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    Clinical Trial Results:
    A phase II, randomized, parallel group, placebo-controlled, double-blinded, dose-finding study to evaluate efficacy, safety, tolerability, and pharmacokinetics of ABY-035 in subjects with moderate-to-severe plaque psoriasis (AFFIRM-35)

    Summary
    EudraCT number
    2017-001615-36
    Trial protocol
    DE  
    Global end of trial date
    03 Dec 2021

    Results information
    Results version number
    v1(current)
    This version publication date
    15 Dec 2022
    First version publication date
    15 Dec 2022
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    ABY-035-002
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03591887
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Affibody AB
    Sponsor organisation address
    Sheeles väg 2, Solna, Sweden, 171 65
    Public contact
    Director Regulatory Affairs, Affibody AB, +46 8 59 88 38 00, camilla.sandell@affibody.se
    Scientific contact
    Director Regulatory Affairs, Affibody AB, +46 8 59 88 38 00, camilla.sandell@affibody.se
    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
    03 Dec 2021
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    27 Mar 2019
    Global end of trial reached?
    Yes
    Global end of trial date
    03 Dec 2021
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the efficacy, defined as Psoriasis Area and Severity Index (PASI) 90 response, of different dose levels of ABY-035 compared to placebo in subjects with moderate-to-severe plaque psoriasis after 12 weeks of treatment.
    Protection of trial subjects
    This study was conducted in accordance with International Conference on Harmonization (ICH) Good Clinical Practice, and the principles of the Declaration of Helsinki, in addition to following the laws and regulations of the country or countries in which a study is conducted.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    07 Mar 2018
    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
    Germany: 108
    Worldwide total number of subjects
    108
    EEA total number of subjects
    108
    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)
    107
    From 65 to 84 years
    1
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    The Phase 2 study was conducted in approx. 20 sites in Germany. It consists of a 52-week Core study and 2 optional 52-week periods, Extension and Prolongation of Extension. The Core study consists of 3 periods: Induction (placebo-controlled, Week 0-12), Optimization (Week 12-24) and Individualization (Week 24-52)

    Pre-assignment
    Screening details
    The enrollment phase lasted for up to 4 weeks to determine main baseline characteristics.

    Period 1
    Period 1 title
    Core Study
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Assessor
    Blinding implementation details
    The Core study is randomized, parallel group, double-blind, double-dummy, placebo-controlled and consists of 3 periods: Induction (placebo-controlled, Week 0-12), Optimization (Week 12-24) and Individualization (Week 24-52). The dosing regimen (the dose level and dose interval) were adjusted in the Optimization and Individualization periods according to clinical response in a blinded manner.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    ABY-035 2 mg - 2/20 mg Q2W - 20/80 mg Q4W/Q8W
    Arm description
    Subjects randomized to ABY-035 2 mg Q2W in Induction period, then received either 2 mg Q2W or 20 mg Q2W in Optimization period, and 20 mg Q4W or Q8W, or 80 mg Q4W or Q8W in the Individualization period based on treatment response
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Arm title
    ABY-035 20 mg - 20/80 mg Q2W - 20/80 mg Q4W/Q8W
    Arm description
    Subjects randomized to ABY-035 20 mg Q2W in Induction period, receiving either 20 mg Q2W or 80 mg Q2W in Optimization period, and 20 mg Q4W or Q8W, or 80 mg Q4W or Q8W in the Individualization period based on treatment response
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Arm title
    ABY-035 80 mg - 80/160 mg Q2W - 80/160 mg Q4W/Q8W
    Arm description
    Subjects randomized to ABY-035 80 mg Q2W in Induction period, receiving either 80 mg Q2W or 160 mg Q2W in Optimization period, and 80 mg Q4W or Q8W, or 160 mg Q8W in the Individualization period based on treatment response
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Arm title
    ABY-035 160 mg - 160 mg Q2W/Q4W - 160 mg Q4W/Q8W
    Arm description
    Subjects randomized to ABY-035 160 mg Q2W in Induction period, receiving either 160 mg Q2W or Q4W in Optimization period, and 160 mg Q4W or Q8W in the Individualization period based on treatment response
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Arm title
    Placebo - 80 mg Q4W - 80 mg Q4W/Q8W
    Arm description
    Subjects randomized to Placebo in Induction period, receiving 80 mg Q4W in Optimization period, and 80 mg Q4W or Q8W in the Individualization period based on treatment response
    Arm type
    Placebo + experimental

    Investigational medicinal product name
    Placebo + Experimental
    Investigational medicinal product code
    Other name
    placebo, izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Saline solution was used as placebo. ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Number of subjects in period 1
    ABY-035 2 mg - 2/20 mg Q2W - 20/80 mg Q4W/Q8W ABY-035 20 mg - 20/80 mg Q2W - 20/80 mg Q4W/Q8W ABY-035 80 mg - 80/160 mg Q2W - 80/160 mg Q4W/Q8W ABY-035 160 mg - 160 mg Q2W/Q4W - 160 mg Q4W/Q8W Placebo - 80 mg Q4W - 80 mg Q4W/Q8W
    Started
    21
    22
    21
    22
    22
    Completed
    17
    17
    17
    19
    18
    Not completed
    4
    5
    4
    3
    4
         Consent withdrawn by subject
    2
    1
    1
    1
    2
         Physician decision
    -
    1
    -
    -
    -
         Adverse event, non-fatal
    -
    2
    2
    2
    1
         Lost to follow-up
    1
    -
    1
    -
    -
         Violation of inclusion criteria
    -
    1
    -
    -
    -
         Lack of efficacy
    1
    -
    -
    -
    1
    Period 2
    Period 2 title
    Extension period
    Is this the baseline period?
    No
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    Subjects completing the Core study period were offered to participate in the Extension period. The dose level and dosing interval in place at Week 48 of Core study were carried over into the Extension period. After an amendment and upon subject consent, changes in dose level or dose interval in the Extension period were performed based on PASI response.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    ABY-035 20 mg Q4W
    Arm description
    Subjects starting the optional Extension period on ABY-035 20 mg Q4W. After an amendment, dose could be changed based on PASI response, to 80 mg Q4W or further to 160 mg Q4W
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Arm title
    ABY-035 20 mg Q8W
    Arm description
    Subjects starting the optional Extension period on ABY-035 20 mg Q8W. After an amendment, dose could be changed based on PASI response, to 80 mg Q4W or further to 160 mg Q4W
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Arm title
    ABY-035 80 mg Q4W
    Arm description
    Subjects starting the optional Extension period on ABY-035 80 mg Q4W. After an amendment, dose could be changed based on PASI response, to 160 mg Q4W
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Arm title
    ABY-035 80 mg Q8W
    Arm description
    Subjects starting the optional Extension period on ABY-035 80 mg Q8W. After an amendment, dose could be changed based on PASI response, to 80 mg Q4W or further to 160 mg Q4W
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Arm title
    ABY-035 160 mg Q4W
    Arm description
    Subjects treated with ABY-035 160 mg Q4W in the optional Extension period
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Arm title
    ABY-035 160 mg Q8W
    Arm description
    Subjects starting the optional Extension period on ABY-035 160 mg Q8W. After an amendment, dose could be changed based on PASI response, to 160 mg Q4W
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Number of subjects in period 2 [1]
    ABY-035 20 mg Q4W ABY-035 20 mg Q8W ABY-035 80 mg Q4W ABY-035 80 mg Q8W ABY-035 160 mg Q4W ABY-035 160 mg Q8W
    Started
    7
    5
    36
    15
    8
    12
    Completed
    6
    5
    29
    12
    7
    12
    Not completed
    1
    0
    7
    3
    1
    0
         Consent withdrawn by subject
    -
    -
    3
    2
    -
    -
         Adverse event, non-fatal
    1
    -
    1
    -
    -
    -
         Lost to follow-up
    -
    -
    1
    -
    -
    -
         Lack of efficacy
    -
    -
    2
    1
    1
    -
    Notes
    [1] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period.
    Justification: The number of subjects starting the Extension period is different from the number of subjects completing the Core study as the Extension period was optional
    Period 3
    Period 3 title
    Prolongation of Extension
    Is this the baseline period?
    No
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    Subjects completing the Extension period were offered to participate in the Prolongation of Extension period. ABY-035 treatment could be intensified in up to two steps depending on PASI response during the period. Subjects were analyzed according to their highest dose / shortest interval received during the Prolongation of Extension period.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    ABY-035 80 mg Q4W
    Arm description
    Subjects that in the optional Prolongation of Extension period received ABY-035 80 mg Q4W as highest dose / shortest interval
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Arm title
    ABY-035 80 mg Q8W
    Arm description
    Subjects that in the optional Prolongation of Extension period received ABY-035 80 mg Q8W as highest dose / shortest interval
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Arm title
    ABY-035 160 mg Q4W
    Arm description
    Subjects that in the optional Prolongation of Extension period received ABY-035 160 mg Q4W as highest dose / shortest interval
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Arm title
    ABY-035 160 mg Q8W
    Arm description
    Subjects that in the optional Prolongation of Extension period received ABY-035 160 mg Q8W as highest dose / shortest interval
    Arm type
    Experimental

    Investigational medicinal product name
    ABY-035
    Investigational medicinal product code
    Other name
    izokibep
    Pharmaceutical forms
    Solution for injection in vial
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    The IMP, ABY-035, was supplied by the Sponsor and distributed by the Service Provider in charge. The IMP was provided frozen in 2 mL glass vials filled with 1.2 or 1.3 mL (depending on the batch used) IMP with the nominal concentrations of 20 mg/mL and 80 mg/mL ± 10%.

    Number of subjects in period 3 [2]
    ABY-035 80 mg Q4W ABY-035 80 mg Q8W ABY-035 160 mg Q4W ABY-035 160 mg Q8W
    Started
    20
    3
    39
    6
    Completed
    13
    2
    22
    4
    Not completed
    7
    1
    17
    2
         Consent withdrawn by subject
    1
    -
    2
    1
         Physician decision
    -
    -
    1
    -
         Secondary lack of efficacy
    1
    -
    -
    -
         Lost to follow-up
    -
    -
    1
    -
         Sponsor terminated study
    5
    1
    13
    1
    Notes
    [2] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period.
    Justification: The number of subjects starting the Prolongation of Extension period is different from the number of subjects completing the Extension period as the Prolongation of Extension period was optional

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    ABY-035 2 mg - 2/20 mg Q2W - 20/80 mg Q4W/Q8W
    Reporting group description
    Subjects randomized to ABY-035 2 mg Q2W in Induction period, then received either 2 mg Q2W or 20 mg Q2W in Optimization period, and 20 mg Q4W or Q8W, or 80 mg Q4W or Q8W in the Individualization period based on treatment response

    Reporting group title
    ABY-035 20 mg - 20/80 mg Q2W - 20/80 mg Q4W/Q8W
    Reporting group description
    Subjects randomized to ABY-035 20 mg Q2W in Induction period, receiving either 20 mg Q2W or 80 mg Q2W in Optimization period, and 20 mg Q4W or Q8W, or 80 mg Q4W or Q8W in the Individualization period based on treatment response

    Reporting group title
    ABY-035 80 mg - 80/160 mg Q2W - 80/160 mg Q4W/Q8W
    Reporting group description
    Subjects randomized to ABY-035 80 mg Q2W in Induction period, receiving either 80 mg Q2W or 160 mg Q2W in Optimization period, and 80 mg Q4W or Q8W, or 160 mg Q8W in the Individualization period based on treatment response

    Reporting group title
    ABY-035 160 mg - 160 mg Q2W/Q4W - 160 mg Q4W/Q8W
    Reporting group description
    Subjects randomized to ABY-035 160 mg Q2W in Induction period, receiving either 160 mg Q2W or Q4W in Optimization period, and 160 mg Q4W or Q8W in the Individualization period based on treatment response

    Reporting group title
    Placebo - 80 mg Q4W - 80 mg Q4W/Q8W
    Reporting group description
    Subjects randomized to Placebo in Induction period, receiving 80 mg Q4W in Optimization period, and 80 mg Q4W or Q8W in the Individualization period based on treatment response

    Reporting group values
    ABY-035 2 mg - 2/20 mg Q2W - 20/80 mg Q4W/Q8W ABY-035 20 mg - 20/80 mg Q2W - 20/80 mg Q4W/Q8W ABY-035 80 mg - 80/160 mg Q2W - 80/160 mg Q4W/Q8W ABY-035 160 mg - 160 mg Q2W/Q4W - 160 mg Q4W/Q8W Placebo - 80 mg Q4W - 80 mg Q4W/Q8W Total
    Number of subjects
    21 22 21 22 22 108
    Age categorical
    Units: Subjects
        In utero
    0 0 0 0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0 0 0 0
        Newborns (0-27 days)
    0 0 0 0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0 0 0 0
        Children (2-11 years)
    0 0 0 0 0 0
        Adolescents (12-17 years)
    0 0 0 0 0 0
        Adults (18-64 years)
    21 22 21 22 21 107
        From 65-84 years
    0 0 0 0 1 1
        85 years and over
    0 0 0 0 0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    41.6 ± 13.8 44.7 ± 12.3 42.0 ± 13.8 43.2 ± 11.4 38.4 ± 13.0 -
    Gender categorical
    Units: Subjects
        Female
    9 6 7 10 7 39
        Male
    12 16 14 12 15 69
    Race
    Units: Subjects
        White
    21 22 20 22 20 105
        Black or African American
    1 1
        Asian
    1 1 2
    BMI
    Body Mass Index
    Units: kg/m2
        arithmetic mean (standard deviation)
    30.5 ± 5.5 30.4 ± 6.6 26.0 ± 3.6 28.5 ± 6.7 29.3 ± 5.4 -
    PASI
    The PASI (Psoriasis Area and Severity Index) is a scoring method that was used for the assessment and grading of the severity of the subject’s psoriasis. The severity of the disease was calculated by scoring the signs of the disease (erythema, induration and scaling) for each body region. Overall scores ranged from 0 (no psoriasis) to 72 (the most severe disease).
    Units: Score
        arithmetic mean (standard deviation)
    18.4 ± 7.0 20.1 ± 8.4 22.7 ± 10.1 17.9 ± 6.6 18.9 ± 8.2 -
    Subject analysis sets

    Subject analysis set title
    ABY-035 2 mg Q2W 0-12 weeks
    Subject analysis set type
    Full analysis
    Subject analysis set description
    ABY-035 2 mg Q2W. The Full Analysis Set included all randomized subjects who received at least one dose of study drug and had at least one PASI result after baseline.

    Subject analysis set title
    ABY-035 20 mg Q2W 0-12 weeks
    Subject analysis set type
    Full analysis
    Subject analysis set description
    ABY-035 20 mg Q2W. The Full Analysis Set included all randomized subjects who received at least one dose of study drug and had at least one PASI result after baseline.

    Subject analysis set title
    ABY-035 80 mg Q2W 0-12 weeks
    Subject analysis set type
    Full analysis
    Subject analysis set description
    ABY-035 80 mg Q2W. The Full Analysis Set included all randomized subjects who received at least one dose of study drug and had at least one PASI result after baseline.

    Subject analysis set title
    ABY-035 160 mg Q2W 0-12 weeks
    Subject analysis set type
    Full analysis
    Subject analysis set description
    ABY-035 160 mg Q2W. The Full Analysis Set included all randomized subjects who received at least one dose of study drug and had at least one PASI result after baseline.

    Subject analysis set title
    Placebo 0-12 weeks
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Placebo Q2W. The Full Analysis Set included all randomized subjects who received at least one dose of study drug and had at least one PASI result after baseline.

    Subject analysis sets values
    ABY-035 2 mg Q2W 0-12 weeks ABY-035 20 mg Q2W 0-12 weeks ABY-035 80 mg Q2W 0-12 weeks ABY-035 160 mg Q2W 0-12 weeks Placebo 0-12 weeks
    Number of subjects
    20
    21
    21
    22
    22
    Age categorical
    Units: Subjects
        In utero
    0
    0
    0
    0
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
    0
    0
    0
    0
        Newborns (0-27 days)
    0
    0
    0
    0
    0
        Infants and toddlers (28 days-23 months)
    0
    0
    0
    0
    0
        Children (2-11 years)
    0
    0
    0
    0
    0
        Adolescents (12-17 years)
    0
    0
    0
    0
    0
        Adults (18-64 years)
    20
    21
    21
    22
    22
        From 65-84 years
    0
    0
    0
    0
    0
        85 years and over
    0
    0
    0
    0
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    40.5 ± 13.1
    45.0 ± 12.5
    42.0 ± 13.8
    43.2 ± 11.4
    38.4 ± 13.0
    Gender categorical
    Units: Subjects
        Female
    8
    6
    7
    10
    7
        Male
    12
    15
    14
    12
    15
    Race
    Units: Subjects
        White
    20
    21
    20
    22
    20
        Black or African American
    1
        Asian
    1
    1
    BMI
    Body Mass Index
    Units: kg/m2
        arithmetic mean (standard deviation)
    30.2 ± 5.5
    29.8 ± 6.2
    26.0 ± 3.6
    28.5 ± 6.7
    29.3 ± 5.4
    PASI
    The PASI (Psoriasis Area and Severity Index) is a scoring method that was used for the assessment and grading of the severity of the subject’s psoriasis. The severity of the disease was calculated by scoring the signs of the disease (erythema, induration and scaling) for each body region. Overall scores ranged from 0 (no psoriasis) to 72 (the most severe disease).
    Units: Score
        arithmetic mean (standard deviation)
    18.0 ± 6.9
    20.2 ± 8.6
    22.7 ± 10.1
    17.9 ± 6.6
    18.9 ± 8.2

    End points

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    End points reporting groups
    Reporting group title
    ABY-035 2 mg - 2/20 mg Q2W - 20/80 mg Q4W/Q8W
    Reporting group description
    Subjects randomized to ABY-035 2 mg Q2W in Induction period, then received either 2 mg Q2W or 20 mg Q2W in Optimization period, and 20 mg Q4W or Q8W, or 80 mg Q4W or Q8W in the Individualization period based on treatment response

    Reporting group title
    ABY-035 20 mg - 20/80 mg Q2W - 20/80 mg Q4W/Q8W
    Reporting group description
    Subjects randomized to ABY-035 20 mg Q2W in Induction period, receiving either 20 mg Q2W or 80 mg Q2W in Optimization period, and 20 mg Q4W or Q8W, or 80 mg Q4W or Q8W in the Individualization period based on treatment response

    Reporting group title
    ABY-035 80 mg - 80/160 mg Q2W - 80/160 mg Q4W/Q8W
    Reporting group description
    Subjects randomized to ABY-035 80 mg Q2W in Induction period, receiving either 80 mg Q2W or 160 mg Q2W in Optimization period, and 80 mg Q4W or Q8W, or 160 mg Q8W in the Individualization period based on treatment response

    Reporting group title
    ABY-035 160 mg - 160 mg Q2W/Q4W - 160 mg Q4W/Q8W
    Reporting group description
    Subjects randomized to ABY-035 160 mg Q2W in Induction period, receiving either 160 mg Q2W or Q4W in Optimization period, and 160 mg Q4W or Q8W in the Individualization period based on treatment response

    Reporting group title
    Placebo - 80 mg Q4W - 80 mg Q4W/Q8W
    Reporting group description
    Subjects randomized to Placebo in Induction period, receiving 80 mg Q4W in Optimization period, and 80 mg Q4W or Q8W in the Individualization period based on treatment response
    Reporting group title
    ABY-035 20 mg Q4W
    Reporting group description
    Subjects starting the optional Extension period on ABY-035 20 mg Q4W. After an amendment, dose could be changed based on PASI response, to 80 mg Q4W or further to 160 mg Q4W

    Reporting group title
    ABY-035 20 mg Q8W
    Reporting group description
    Subjects starting the optional Extension period on ABY-035 20 mg Q8W. After an amendment, dose could be changed based on PASI response, to 80 mg Q4W or further to 160 mg Q4W

    Reporting group title
    ABY-035 80 mg Q4W
    Reporting group description
    Subjects starting the optional Extension period on ABY-035 80 mg Q4W. After an amendment, dose could be changed based on PASI response, to 160 mg Q4W

    Reporting group title
    ABY-035 80 mg Q8W
    Reporting group description
    Subjects starting the optional Extension period on ABY-035 80 mg Q8W. After an amendment, dose could be changed based on PASI response, to 80 mg Q4W or further to 160 mg Q4W

    Reporting group title
    ABY-035 160 mg Q4W
    Reporting group description
    Subjects treated with ABY-035 160 mg Q4W in the optional Extension period

    Reporting group title
    ABY-035 160 mg Q8W
    Reporting group description
    Subjects starting the optional Extension period on ABY-035 160 mg Q8W. After an amendment, dose could be changed based on PASI response, to 160 mg Q4W
    Reporting group title
    ABY-035 80 mg Q4W
    Reporting group description
    Subjects that in the optional Prolongation of Extension period received ABY-035 80 mg Q4W as highest dose / shortest interval

    Reporting group title
    ABY-035 80 mg Q8W
    Reporting group description
    Subjects that in the optional Prolongation of Extension period received ABY-035 80 mg Q8W as highest dose / shortest interval

    Reporting group title
    ABY-035 160 mg Q4W
    Reporting group description
    Subjects that in the optional Prolongation of Extension period received ABY-035 160 mg Q4W as highest dose / shortest interval

    Reporting group title
    ABY-035 160 mg Q8W
    Reporting group description
    Subjects that in the optional Prolongation of Extension period received ABY-035 160 mg Q8W as highest dose / shortest interval

    Subject analysis set title
    ABY-035 2 mg Q2W 0-12 weeks
    Subject analysis set type
    Full analysis
    Subject analysis set description
    ABY-035 2 mg Q2W. The Full Analysis Set included all randomized subjects who received at least one dose of study drug and had at least one PASI result after baseline.

    Subject analysis set title
    ABY-035 20 mg Q2W 0-12 weeks
    Subject analysis set type
    Full analysis
    Subject analysis set description
    ABY-035 20 mg Q2W. The Full Analysis Set included all randomized subjects who received at least one dose of study drug and had at least one PASI result after baseline.

    Subject analysis set title
    ABY-035 80 mg Q2W 0-12 weeks
    Subject analysis set type
    Full analysis
    Subject analysis set description
    ABY-035 80 mg Q2W. The Full Analysis Set included all randomized subjects who received at least one dose of study drug and had at least one PASI result after baseline.

    Subject analysis set title
    ABY-035 160 mg Q2W 0-12 weeks
    Subject analysis set type
    Full analysis
    Subject analysis set description
    ABY-035 160 mg Q2W. The Full Analysis Set included all randomized subjects who received at least one dose of study drug and had at least one PASI result after baseline.

    Subject analysis set title
    Placebo 0-12 weeks
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Placebo Q2W. The Full Analysis Set included all randomized subjects who received at least one dose of study drug and had at least one PASI result after baseline.

    Primary: Proportion of subjects who achieved a ≥90% reduction in PASI score (PASI 90 response) at Week 12

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    End point title
    Proportion of subjects who achieved a ≥90% reduction in PASI score (PASI 90 response) at Week 12 [1]
    End point description
    The PASI (Psoriasis Area and Severity Index) is a scoring method that was used for the assessment and grading of the severity of the subject’s psoriasis. The severity of the disease was calculated by scoring the signs of the disease (erythema, induration and scaling) for each body region. Overall scores range from 0 (no psoriasis) to 72 (the most severe disease). The primary efficacy variable, PASI 90 response, was defined as having an improvement (reduction) of ≥90% in PASI score compared to Baseline.
    End point type
    Primary
    End point timeframe
    Baseline to Week 12 in the Induction period
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistics were performed, no inferential statistical analysis was performed
    End point values
    ABY-035 2 mg Q2W 0-12 weeks ABY-035 20 mg Q2W 0-12 weeks ABY-035 80 mg Q2W 0-12 weeks ABY-035 160 mg Q2W 0-12 weeks Placebo 0-12 weeks
    Number of subjects analysed
    20
    21
    21
    22
    22
    Units: Percentage Responders
        number (not applicable)
    5.0
    19.0
    71.4
    59.1
    0.0
    No statistical analyses for this end point

    Secondary: Proportion of subjects who achieved sPGA score of 0 or 1 at Week 12

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    End point title
    Proportion of subjects who achieved sPGA score of 0 or 1 at Week 12
    End point description
    The sPGA (Static Physician’s Global Assessment) is the assessment by the Investigator of the overall disease severity at the time of evaluation. The sPGA is a 5-point scale ranging from 0 (clear) to 4 (severe), incorporating an assessment of the severity of the three primary signs of the disease: erythema, scaling, and plaque elevation.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 12 in the Induction period
    End point values
    ABY-035 2 mg Q2W 0-12 weeks ABY-035 20 mg Q2W 0-12 weeks ABY-035 80 mg Q2W 0-12 weeks ABY-035 160 mg Q2W 0-12 weeks Placebo 0-12 weeks
    Number of subjects analysed
    20
    21
    21
    22
    22
    Units: Percentage of subjects
        number (not applicable)
    5.0
    23.8
    61.9
    63.6
    0.0
    No statistical analyses for this end point

    Secondary: Proportion of subjects who achieved DLQI score of 0 or 1 at Week 12

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    End point title
    Proportion of subjects who achieved DLQI score of 0 or 1 at Week 12
    End point description
    The DLQI (Dermatology Life Quality Index) is a questionnaire where subjects are asked about the impact of their disease and the respective treatment on their lives. The DLQI score is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life was impaired.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 12 in the Induction period
    End point values
    ABY-035 2 mg Q2W 0-12 weeks ABY-035 20 mg Q2W 0-12 weeks ABY-035 80 mg Q2W 0-12 weeks ABY-035 160 mg Q2W 0-12 weeks Placebo 0-12 weeks
    Number of subjects analysed
    20
    21
    21
    22
    22
    Units: Percentage of subjects
        number (not applicable)
    10.0
    47.6
    57.1
    68.2
    4.5
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Serious Adverse Events were recorded from the signing of informed consent and Adverse Events were recorded from the first administration of ABY-035/placebo until the End of Study Visit.
    Adverse event reporting additional description
    Summary tables for adverse events are provided in a time-dependent manner, Weeks 0-12, Weeks 12-24, Weeks 24-52, and Weeks 0-52 in each Extension period.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    20.1
    Reporting groups
    Reporting group title
    Week 0-12: ABY-035 2 mg
    Reporting group description
    Induction period Week 0-12, subjects receiving ABY-035 2 mg Q2W

    Reporting group title
    Week 0-12: ABY-035 20 mg
    Reporting group description
    Induction period Week 0-12, subjects receiving ABY-035 20 mg Q2W

    Reporting group title
    Week 0-12: ABY-035 80 mg
    Reporting group description
    Induction period Week 0-12, subjects receiving ABY-035 80 mg Q2W

    Reporting group title
    Week 0-12: ABY-035 160 mg
    Reporting group description
    Induction period Week 0-12, subjects receiving ABY-035 160 mg Q2W

    Reporting group title
    Week 0-12: Placebo
    Reporting group description
    Induction period Week 0-12, subjects receiving Placebo Q2W

    Reporting group title
    Week 12-24: ABY-035 2 mg - 2/20 mg Q2W
    Reporting group description
    Optimization period Week 12-24. ABY-035 2 mg in Induction, receiving either 2 mg Q2W or 20 mg Q2W in Optimization

    Reporting group title
    Week 12-24: ABY-035 20 mg - 20/80 mg Q2W
    Reporting group description
    Optimization period Week 12-24. ABY-035 20 mg Q2W in Induction, receiving either 20 mg Q2W or 80 mg Q2W in Optimization

    Reporting group title
    Week 12-24: ABY-035 80 mg - 80/160 mg Q2W
    Reporting group description
    Optimization period Week 12-24. ABY-035 80 mg Q2W in Induction, receiving either 80 mg Q2W or 160 mg Q2W in Optimization

    Reporting group title
    Week 12-24: ABY-035 160 mg - 160 mg Q2W/Q4W
    Reporting group description
    Optimization period Week 12-24. ABY-035 160 mg Q2W in Induction, receiving either 160 mg Q2W or Q4W in Optimization

    Reporting group title
    Week 12-24: Placebo - 80 mg Q4W
    Reporting group description
    Optimization period Week 12-24. Placebo in Induction, receiving 80 mg Q4W in Optimization

    Reporting group title
    Week 24-52: ABY-035 2 mg - 2/20 mg Q2W - 2/20/80 mg Q4W/Q8W
    Reporting group description
    Individualization period Week 24-52. ABY-035 2 mg Q2W in Induction, receiving either 2 mg Q2W or 20 mg Q2W in Optimization, treatment could be further individualized to 20 mg Q4W or Q8W, or 80 mg Q4W or Q8W based on treatment response

    Reporting group title
    Week 24-52: ABY-035 20 mg - 20/80 mg Q2W - 20/80 mg Q4W/Q8W
    Reporting group description
    Individualization period Week 24-52. ABY-035 20 mg Q2W in Induction, receiving either 20 mg Q2W or 80 mg Q2W in Optimization, treatment could be further individualized to 20 mg Q4W or Q8W, or 80 mg Q4W or Q8W based on treatment response

    Reporting group title
    Week 24-52: ABY-035 80 mg - 80/160 mg Q2W - 80/160 mg Q4W/Q8W
    Reporting group description
    ABY-035 80 mg Q2W in Induction, receiving either 80 mg Q2W or 160 mg Q2W in Optimization, treatment could be further individualized to 80 mg Q4W or Q8W, or 160 mg Q4W or Q8W based on treatment response

    Reporting group title
    Week 24-52: ABY-035 160 mg - 160 mg Q2W/Q4W - 160 mg Q4W/Q8W
    Reporting group description
    ABY-035 160 mg Q2W in Induction, receiving either 160 mg Q2W or Q4W in Optimization, treatment could be further individualized to 160 mg Q4W or Q8W based on treatment response

    Reporting group title
    Week 24-52: Placebo - 80 mg Q4W - 80 mg Q4W/Q8W
    Reporting group description
    Placebo in Induction, receiving 80 mg Q4W in Optimization, treatment could be further individualized to 80 mg Q4W or Q8W based on treatment response

    Reporting group title
    Extension period ABY-035
    Reporting group description
    All subjects continuing in the optional Extension period. The dose level/interval could be adjusted based on the PASI response

    Reporting group title
    Prolongation of Extension period ABY-035
    Reporting group description
    All subjects continuing in the optional Prolongation of Extension period. The dose level/interval could be adjusted based on the PASI response

    Serious adverse events
    Week 0-12: ABY-035 2 mg Week 0-12: ABY-035 20 mg Week 0-12: ABY-035 80 mg Week 0-12: ABY-035 160 mg Week 0-12: Placebo Week 12-24: ABY-035 2 mg - 2/20 mg Q2W Week 12-24: ABY-035 20 mg - 20/80 mg Q2W Week 12-24: ABY-035 80 mg - 80/160 mg Q2W Week 12-24: ABY-035 160 mg - 160 mg Q2W/Q4W Week 12-24: Placebo - 80 mg Q4W Week 24-52: ABY-035 2 mg - 2/20 mg Q2W - 2/20/80 mg Q4W/Q8W Week 24-52: ABY-035 20 mg - 20/80 mg Q2W - 20/80 mg Q4W/Q8W Week 24-52: ABY-035 80 mg - 80/160 mg Q2W - 80/160 mg Q4W/Q8W Week 24-52: ABY-035 160 mg - 160 mg Q2W/Q4W - 160 mg Q4W/Q8W Week 24-52: Placebo - 80 mg Q4W - 80 mg Q4W/Q8W Extension period ABY-035 Prolongation of Extension period ABY-035
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    1 / 22 (4.55%)
    2 / 22 (9.09%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    3 / 22 (13.64%)
    1 / 21 (4.76%)
    1 / 22 (4.55%)
    1 / 22 (4.55%)
    7 / 83 (8.43%)
    3 / 68 (4.41%)
         number of deaths (all causes)
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Fibroadenoma of breast
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Endometrial adenocarcinoma
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Meniscus injury
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Chemical peritonitis
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Hypertensive emergency
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Coronary artery disease
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac arrest
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    1 / 22 (4.55%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ventricular fibrillation
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pericarditis
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pericardial effusion
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Surgical and medical procedures
    Thyroidectomy
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    1 / 68 (1.47%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Syncope
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    Sarcoidosis
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urogenital fistula
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Depression
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Osteoarthritis
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    0 / 68 (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
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intervertebral disc protrusion
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Tonsillitis
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infection
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Subcutaneous abscess
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    1 / 68 (1.47%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Chronic sinusitis
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    1 / 68 (1.47%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    Week 0-12: ABY-035 2 mg Week 0-12: ABY-035 20 mg Week 0-12: ABY-035 80 mg Week 0-12: ABY-035 160 mg Week 0-12: Placebo Week 12-24: ABY-035 2 mg - 2/20 mg Q2W Week 12-24: ABY-035 20 mg - 20/80 mg Q2W Week 12-24: ABY-035 80 mg - 80/160 mg Q2W Week 12-24: ABY-035 160 mg - 160 mg Q2W/Q4W Week 12-24: Placebo - 80 mg Q4W Week 24-52: ABY-035 2 mg - 2/20 mg Q2W - 2/20/80 mg Q4W/Q8W Week 24-52: ABY-035 20 mg - 20/80 mg Q2W - 20/80 mg Q4W/Q8W Week 24-52: ABY-035 80 mg - 80/160 mg Q2W - 80/160 mg Q4W/Q8W Week 24-52: ABY-035 160 mg - 160 mg Q2W/Q4W - 160 mg Q4W/Q8W Week 24-52: Placebo - 80 mg Q4W - 80 mg Q4W/Q8W Extension period ABY-035 Prolongation of Extension period ABY-035
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    12 / 21 (57.14%)
    11 / 22 (50.00%)
    12 / 21 (57.14%)
    20 / 22 (90.91%)
    12 / 22 (54.55%)
    9 / 21 (42.86%)
    14 / 22 (63.64%)
    12 / 21 (57.14%)
    13 / 22 (59.09%)
    9 / 22 (40.91%)
    9 / 21 (42.86%)
    14 / 22 (63.64%)
    10 / 21 (47.62%)
    11 / 22 (50.00%)
    15 / 22 (68.18%)
    55 / 83 (66.27%)
    27 / 68 (39.71%)
    Investigations
    Blood creatine phosphokinase increased
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    2 / 22 (9.09%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    1 / 68 (1.47%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    2
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    Vascular disorders
    Hypertension
         subjects affected / exposed
    0 / 21 (0.00%)
    2 / 22 (9.09%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    3 / 22 (13.64%)
    6 / 83 (7.23%)
    1 / 68 (1.47%)
         occurrences all number
    0
    2
    1
    0
    0
    0
    0
    0
    1
    0
    0
    1
    1
    0
    3
    6
    1
    Nervous system disorders
    Headache
         subjects affected / exposed
    3 / 21 (14.29%)
    3 / 22 (13.64%)
    1 / 21 (4.76%)
    2 / 22 (9.09%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    1 / 22 (4.55%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    2 / 22 (9.09%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    2 / 21 (9.52%)
    2 / 22 (9.09%)
    2 / 22 (9.09%)
    7 / 83 (8.43%)
    6 / 68 (8.82%)
         occurrences all number
    5
    3
    1
    3
    0
    1
    1
    1
    0
    2
    1
    0
    2
    2
    2
    11
    7
    Dizziness
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    2 / 22 (9.09%)
    2 / 83 (2.41%)
    0 / 68 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    2
    3
    0
    General disorders and administration site conditions
    Injection site reaction
         subjects affected / exposed
    4 / 21 (19.05%)
    2 / 22 (9.09%)
    8 / 21 (38.10%)
    15 / 22 (68.18%)
    3 / 22 (13.64%)
    2 / 21 (9.52%)
    4 / 22 (18.18%)
    7 / 21 (33.33%)
    7 / 22 (31.82%)
    4 / 22 (18.18%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    3 / 21 (14.29%)
    1 / 22 (4.55%)
    3 / 22 (13.64%)
    8 / 83 (9.64%)
    4 / 68 (5.88%)
         occurrences all number
    4
    4
    30
    49
    3
    2
    10
    14
    11
    7
    0
    0
    4
    5
    11
    44
    22
    Fatigue
         subjects affected / exposed
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    4 / 22 (18.18%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    0 / 68 (0.00%)
         occurrences all number
    1
    0
    1
    4
    0
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    Injection site erythema
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    2 / 22 (9.09%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    2
    0
    0
    0
    1
    0
    0
    0
    0
    0
    0
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    2 / 21 (9.52%)
    1 / 22 (4.55%)
    2 / 21 (9.52%)
    5 / 22 (22.73%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    1 / 22 (4.55%)
    1 / 21 (4.76%)
    2 / 22 (9.09%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    1 / 68 (1.47%)
         occurrences all number
    4
    1
    2
    6
    0
    1
    1
    1
    3
    1
    0
    0
    0
    2
    0
    1
    1
    tooth ache
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    3 / 22 (13.64%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    3
    0
    0
    1
    1
    0
    0
    0
    0
    Abdominal pain upper
         subjects affected / exposed
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    2 / 21 (9.52%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    1 / 68 (1.47%)
         occurrences all number
    1
    0
    2
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    1
    Vomiting
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    2 / 22 (9.09%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    1 / 68 (1.47%)
         occurrences all number
    0
    0
    0
    3
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    1
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    1 / 21 (4.76%)
    2 / 22 (9.09%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    1 / 22 (4.55%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    2 / 22 (9.09%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    5 / 83 (6.02%)
    1 / 68 (1.47%)
         occurrences all number
    1
    2
    0
    1
    2
    1
    0
    0
    0
    0
    0
    2
    1
    0
    0
    6
    1
    Skin and subcutaneous tissue disorders
    Pruritus
         subjects affected / exposed
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    2 / 22 (9.09%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    0 / 68 (0.00%)
         occurrences all number
    2
    0
    1
    2
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    Psoriasis
         subjects affected / exposed
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    2 / 22 (9.09%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    1 / 22 (4.55%)
    3 / 83 (3.61%)
    2 / 68 (2.94%)
         occurrences all number
    0
    1
    0
    1
    0
    0
    1
    0
    0
    0
    0
    2
    0
    0
    1
    3
    2
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    2 / 22 (9.09%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    2 / 22 (9.09%)
    0 / 21 (0.00%)
    2 / 22 (9.09%)
    2 / 22 (9.09%)
    3 / 83 (3.61%)
    2 / 68 (2.94%)
         occurrences all number
    0
    0
    0
    2
    0
    0
    0
    0
    1
    0
    0
    2
    0
    2
    2
    3
    2
    Back pain
         subjects affected / exposed
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    1 / 22 (4.55%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    1 / 22 (4.55%)
    7 / 83 (8.43%)
    4 / 68 (5.88%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    0
    1
    1
    1
    0
    0
    0
    1
    7
    6
    Muscle tightness
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    2 / 22 (9.09%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    0 / 68 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    0
    0
    2
    0
    0
    0
    0
    0
    1
    0
    Tendonitis
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    2 / 21 (9.52%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 83 (0.00%)
    0 / 68 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2
    0
    0
    0
    0
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    3 / 21 (14.29%)
    4 / 22 (18.18%)
    3 / 21 (14.29%)
    9 / 22 (40.91%)
    7 / 22 (31.82%)
    1 / 21 (4.76%)
    8 / 22 (36.36%)
    6 / 21 (28.57%)
    5 / 22 (22.73%)
    2 / 22 (9.09%)
    8 / 21 (38.10%)
    8 / 22 (36.36%)
    6 / 21 (28.57%)
    8 / 22 (36.36%)
    6 / 22 (27.27%)
    36 / 83 (43.37%)
    8 / 68 (11.76%)
         occurrences all number
    4
    7
    3
    9
    8
    1
    11
    6
    5
    9
    12
    12
    9
    8
    6
    52
    8
    Urinary tract infection
         subjects affected / exposed
    1 / 21 (4.76%)
    1 / 22 (4.55%)
    1 / 21 (4.76%)
    1 / 22 (4.55%)
    3 / 22 (13.64%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    0 / 22 (0.00%)
    2 / 83 (2.41%)
    2 / 68 (2.94%)
         occurrences all number
    1
    2
    1
    1
    4
    1
    0
    0
    1
    1
    0
    1
    0
    1
    0
    2
    2
    Oral herpes
         subjects affected / exposed
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    2 / 22 (9.09%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    2 / 22 (9.09%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    0 / 22 (0.00%)
    1 / 21 (4.76%)
    1 / 22 (4.55%)
    0 / 22 (0.00%)
    1 / 83 (1.20%)
    2 / 68 (2.94%)
         occurrences all number
    1
    0
    0
    2
    0
    1
    0
    0
    2
    0
    1
    0
    3
    1
    0
    1
    2
    Bronchitis
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    2 / 22 (9.09%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    1 / 22 (4.55%)
    6 / 83 (7.23%)
    1 / 68 (1.47%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    1
    0
    2
    0
    1
    1
    6
    1
    Gastroenteritis
         subjects affected / exposed
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    1 / 22 (4.55%)
    1 / 22 (4.55%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    2 / 22 (9.09%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    0 / 21 (0.00%)
    0 / 22 (0.00%)
    1 / 22 (4.55%)
    4 / 83 (4.82%)
    0 / 68 (0.00%)
         occurrences all number
    0
    0
    0
    1
    1
    0
    0
    0
    0
    2
    0
    0
    0
    0
    1
    4
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    23 Apr 2018
    The overall aim for this amendment was to clarify items that were not previously explained with sufficient detail for the Investigators; inclusion criteria, several procedural changes and clarification regarding blinded review of data
    10 Aug 2018
    The overall aim for this amendment was to clarify inclusion criteria, and procedural changes with regard to re-screening and replacement of dropouts
    25 Jan 2019
    The changes of this amendment affected an eligibility criterion of the study, the upper age limit was increased from 65 to 75 years
    08 Apr 2019
    The main reason of this amendment was to include an Extension period of 52 weeks after the Core study to obtain long-term efficacy and safety data.
    08 May 2020
    The main reason for this amendment was to include a 52-week Prolongation of the Extension period after the current Extension period to obtain further data on long-term efficacy / maintenance of treatment effect, tolerability, safety, immunogenicity and PK of ABY-035.
    04 Dec 2020
    The main reason for this amendment was to introduce the optimization of dosing regimen during the Extension and Prolongation of Extension periods, unblinding of subjects as well as some procedural changes
    08 Jul 2021
    The main reason for this amendment was to introduce premature termination of the Prolongation of Extension period (last subject last dose at Week 124 instead of Week 152)

    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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