure or intolerance to their previous biologic systemic treatment, they were in a need of a different biologic systemic treatment.
    Arm type
    Experimental

    Investigational medicinal product name
    secukinumab
    Investigational medicinal product code
    AIN457
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    secukinumab/AIN457 300 mg s.c. as per EU SmPC. Secukinumab 300 mg (2 × PFS of the 150 mg dose) was self-administered by the patient (or caregiver).

    Number of subjects in period 1
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic)
    Started
    663
    673
    324
    Full Analysis Set
    662
    673
    324
    Completed
    611
    597
    276
    Not completed
    52
    76
    48
         Adverse event, serious fatal
    -
    -
    1
         Physician decision
    2
    6
    2
         Consent withdrawn by subject
    3
    4
    2
         Adverse event, non-fatal
    15
    23
    11
         Non-compliance with study treatment
    -
    -
    1
         Pregnancy
    1
    6
    3
         Lost to follow-up
    11
    12
    4
         Subject/guardian decision
    8
    6
    4
         Lack of efficacy
    2
    6
    14
         Protocol deviation
    10
    13
    6

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Subpopulation A (naive)
    Reporting group description
    Subjects who were naïve to any systemic treatment, e.g. participants failing or intolerant to previous topical treatment, including narrow band UVB, but never exposed to any systemic treatment, with or without contraindications to the use of conventional systemic treatment and in a need of a first systemic treatment.

    Reporting group title
    Subpopulation B (non-biologic)
    Reporting group description
    Subjects who have been previously exposed to at least one conventional systemic therapy; either because of failure or intolerance to their previous conventional systemic treatment, they were in a need of a first biologic systemic treatment.

    Reporting group title
    Subpopulation C (biologic)
    Reporting group description
    Subjects who have been previously exposed to at least one biologic systemic therapy; either because of failure or intolerance to their previous biologic systemic treatment, they were in a need of a different biologic systemic treatment.

    Reporting group values
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) Total
    Number of subjects
    663 673 324 1660
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    617 617 290 1524
        From 65-84 years
    44 56 34 134
        85 years and over
    2 0 0 2
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    43.2 ( 14.03 ) 44.4 ( 13.67 ) 47.4 ( 12.89 ) -
    Sex: Female, Male
    Units: Subjects
        Female
    224 222 107 553
        Male
    439 451 217 1107
    Race/Ethnicity, Customized
    Units: Subjects
        Caucasian
    626 642 307 1575
        Black
    3 2 0 5
        Asian
    12 6 2 20
        Other
    22 23 15 60

    End points

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    End points reporting groups
    Reporting group title
    Subpopulation A (naive)
    Reporting group description
    Subjects who were naïve to any systemic treatment, e.g. participants failing or intolerant to previous topical treatment, including narrow band UVB, but never exposed to any systemic treatment, with or without contraindications to the use of conventional systemic treatment and in a need of a first systemic treatment.

    Reporting group title
    Subpopulation B (non-biologic)
    Reporting group description
    Subjects who have been previously exposed to at least one conventional systemic therapy; either because of failure or intolerance to their previous conventional systemic treatment, they were in a need of a first biologic systemic treatment.

    Reporting group title
    Subpopulation C (biologic)
    Reporting group description
    Subjects who have been previously exposed to at least one biologic systemic therapy; either because of failure or intolerance to their previous biologic systemic treatment, they were in a need of a different biologic systemic treatment.

    Subject analysis set title
    All Subjects - Full Analysis Set
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Subjects from all 3 subpopulations: Subpopulation A B & C combined

    Primary: Percentage of participants with a Dermatology life quality index 0/1 (DLQI 0/1) response at Week 16

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    End point title
    Percentage of participants with a Dermatology life quality index 0/1 (DLQI 0/1) response at Week 16 [1]
    End point description
    Assessed the percentage of participants who achieved a Dermatology life quality index 0/1 (DLQI 0/1) response at Week 16 in 3 pre-defined subpopulations and in the overall study population.
    End point type
    Primary
    End point timeframe
    16 weeks
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) All Subjects - Full Analysis Set
    Number of subjects analysed
    662
    673
    324
    1659
    Units: Percentage of participants
        number (confidence interval 95%)
    74.7 (71.2 to 78.0)
    71.3 (67.7 to 74.7)
    61.7 (56.1 to 67.0)
    70.8 (68.5 to 73.0)
    No statistical analyses for this end point

    Secondary: Percentage of participants with a Dermatology life quality index 0/1 (DLQI 0/1) response at Week 52

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    End point title
    Percentage of participants with a Dermatology life quality index 0/1 (DLQI 0/1) response at Week 52
    End point description
    Assessed the percentage of participants who achieved a Dermatology life quality index 0/1 (DLQI 0/1) response at Week 52 in 3 pre-defined subpopulations and in the overall study population.
    End point type
    Secondary
    End point timeframe
    52 weeks
    End point values
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) All Subjects - Full Analysis Set
    Number of subjects analysed
    662
    673
    324
    1659
    Units: Percentage of participants
        number (confidence interval 95%)
    75.3 (71.7 to 78.5)
    73.3 (69.8 to 76.6)
    62.0 (56.5 to 67.3)
    71.9 (69.6 to 74.0)
    No statistical analyses for this end point

    Secondary: Percentage of participants in each DLQI score category at Week 16 and Week 52

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    End point title
    Percentage of participants in each DLQI score category at Week 16 and Week 52
    End point description
    Assessed the percentage of participants with Dermatology life quality index scores at Week 16 & 52 in 3 pre-defined subpopulations and in the overall study population.
    End point type
    Secondary
    End point timeframe
    52 weeks
    End point values
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) All Subjects - Full Analysis Set
    Number of subjects analysed
    662
    673
    324
    1659
    Units: Percentage of participants
    number (confidence interval 95%)
        Wk 16: DLQI cat. score: 2-5 (n=649,666,321,1636)
    18.3 (15.5 to 21.6)
    19.1 (16.2 to 22.3)
    21.2 (16.9 to 26.2)
    19.2 (17.3 to 21.2)
        Wk 16: DLQI cat. score: 6-10 (n=649,666,321,1636)
    5.7 (4.1 to 7.8)
    6.3 (4.6 to 8.5)
    9.3 (6.5 to 13.2)
    6.7 (5.5 to 8.0)
        Wk 16: DLQI cat. score: 11-20 (n=649,666,321,1636)
    1.2 (0.6 to 2.5)
    2.9 (1.8 to 4.5)
    5.3 (3.2 to 8.5)
    2.7 (2.0 to 3.6)
        Wk 16: DLQI cat. score: 21-30 (n=649, 666,321,636)
    0.0 (0.0 to 0.7)
    0.5 (0.1 to 1.4)
    2.5 (1.2 to 5.0)
    0.7 (0.4 to 1.2)
        Wk 52: DLQI cat. score: 2-5 (n=655,671,324,1650)
    17.9 (15.0 to 21.1)
    14.0 (11.5 to 16.9)
    18.2 (14.2 to 23.0)
    16.4 (14.6 to 18.3)
        Wk 52: DLQI cat. score: 6-10 (n=655,671,324,1650)
    4.7 (3.3 to 6.7)
    7.2 (5.4 to 9.4)
    9.6 (6.7 to 13.4)
    6.7 (5.5 to 8.0)
        Wk 52: DLQI cat. score: 11-20 (n=655 671,324,1650)
    1.8 (1.0 to 3.3)
    4.0 (2.7 to 5.9)
    8.3 (5.7 to 12.0)
    4.0 (3.1 to 5.1)
        Wk 52: DLQI cat. score: 21-30 (n=655,671,324,1650)
    0.3 (0.1 to 1.2)
    1.5 (0.8 to 2.8)
    1.9 (0.8 to 4.2)
    1.1 (0.7 to 1.8)
    No statistical analyses for this end point

    Secondary: Percentage of participants with PASI 50, PASI 75, PASI 90, PASI 100 or IGA mod 2011 0/1 response at Week 16 and 52

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    End point title
    Percentage of participants with PASI 50, PASI 75, PASI 90, PASI 100 or IGA mod 2011 0/1 response at Week 16 and 52
    End point description
    Assed the percentage of participants who achieved PASI 50, PASI 75, PASI 90, PASI 100 and investigator’s global assessment (IGA) mod 2011 0/1 responses at Week 16 and Week 52 in 3 pre-defined subpopulations and in the overall study population.
    End point type
    Secondary
    End point timeframe
    Week 16, Week 52
    End point values
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) All Subjects - Full Analysis Set
    Number of subjects analysed
    662
    673
    324
    1659
    Units: Percentage of participants
    number (confidence interval 95%)
        Wk 16: PASI 50 (n = 658, 670, 323, 1651)
    97.7 (96.2 to 98.7)
    97.5 (95.9 to 98.5)
    95.0 (91.9 to 97.2)
    97.1 (96.1 to 97.8)
        Wk 16: PASI 75 (n = 658, 670, 323, 1651)
    94.4 (92.3 to 96.0)
    92.8 (90.5 to 94.7)
    85.4 (81.0 to 89.1)
    92.0 (90.6 to 93.3)
        Wk 16: PASI 90 (n = 658, 670, 323, 1651)
    82.4 (79.2 to 85.2)
    78.8 (75.5 to 81.8)
    69.0 (63.6 to 74.0)
    78.3 (76.2 to 80.3)
        Wk 16: PASI 100 (n = 658, 670, 323, 1651)
    47.3 (43.4 to 51.2)
    38.8 (35.1 to 42.6)
    33.4 (28.4 to 38.9)
    41.1 (38.7 to 43.6)
        Wk 16: IGA 01 (n = 658, 671, 323, 1651)
    87.4 (84.5 to 89.8)
    84.9 (82.0 to 87.5)
    76.2 (71.1 to 80.7)
    84.2 (82.3 to 85.9)
        Wk 52: PASI 50
    97.9 (96.4 to 98.9)
    96.3 (94.5 to 97.6)
    92.9 (89.4 to 95.5)
    96.3 (95.2 to 97.1)
        Wk 52: PASI 75
    94.4 (92.3 to 96.0)
    89.7 (87.1 to 91.9)
    83.3 (78.7 to 87.2)
    90.4 (88.8 to 91.7)
        Wk 52: PASI 90
    80.8 (77.6 to 83.7)
    75.5 (72.0 to 78.7)
    63.9 (58.4 to 69.1)
    75.3 (73.2 to 77.4)
        Wk 52: PASI 100
    56.9 (53.1 to 60.8)
    45.5 (41.7 to 49.3)
    37.0 (31.8 to 42.6)
    48.4 (46.0 to 50.8)
        Wk 52: IGA 0/1
    86.4 (83.5 to 88.9)
    79.9 (76.7 to 82.9)
    71.3 (66.0 to 76.1)
    80.8 (78.8 to 82.7)
    No statistical analyses for this end point

    Secondary: Absolute change from baseline in EQ-5D-5L crosswalk index at Week 16 and Week 52

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    End point title
    Absolute change from baseline in EQ-5D-5L crosswalk index at Week 16 and Week 52
    End point description
    Assessed the effects of treatment with secukinumab 300 mg with respect to changes in EuroQOL 5-Dimension Health Questionnaire (EQ-5D©) response over time up to Week 16 and Week 52 compared to Baseline in 3 pre-defined subpopulations and in the overall study population.
    End point type
    Secondary
    End point timeframe
    Week 16, Week 52
    End point values
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) All Subjects - Full Analysis Set
    Number of subjects analysed
    662
    673
    324
    1659
    Units: scores on a scale
    arithmetic mean (standard deviation)
        Week 16 (n = 643, 656, 314, 1613)
    0.217 ( 0.2294 )
    0.201 ( 0.2277 )
    0.235 ( 0.2602 )
    0.214 ( 0.2352 )
        Week 52 (n = 647, 659, 317, 1623)
    0.221 ( 0.2353 )
    0.193 ( 0.2360 )
    0.226 ( 0.2596 )
    0.211 ( 0.2408 )
    No statistical analyses for this end point

    Secondary: Absolute change from baseline in EQ-5D-5L visual analogue scale (VAS) at Week 16 and Week 52

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    End point title
    Absolute change from baseline in EQ-5D-5L visual analogue scale (VAS) at Week 16 and Week 52
    End point description
    Assessed the effects of treatment with secukinumab 300 mg with respect to changes in EuroQOL 5-Dimension Health Questionnaire (EQ-5D©) response over time up to Week 16 and Week 52 compared to Baseline in 3 pre-defined subpopulations and in the overall study population.
    End point type
    Secondary
    End point timeframe
    Week 16, Week 52
    End point values
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) All Subjects - Full Analysis Set
    Number of subjects analysed
    662
    673
    324
    1659
    Units: scores on a scale
    arithmetic mean (standard deviation)
        Week 16 (n = 644, 656, 314, 1614)
    19.7 ( 24.36 )
    21.4 ( 25.66 )
    18.7 ( 26.66 )
    20.2 ( 25.36 )
        Week 52 (n = 647, 659, 317, 1623)
    21.7 ( 24.11 )
    22.6 ( 25.47 )
    19.5 ( 25.14 )
    21.7 ( 24.88 )
    No statistical analyses for this end point

    Secondary: Absolute change from baseline in HAQ-DI at Week 16 and Week 52

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    End point title
    Absolute change from baseline in HAQ-DI at Week 16 and Week 52
    End point description
    Assessed the effects of treatment with secukinumab 300 mg with respect to changes in Health assessment questionnaire disability index (HAQ©-DI) response over time up to Week 16 and Week 52 compared to Baseline in 3 pre-defined subpopulations and in the overall study population.
    End point type
    Secondary
    End point timeframe
    Week 16 and Week 52
    End point values
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) All Subjects - Full Analysis Set
    Number of subjects analysed
    44
    117
    90
    251
    Units: scores on a scale
    arithmetic mean (standard deviation)
        Week 16 (n = 43, 109, 87, 239)
    -0.7 ( 0.97 )
    -0.5 ( 0.83 )
    -0.3 ( 0.85 )
    -0.5 ( 0.87 )
        Week 52 (n = 44, 110, 88, 242)
    -0.7 ( 0.90 )
    -0.5 ( 0.90 )
    -0.4 ( 0.85 )
    -0.5 ( 0.88 )
    No statistical analyses for this end point

    Secondary: Absolute change from baseline in Numeric rating scale (NRS) at Week 16 and Week 52

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    End point title
    Absolute change from baseline in Numeric rating scale (NRS) at Week 16 and Week 52
    End point description
    Assessed the effects of treatment with secukinumab 300 mg with respect to changes in Numeric rating scale: patient’s assessment of pain, itching and scaling response over time up to Week 16 and Week 52 compared to Baseline in 3 pre-defined subpopulations and in the overall study population.
    End point type
    Secondary
    End point timeframe
    16 and 52 weeks
    End point values
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) All Subjects - Full Analysis Set
    Number of subjects analysed
    662
    673
    324
    1659
    Units: scores on a scale
    arithmetic mean (standard deviation)
        Pain: Wk 16 (n = 640, 649, 310, 1599)
    -3.0 ( 2.87 )
    -3.3 ( 3.11 )
    -3.3 ( 3.30 )
    -3.2 ( 3.06 )
        Pain: Wk 52 (n = 645, 657, 316, 1618)
    -3.1 ( 2.95 )
    -3.2 ( 3.22 )
    -3.3 ( 3.36 )
    -3.2 ( 3.14 )
        Itching: Wk 16 (n = 640, 649, 311, 1600)
    -4.9 ( 2.96 )
    -4.9 ( 3.06 )
    -4.8 ( 3.31 )
    -4.9 ( 3.07 )
        Itching: Wk 52 (n = 646, 656, 317, 1619)
    -5.0 ( 2.92 )
    -5.0 ( 3.10 )
    -4.6 ( 3.28 )
    -4.9 ( 3.07 )
        Scaling: Wk 16 (n = 640, 650, 312, 1602)
    -5.5 ( 2.68 )
    -5.5 ( 2.71 )
    -5.2 ( 3.26 )
    -5.4 ( 2.81 )
        Scaling: Wk 52 (n = 646, 657, 317, 1620)
    -5.4 ( 2.72 )
    -5.3 ( 2.87 )
    -4.9 ( 3.27 )
    -5.3 ( 2.90 )
    No statistical analyses for this end point

    Secondary: Treatment Satisfaction Questionnaire for Medication (TSQM) scale scores at Week 16 and Week 52

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    End point title
    Treatment Satisfaction Questionnaire for Medication (TSQM) scale scores at Week 16 and Week 52
    End point description
    Assessed the effects of treatment with secukinumab 300 mg with respect to changes in TSQM scale scores (Effectiveness, Convenience, Global satisfaction scores) over time up to Week 16 and Week 52 compared to Baseline in 3 pre-defined subpopulations and in the overall study population.
    End point type
    Secondary
    End point timeframe
    16 and 52 weeks
    End point values
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) All Subjects - Full Analysis Set
    Number of subjects analysed
    662
    673
    324
    1659
    Units: scores on a scale
    arithmetic mean (standard deviation)
        Effectiveness: Wk 16 (n = 650, 668, 318, 1636)
    81.5 ( 24.02 )
    80.9 ( 25.13 )
    75.0 ( 23.43 )
    80.8 ( 24.48 )
        Effectiveness: Wk 52 (n = 655, 671, 322, 1648)
    85.1 ( 20.64 )
    82.0 ( 25.05 )
    74.9 ( 24.24 )
    81.9 ( 23.50 )
        Convenience: Wk 16 (n = 650, 668, 319, 1637)
    79.2 ( 15.50 )
    80.8 ( 15.83 )
    75.9 ( 15.20 )
    79.2 ( 15.67 )
        Convenience: Wk 52 (n = 655, 671, 323, 1649)
    82.8 ( 15.67 )
    83.9 ( 15.42 )
    78.9 ( 15.14 )
    82.5 ( 15.57 )
        Global satisfaction: Wk 16 (n=650,668,319,1637)
    83.8 ( 14.71 )
    83.3 ( 16.68 )
    75.1 ( 20.07 )
    81.9 ( 16.99 )
        Global satisfaction: Wk 52 (n=655,671,322,1648)
    83.9 ( 17.23 )
    81.9 ( 20.38 )
    73.5 ( 23.10 )
    81.1 ( 20.14 )
    No statistical analyses for this end point

    Secondary: Patient benefit index (PBI) at Week 16 and Week 52

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    End point title
    Patient benefit index (PBI) at Week 16 and Week 52
    End point description
    Assessed the effects of treatment with secukinumab 300 mg with respect to changes in Patient benefit index (PBI) response over time up to Week 16 and Week 52 compared to Baseline in 3 pre-defined subpopulations and in the overall study population.
    End point type
    Secondary
    End point timeframe
    Week 16 and Week 52
    End point values
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) All Subjects - Full Analysis Set
    Number of subjects analysed
    662
    673
    324
    1659
    Units: scores on a scale
    arithmetic mean (standard deviation)
        Week 16 (n = 439, 472, 226, 1137)
    3.5 ( 0.61 )
    3.4 ( 0.69 )
    3.2 ( 0.85 )
    3.4 ( 0.70 )
        Week 52 (n= 509, 532, 253, 1294)
    3.5 ( 0.70 )
    3.4 ( 0.80 )
    3.2 ( 0.96 )
    3.4 ( 0.80 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse Events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All Adverse Events reported in this record are from date of First Patient First Treatment until Last Patient Last Visit.
    Adverse event reporting additional description
    Consistent with EudraCT disclosure specifications, Novartis has reported under the Serious adverse events field “number of deaths resulting from adverse events” all those deaths, resulting from serious adverse events that are deemed to be causally related to treatment by the investigator.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    20.1
    Reporting groups
    Reporting group title
    Subpopulation A (naive)
    Reporting group description
    Subjects who were naïve to any systemic treatment, e.g. subjects failing or intolerant to previous topical treatment, including narrow band UVB, but never exposed to any systemic treatment, with or without contraindications to the use of conventional systemic treatment and in a need of a first systemic treatment.

    Reporting group title
    Subpopulation B (non-biologic)
    Reporting group description
    Subjects who have been previously exposed to at least one conventional systemic therapy; either because of failure or intolerance to their previous conventional systemic treatment, they were in a need of a first biologic systemic treatment.

    Reporting group title
    Subpopulation C (biologic)
    Reporting group description
    Subjects who have been previously exposed to at least one biologic systemic therapy; either because of failure or intolerance to their previous biologic systemic treatment, they were in a need of a different biologic systemic treatment.

    Reporting group title
    All Subjects
    Reporting group description
    Subjects from all 3 subpopulations: Subpopulation A B & C combined.

    Serious adverse events
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) All Subjects
    Total subjects affected by serious adverse events
         subjects affected / exposed
    43 / 663 (6.49%)
    44 / 673 (6.54%)
    32 / 324 (9.88%)
    119 / 1660 (7.17%)
         number of deaths (all causes)
    0
    0
    1
    1
         number of deaths resulting from adverse events
    0
    0
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adenocarcinoma of colon
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Basal cell carcinoma
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    1 / 324 (0.31%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bladder transitional cell carcinoma
         subjects affected / exposed
    1 / 663 (0.15%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bronchial carcinoma
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal tract adenoma
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Malignant melanoma
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myelodysplastic syndrome
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pituitary tumour benign
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Seborrhoeic keratosis
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Squamous cell carcinoma
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Thyroid cancer
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    2 / 663 (0.30%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypovolaemic shock
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Varicose vein
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    Abortion spontaneous
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    1 / 324 (0.31%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    1 / 1
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Chest pain
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Non-cardiac chest pain
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sudden death
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    Immune system disorders
    Anaphylactic reaction
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Cervical dysplasia
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Erectile dysfunction
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Prostatitis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Asthma
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Dyspnoea
         subjects affected / exposed
    1 / 663 (0.15%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pharyngeal cyst
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vocal cord leukoplakia
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Alcohol abuse
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Alcohol withdrawal syndrome
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Suicidal ideation
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Suicide attempt
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Alcohol poisoning
         subjects affected / exposed
    1 / 663 (0.15%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Concussion
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Fall
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Femoral neck fracture
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Head injury
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Humerus fracture
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lower limb fracture
         subjects affected / exposed
    1 / 663 (0.15%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lumbar vertebral fracture
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pelvic fracture
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    2 / 324 (0.62%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Procedural dizziness
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Radius fracture
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin abrasion
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Subdural haematoma
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tendon rupture
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Upper limb fracture
         subjects affected / exposed
    0 / 663 (0.00%)
    2 / 673 (0.30%)
    1 / 324 (0.31%)
    3 / 1660 (0.18%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 1
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Acute myocardial infarction
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Angina pectoris
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atrial fibrillation
         subjects affected / exposed
    1 / 663 (0.15%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atrial flutter
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac failure
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiomyopathy
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Coronary artery disease
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Left ventricular failure
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    2 / 663 (0.30%)
    2 / 673 (0.30%)
    0 / 324 (0.00%)
    4 / 1660 (0.24%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 2
    0 / 0
    1 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Palpitations
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ventricular fibrillation
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Carotid arteriosclerosis
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cerebral infarction
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diabetic hyperglycaemic coma
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diabetic neuropathy
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Dizziness
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Dysaesthesia
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Facial paralysis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Generalised tonic-clonic seizure
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Headache
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intracranial aneurysm
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ischaemic stroke
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    3 / 324 (0.93%)
    3 / 1660 (0.18%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 3
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Migraine
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Radiculopathy
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Transient ischaemic attack
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    Pupils unequal
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vitreous haemorrhage
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Abdominal pain upper
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Colitis ulcerative
         subjects affected / exposed
    2 / 663 (0.30%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Crohn's disease
         subjects affected / exposed
    1 / 663 (0.15%)
    3 / 673 (0.45%)
    0 / 324 (0.00%)
    4 / 1660 (0.24%)
         occurrences causally related to treatment / all
    1 / 1
    4 / 4
    0 / 0
    5 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Food poisoning
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Functional gastrointestinal disorder
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haemorrhoids
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ileus paralytic
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Inguinal hernia
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Oedematous pancreatitis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholelithiasis
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatic cirrhosis
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Angioedema
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    1 / 324 (0.31%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 1
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Drug eruption
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Erythema multiforme
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pruritus
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psoriasis
         subjects affected / exposed
    1 / 663 (0.15%)
    2 / 673 (0.30%)
    2 / 324 (0.62%)
    5 / 1660 (0.30%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 2
    1 / 2
    3 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hydronephrosis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nephrolithiasis
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    2 / 324 (0.62%)
    3 / 1660 (0.18%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 2
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal failure
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary retention
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    Thyroid mass
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bursitis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intervertebral disc protrusion
         subjects affected / exposed
    1 / 663 (0.15%)
    2 / 673 (0.30%)
    0 / 324 (0.00%)
    3 / 1660 (0.18%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Muscular weakness
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal pain
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Osteitis
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Osteoarthritis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Osteonecrosis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Rotator cuff syndrome
         subjects affected / exposed
    1 / 663 (0.15%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Appendicitis
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cellulitis
         subjects affected / exposed
    1 / 663 (0.15%)
    1 / 673 (0.15%)
    1 / 324 (0.31%)
    3 / 1660 (0.18%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    1 / 1
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Clostridium difficile colitis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Dermo-hypodermitis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diverticulitis
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Erysipelas
         subjects affected / exposed
    4 / 663 (0.60%)
    2 / 673 (0.30%)
    0 / 324 (0.00%)
    6 / 1660 (0.36%)
         occurrences causally related to treatment / all
    1 / 4
    3 / 3
    0 / 0
    4 / 7
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Febrile infection
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Herpes virus infection
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infective exacerbation of chronic obstructive airways disease
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    2 / 2
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Necrotising fasciitis
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Oral candidiasis
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Otitis media chronic
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Post procedural infection
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary sepsis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Purulent discharge
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyelonephritis
         subjects affected / exposed
    1 / 663 (0.15%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory tract infection viral
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Septic shock
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tinea pedis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tonsillitis
         subjects affected / exposed
    0 / 663 (0.00%)
    2 / 673 (0.30%)
    0 / 324 (0.00%)
    2 / 1660 (0.12%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 663 (0.15%)
    0 / 673 (0.00%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    0 / 663 (0.00%)
    1 / 673 (0.15%)
    0 / 324 (0.00%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diabetic ketoacidosis
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Type 3 diabetes mellitus
         subjects affected / exposed
    0 / 663 (0.00%)
    0 / 673 (0.00%)
    1 / 324 (0.31%)
    1 / 1660 (0.06%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 2%
    Non-serious adverse events
    Subpopulation A (naive) Subpopulation B (non-biologic) Subpopulation C (biologic) All Subjects
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    450 / 663 (67.87%)
    474 / 673 (70.43%)
    203 / 324 (62.65%)
    1127 / 1660 (67.89%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    26 / 663 (3.92%)
    31 / 673 (4.61%)
    8 / 324 (2.47%)
    65 / 1660 (3.92%)
         occurrences all number
    29
    34
    8
    71
    Nervous system disorders
    Headache
         subjects affected / exposed
    76 / 663 (11.46%)
    79 / 673 (11.74%)
    21 / 324 (6.48%)
    176 / 1660 (10.60%)
         occurrences all number
    180
    133
    31
    343
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    16 / 663 (2.41%)
    10 / 673 (1.49%)
    7 / 324 (2.16%)
    33 / 1660 (1.99%)
         occurrences all number
    19
    12
    9
    40
    Fatigue
         subjects affected / exposed
    17 / 663 (2.56%)
    25 / 673 (3.71%)
    6 / 324 (1.85%)
    48 / 1660 (2.89%)
         occurrences all number
    25
    29
    7
    61
    Influenza like illness
         subjects affected / exposed
    8 / 663 (1.21%)
    15 / 673 (2.23%)
    4 / 324 (1.23%)
    27 / 1660 (1.63%)
         occurrences all number
    8
    16
    5
    29
    Pyrexia
         subjects affected / exposed
    11 / 663 (1.66%)
    12 / 673 (1.78%)
    8 / 324 (2.47%)
    31 / 1660 (1.87%)
         occurrences all number
    11
    13
    10
    34
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    35 / 663 (5.28%)
    30 / 673 (4.46%)
    14 / 324 (4.32%)
    79 / 1660 (4.76%)
         occurrences all number
    47
    34
    19
    100
    Toothache
         subjects affected / exposed
    14 / 663 (2.11%)
    15 / 673 (2.23%)
    5 / 324 (1.54%)
    34 / 1660 (2.05%)
         occurrences all number
    15
    16
    6
    37
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    37 / 663 (5.58%)
    31 / 673 (4.61%)
    12 / 324 (3.70%)
    80 / 1660 (4.82%)
         occurrences all number
    39
    33
    15
    87
    Oropharyngeal pain
         subjects affected / exposed
    34 / 663 (5.13%)
    40 / 673 (5.94%)
    14 / 324 (4.32%)
    88 / 1660 (5.30%)
         occurrences all number
    38
    47
    15
    100
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    3 / 663 (0.45%)
    7 / 673 (1.04%)
    8 / 324 (2.47%)
    18 / 1660 (1.08%)
         occurrences all number
    3
    7
    8
    18
    Eczema
         subjects affected / exposed
    25 / 663 (3.77%)
    20 / 673 (2.97%)
    5 / 324 (1.54%)
    50 / 1660 (3.01%)
         occurrences all number
    27
    24
    5
    56
    Intertrigo
         subjects affected / exposed
    12 / 663 (1.81%)
    15 / 673 (2.23%)
    3 / 324 (0.93%)
    30 / 1660 (1.81%)
         occurrences all number
    15
    16
    3
    34
    Pruritus
         subjects affected / exposed
    31 / 663 (4.68%)
    41 / 673 (6.09%)
    13 / 324 (4.01%)
    85 / 1660 (5.12%)
         occurrences all number
    34
    50
    15
    99
    Psoriasis
         subjects affected / exposed
    20 / 663 (3.02%)
    36 / 673 (5.35%)
    22 / 324 (6.79%)
    78 / 1660 (4.70%)
         occurrences all number
    25
    40
    25
    90
    Urticaria
         subjects affected / exposed
    14 / 663 (2.11%)
    7 / 673 (1.04%)
    3 / 324 (0.93%)
    24 / 1660 (1.45%)
         occurrences all number
    15
    7
    4
    26
    Renal and urinary disorders
    Haematuria
         subjects affected / exposed
    10 / 663 (1.51%)
    17 / 673 (2.53%)
    5 / 324 (1.54%)
    32 / 1660 (1.93%)
         occurrences all number
    12
    18
    7
    37
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    26 / 663 (3.92%)
    28 / 673 (4.16%)
    18 / 324 (5.56%)
    72 / 1660 (4.34%)
         occurrences all number
    30
    34
    25
    89
    Back pain
         subjects affected / exposed
    31 / 663 (4.68%)
    46 / 673 (6.84%)
    15 / 324 (4.63%)
    92 / 1660 (5.54%)
         occurrences all number
    35
    57
    17
    109
    Myalgia
         subjects affected / exposed
    10 / 663 (1.51%)
    7 / 673 (1.04%)
    7 / 324 (2.16%)
    24 / 1660 (1.45%)
         occurrences all number
    14
    10
    8
    32
    Pain in extremity
         subjects affected / exposed
    15 / 663 (2.26%)
    17 / 673 (2.53%)
    7 / 324 (2.16%)
    39 / 1660 (2.35%)
         occurrences all number
    17
    17
    8
    42
    Tendonitis
         subjects affected / exposed
    6 / 663 (0.90%)
    1 / 673 (0.15%)
    7 / 324 (2.16%)
    14 / 1660 (0.84%)
         occurrences all number
    7
    1
    7
    15
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    24 / 663 (3.62%)
    27 / 673 (4.01%)
    10 / 324 (3.09%)
    61 / 1660 (3.67%)
         occurrences all number
    25
    30
    12
    67
    Conjunctivitis
         subjects affected / exposed
    33 / 663 (4.98%)
    21 / 673 (3.12%)
    15 / 324 (4.63%)
    69 / 1660 (4.16%)
         occurrences all number
    42
    26
    19
    87
    Folliculitis
         subjects affected / exposed
    16 / 663 (2.41%)
    21 / 673 (3.12%)
    7 / 324 (2.16%)
    44 / 1660 (2.65%)
         occurrences all number
    19
    23
    9
    51
    Gastroenteritis
         subjects affected / exposed
    21 / 663 (3.17%)
    14 / 673 (2.08%)
    6 / 324 (1.85%)
    41 / 1660 (2.47%)
         occurrences all number
    22
    14
    6
    42
    Influenza
         subjects affected / exposed
    15 / 663 (2.26%)
    17 / 673 (2.53%)
    8 / 324 (2.47%)
    40 / 1660 (2.41%)
         occurrences all number
    16
    20
    8
    44
    Nasopharyngitis
         subjects affected / exposed
    189 / 663 (28.51%)
    189 / 673 (28.08%)
    66 / 324 (20.37%)
    444 / 1660 (26.75%)
         occurrences all number
    296
    284
    108
    688
    Oral candidiasis
         subjects affected / exposed
    16 / 663 (2.41%)
    30 / 673 (4.46%)
    14 / 324 (4.32%)
    60 / 1660 (3.61%)
         occurrences all number
    23
    41
    16
    80
    Oral herpes
         subjects affected / exposed
    16 / 663 (2.41%)
    8 / 673 (1.19%)
    7 / 324 (2.16%)
    31 / 1660 (1.87%)
         occurrences all number
    23
    11
    10
    44
    Otitis externa
         subjects affected / exposed
    9 / 663 (1.36%)
    7 / 673 (1.04%)
    7 / 324 (2.16%)
    23 / 1660 (1.39%)
         occurrences all number
    10
    8
    7
    25
    Pharyngitis
         subjects affected / exposed
    28 / 663 (4.22%)
    19 / 673 (2.82%)
    10 / 324 (3.09%)
    57 / 1660 (3.43%)
         occurrences all number
    33
    21
    11
    65
    Rhinitis
         subjects affected / exposed
    37 / 663 (5.58%)
    37 / 673 (5.50%)
    11 / 324 (3.40%)
    85 / 1660 (5.12%)
         occurrences all number
    47
    50
    13
    110
    Sinusitis
         subjects affected / exposed
    11 / 663 (1.66%)
    16 / 673 (2.38%)
    11 / 324 (3.40%)
    38 / 1660 (2.29%)
         occurrences all number
    11
    19
    14
    44
    Tinea pedis
         subjects affected / exposed
    16 / 663 (2.41%)
    18 / 673 (2.67%)
    7 / 324 (2.16%)
    41 / 1660 (2.47%)
         occurrences all number
    16
    18
    7
    41
    Tonsillitis
         subjects affected / exposed
    22 / 663 (3.32%)
    34 / 673 (5.05%)
    11 / 324 (3.40%)
    67 / 1660 (4.04%)
         occurrences all number
    29
    39
    14
    82
    Upper respiratory tract infection
         subjects affected / exposed
    39 / 663 (5.88%)
    25 / 673 (3.71%)
    20 / 324 (6.17%)
    84 / 1660 (5.06%)
         occurrences all number
    51
    29
    23
    103
    Urinary tract infection
         subjects affected / exposed
    26 / 663 (3.92%)
    21 / 673 (3.12%)
    13 / 324 (4.01%)
    60 / 1660 (3.61%)
         occurrences all number
    38
    29
    15
    82

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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