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    Clinical Trial Results:
    A randomized, investigator-and patient-blind, placebo controlled, parallel group first in human and proof of concept study to evaluate the safety, tolerability, and efficacy of CLL442 in patients with Cutaneous Squamous Cell Carcinoma in situ (SCCis)

    Summary
    EudraCT number
    2017-003495-31
    Trial protocol
    BE  
    Global end of trial date
    01 Nov 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    24 Oct 2019
    First version publication date
    24 Oct 2019
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CCLL442X2201
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03333694
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Pharma AG
    Sponsor organisation address
    CH-4002, Basel, Switzerland,
    Public contact
    Clinical Disclosure Office, Novartis Pharmaceuticals AG, +41 61 324 1111,
    Scientific contact
    Clinical Disclosure Office, Novartis Pharmaceuticals AG, +41 61 324 1111,
    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
    01 Nov 2018
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    01 Nov 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    - To assess the safety and tolerability of CLL442 in subjects with Cutaneous Squamous Cell Carcinoma in situ (SCCis) on both lesion free skin and SCCis lesions. - To evaluate the initial efficacy of CLL442 on reduction of lesion area in subjects with SCCis.
    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
    15 Dec 2017
    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
    United States: 23
    Country: Number of subjects enrolled
    Australia: 12
    Country: Number of subjects enrolled
    Belgium: 5
    Worldwide total number of subjects
    40
    EEA total number of subjects
    5
    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)
    12
    From 65 to 84 years
    25
    85 years and over
    3

    Subject disposition

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    Recruitment
    Recruitment details
    The study was conducted in 8 centres across United States, Australia and Belgium.

    Pre-assignment
    Screening details
    A total of 40 subjects were enrolled in the study, and all included in the Safety Population. The study consisted of two treatment periods; Treatment Period 1 (P1): CLL442 or placebo was applied on lesion free skin for 7 days. Treatment Period 2 (P2): CLL442 or placebo was applied on the target single SCCis lesion for a total of 84 days.

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

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    CLL442 2.5 mg/g
    Arm description
    CLL442 cream 2.5 milligrams per gram (mg/g) was applied topically, twice daily for 7 days (during P1) on lesion free skin, followed by twice daily application on the target single Cutaneous Squamous Cell Carcinoma in situ (SCCis) lesion for up to 84 days (during P2).
    Arm type
    Experimental

    Investigational medicinal product name
    CLL442
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Cream
    Routes of administration
    Topical use
    Dosage and administration details
    CLL442 2.5 mg/g cutaneous cream application twice daily for 7 days on lesion free skin followed by application on target single SCCis lesion until visual clearance of the lesion and for an additional 14 days, or for a total of 84 days, whichever comes first.

    Arm title
    Placebo
    Arm description
    CLL442-matching placebo cream was applied topically twice daily for 7 days (during P1) on lesion free skin, followed by twice daily application on the target single SCCis lesion for up to 84 days (during P2).
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Cream
    Routes of administration
    Topical use
    Dosage and administration details
    CLL442-matching placebo cutaneous cream application twice daily for 7 days on lesion free skin followed by application on the target single SCCis lesion until visual clearance of the lesion and for an additional 14 days, or for a total of 84 days, whichever comes first.

    Number of subjects in period 1
    CLL442 2.5 mg/g Placebo
    Started
    30
    10
    Completed
    29
    10
    Not completed
    1
    0
         Subject/Guardian Decision
    1
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    CLL442 2.5 mg/g
    Reporting group description
    CLL442 cream 2.5 milligrams per gram (mg/g) was applied topically, twice daily for 7 days (during P1) on lesion free skin, followed by twice daily application on the target single Cutaneous Squamous Cell Carcinoma in situ (SCCis) lesion for up to 84 days (during P2).

    Reporting group title
    Placebo
    Reporting group description
    CLL442-matching placebo cream was applied topically twice daily for 7 days (during P1) on lesion free skin, followed by twice daily application on the target single SCCis lesion for up to 84 days (during P2).

    Reporting group values
    CLL442 2.5 mg/g Placebo Total
    Number of subjects
    30 10 40
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    72.3 ( 9.22 ) 66.1 ( 8.60 ) -
    Gender categorical
    Units: Subjects
        Female
    17 4 21
        Male
    13 6 19

    End points

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    End points reporting groups
    Reporting group title
    CLL442 2.5 mg/g
    Reporting group description
    CLL442 cream 2.5 milligrams per gram (mg/g) was applied topically, twice daily for 7 days (during P1) on lesion free skin, followed by twice daily application on the target single Cutaneous Squamous Cell Carcinoma in situ (SCCis) lesion for up to 84 days (during P2).

    Reporting group title
    Placebo
    Reporting group description
    CLL442-matching placebo cream was applied topically twice daily for 7 days (during P1) on lesion free skin, followed by twice daily application on the target single SCCis lesion for up to 84 days (during P2).

    Subject analysis set title
    CLL442 2.5 mg/g (PK)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    The Pharmacokinetic (PK) analysis set included all subjects with at least one available valid (i.e., not flagged for exclusion) CLL442 concentration measurement, who received any study drug and experienced no protocol deviations with relevant impact on PK data.

    Primary: Number of Subjects with Adverse Events (AEs), and Serious Adverse Events (SAEs)

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    End point title
    Number of Subjects with Adverse Events (AEs), and Serious Adverse Events (SAEs) [1]
    End point description
    An adverse event is any unfavourable and unintended sign (including a clinically significant abnormal laboratory finding, for example), symptom, or disease temporally associated with the study or use of investigational drug product, whether or not the AE is considered related to the investigational drug product. An SAE is any AE which is fatal or life-threatening, results in persistent or significant disability/incapacity, constitutes a congenital anomaly/birth defect, requires inpatient hospitalisation, etc. The safety analysis set included all subjects that received any study drug.
    End point type
    Primary
    End point timeframe
    From First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV), up to Day 92 (End of Study (EOS))
    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 end point.
    End point values
    CLL442 2.5 mg/g Placebo
    Number of subjects analysed
    30
    10
    Units: subjects
        AEs
    20
    4
        SAEs
    0
    0
    No statistical analyses for this end point

    Primary: Number of Subjects with Local Tolerability Score at Day 7 or Day 84

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    End point title
    Number of Subjects with Local Tolerability Score at Day 7 or Day 84 [2]
    End point description
    Local tolerability or local skin reactions (LSRs) were assessed using visual, clinical, and tactile cues at each visit after first dosing and each parameter was scored 0-3 based on severity (none, mild, moderate and severe). Overall, 8 parameters were assessed which included: edema, erosion/ulceration, erythema, flaking/scaling/dryness, itching scabbing/dryness, vesicles and weeping/exudates. The safety analysis set included all subjects that received any study drug. "n" is the number of subjects with data available for analysis at the specific time point.
    End point type
    Primary
    End point timeframe
    Period 1 (P1) Day 1 (D1) to Day 92 (EOS)
    Notes
    [2] - 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 end point.
    End point values
    CLL442 2.5 mg/g Placebo
    Number of subjects analysed
    30
    10
    Units: subjects
        Edema(P1, D1): Mild (n=30,10)
    0
    0
        Edema(P1, D1): Moderate (n=30, 10)
    0
    0
        Edema(P1, D1): Severe (n=30,10)
    0
    0
        Edema(EOS): Mild (n=29,10)
    5
    0
        Edema(EOS): Moderate (n=29,10)
    1
    1
        Edema(EOS): Severe (n=29,10)
    0
    0
        Erosion/Ulceration(P1, D1): Mild (n=30,10)
    0
    0
        Erosion/Ulceration(P1, D1): Moderate (n=30,10)
    0
    0
        Erosion/Ulceration(P1, D1): Severe (n=30,10)
    0
    0
        Erosion/Ulceration(EOS): Mild (n=29,10)
    2
    1
        Erosion/Ulceration(EOS): Moderate (n=29,10)
    0
    0
        Erosion/Ulceration(EOS): Severe (n=29,10)
    0
    0
        Erythema(P1, D1): Mild (n=30,10)
    4
    0
        Erythema(P1, D1): Moderate (n=30,10)
    0
    0
        Erythema(P1, D1): Severe (n=30,10)
    0
    0
        Erythema(EOS): Mild (n=29,10)
    12
    3
        Erythema(EOS): Moderate (n=29,10)
    5
    2
        Erythema(EOS): Severe (n=29,10)
    0
    0
        Flaking/Scaling/Dryness(P1, D1): Mild (n=30,10)
    5
    0
        Flaking/Scaling/Dryness(P1, D1): Moderate (n=30,10
    0
    0
        Flaking/Scaling/Dryness(P1, D1): Severe (n=30,10)
    0
    0
        Flaking/Scaling/Dryness(EOS): Mild (n=29,10)
    11
    3
        Flaking/Scaling/Dryness(EOS): Moderate (n=29,10)
    4
    1
        Flaking/Scaling/Dryness(EOS): Severe (n=29,10)
    0
    0
        Itching(P1, D1): Mild (n=30,10)
    1
    0
        Itching(P1, D1): Moderate (n=30,10)
    0
    0
        Itching(P1, D1): Severe (n=30,10)
    0
    0
        Itching(EOS): Mild (n=29,10)
    1
    1
        Itching(EOS): Moderate (n=29,10)
    0
    0
        Itching(EOS): Severe (n=29,10)
    1
    0
        Scrabbing/Dryness(P1, D1): Mild (n=30,10)
    2
    0
        Scrabbing/Dryness(P1, D1): Moderate (n=30,10)
    0
    0
        Scrabbing/Dryness(P1, D1): Severe (n=30,10)
    0
    0
        Scrabbing/Dryness(EOS): Mild (n=29,10)
    4
    2
        Scrabbing/Dryness(EOS): Moderate (n=29,10)
    4
    0
        Scrabbing/Dryness(EOS): Severe (n=29,10)
    0
    0
        Vesicles(P1, D1): Mild (n=30,10)
    0
    0
        Vesicles(P1, D1): Moderate (n=30,10)
    0
    0
        Vesicles(P1, D1): Severe (n=30,10)
    0
    0
        Vesicles(EOS): Mild (n=29,10)
    0
    0
        Vesicles(EOS): Moderate (n=29,10)
    0
    0
        Vesicles(EOS): Severe (n=29,10)
    0
    0
        Weeping/Exsudates(P1, D1): Mild (n=30,10)
    0
    0
        Weeping/Exsudates(P1, D1): Moderate (n=30,10)
    0
    0
        Weeping/Exsudates(P1, D1): Severe (n=30,10)
    0
    0
        Weeping/Exsudates(EOS): Mild (n=29,10)
    2
    0
        Weeping/Exsudates(EOS): Moderate (n=29,10)
    0
    0
        Weeping/Exsudates(EOS): Severe (n=29,10)
    0
    0
    No statistical analyses for this end point

    Primary: Visual Analogue Scale (VAS) Score

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    End point title
    Visual Analogue Scale (VAS) Score [3]
    End point description
    Subjects were provided a diary to to assess the severity of pain (ranging from 0 = no pain at all to 10 = the worst imaginable pain) using a 10 cm VAS . The score (distance from left) on the VAS was recorded by the subject marking with a line. The safety analysis set included all subjects that received any study drug."n" is the number of subjects with data available for analysis at the specific time point.
    End point type
    Primary
    End point timeframe
    P1 Day 1 to Day 92 (EOS)
    Notes
    [3] - 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 end point.
    End point values
    CLL442 2.5 mg/g Placebo
    Number of subjects analysed
    30
    10
    Units: score on a scale
    arithmetic mean (standard deviation)
        P1 Day 1 (n=29,10)
    1.9 ( 8.90 )
    0.2 ( 0.63 )
        P2 Day 84 (n=29,10)
    0.2 ( 1.12 )
    1.9 ( 4.68 )
        EOS (n=29,10)
    0.3 ( 1.04 )
    1.0 ( 2.54 )
    No statistical analyses for this end point

    Primary: Change From Baseline in Lesion Area in Subjects with Squamous Cell Carcinoma in situ (SCCis) at Day 84

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    End point title
    Change From Baseline in Lesion Area in Subjects with Squamous Cell Carcinoma in situ (SCCis) at Day 84
    End point description
    Area is measured by pen and ruler and standardized digital photography. Lesion tracing (planimetry) were completed on clear paper to assess lesion area. Baseline for lesion area measurement was defined at Treatment Period 2, Day 1. The Pharmacodynamic (PD) analysis set included all subjects with any available PD data, who received any study drug and experienced no protocol deviations with relevant impact on PD data.
    End point type
    Primary
    End point timeframe
    Period 2 Day 1 (Baseline) and Period 2 Day 84
    End point values
    CLL442 2.5 mg/g Placebo
    Number of subjects analysed
    29
    10
    Units: square millimetre (mm^2)
        arithmetic mean (confidence interval 90%)
    -112.62 (-180.57 to 44.68)
    -153.80 (-269.51 to 38.09)
    Statistical analysis title
    CLL442 2.5 mg/g v Placebo
    Comparison groups
    CLL442 2.5 mg/g v Placebo
    Number of subjects included in analysis
    39
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.5984 [4]
    Method
    MMRM
    Parameter type
    Difference in means
    Point estimate
    41.18
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    -93.02
         upper limit
    175.38
    Notes
    [4] - Change from baseline in lesion area was analyzed using a repeated measures mixed effects model (MMRM) which included effects for baseline lesion area, treatment, visit and treatment by visit interaction.

    Secondary: Plasma Concentration of CLL442

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    End point title
    Plasma Concentration of CLL442
    End point description
    No pharmacokinetics (PK) analysis of the concentration-time data was performed as only 3% of the collected samples had CLL442 concentrations above Lower Limit of Quantification (LLOQ).
    End point type
    Secondary
    End point timeframe
    Day 1 through Day 84
    End point values
    CLL442 2.5 mg/g (PK)
    Number of subjects analysed
    0 [5]
    Units: picograms per millilitre(pg/mL)
        arithmetic mean (standard deviation)
    ( )
    Notes
    [5] - No PK analysis was done as only 3% of the collected samples had CLL442 concentrations above LLOQ.
    No statistical analyses for this end point

    Secondary: Time Required to Achieve 50% (Partial) Decrease in One Lesion Area

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    End point title
    Time Required to Achieve 50% (Partial) Decrease in One Lesion Area
    End point description
    Area is measured by pen and ruler and standardized digital photography. Lesion tracing (planimetry) were completed on clear paper to assess lesion area. The PD analysis set included all subjects with any available PD data, who received any study drug and experienced no protocol deviations with relevant impact on PD data. 99999 indicates that the upper limit of 90% Confidence Interval was not estimable in placebo group.
    End point type
    Secondary
    End point timeframe
    Up to Day 84
    End point values
    CLL442 2.5 mg/g Placebo
    Number of subjects analysed
    29
    10
    Units: days
        median (confidence interval 90%)
    57 (55.0 to 92.0)
    55.5 (8.0 to 99999)
    No statistical analyses for this end point

    Secondary: Time Required to Achieve 10% (Partial) Decrease in One Lesion Area

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    End point title
    Time Required to Achieve 10% (Partial) Decrease in One Lesion Area
    End point description
    Area is measured by pen and ruler and standardized digital photography. Lesion tracing (planimetry) were completed on clear paper to assess lesion area. The PD analysis set included all subjects with any available PD data, who received any study drug and experienced no protocol deviations with relevant impact on PD data.
    End point type
    Secondary
    End point timeframe
    Up to Day 84
    End point values
    CLL442 2.5 mg/g Placebo
    Number of subjects analysed
    29
    10
    Units: days
        median (confidence interval 90%)
    28.0 (8.0 to 31.0)
    41.5 (8.0 to 57.0)
    No statistical analyses for this end point

    Secondary: Time Required to Achieve Complete (100%) SCCis One Lesion Clearance at the End of the Study

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    End point title
    Time Required to Achieve Complete (100%) SCCis One Lesion Clearance at the End of the Study
    End point description
    Area is measured by pen and ruler and standardized digital photography. Lesion tracing (planimetry) were completed on clear paper to assess lesion area.The PD analysis set included all subjects with any available PD data, who received any study drug and experienced no protocol deviations with relevant impact on PD data. 99999 indicates that the median time and 90% Confidence Interval required to achieve complete lesion clearance was not estimable in both CLL442 and placebo groups.
    End point type
    Secondary
    End point timeframe
    Day 92 (EOS)
    End point values
    CLL442 2.5 mg/g Placebo
    Number of subjects analysed
    30
    10
    Units: days
        median (confidence interval 90%)
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects with Complete Clearance at the End of the Study, Assessed Visually and Histologically

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    End point title
    Percentage of Subjects with Complete Clearance at the End of the Study, Assessed Visually and Histologically
    End point description
    The PD analysis set included all subjects with any available PD data, who received any study drug and experienced no protocol deviations with relevant impact on PD data.
    End point type
    Secondary
    End point timeframe
    Day 92 (EOS)
    End point values
    CLL442 2.5 mg/g Placebo
    Number of subjects analysed
    25
    10
    Units: percentage of subjects
        number (not applicable)
    24.0
    20.0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events were 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 LPLV (up to Day 92 (EOS)).
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    21.1
    Reporting groups
    Reporting group title
    Placebo
    Reporting group description
    CLL442-matching placebo cream was applied topically twice daily for 7 days (during P1) on lesion free skin, followed by twice daily application on the target single SCCis lesion for up to 84 days (during P2).

    Reporting group title
    CLL442 2.5 mg/g
    Reporting group description
    CLL442 cream 2.5 milligrams per gram (mg/g) was applied topically, twice daily for 7 days (during P1) on lesion free skin, followed by twice daily application on the target single Cutaneous Squamous Cell Carcinoma in situ (SCCis) lesion for up to 84 days (during P2).

    Serious adverse events
    Placebo CLL442 2.5 mg/g
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 10 (0.00%)
    0 / 30 (0.00%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Placebo CLL442 2.5 mg/g
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    4 / 10 (40.00%)
    20 / 30 (66.67%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal cell carcinoma
         subjects affected / exposed
    1 / 10 (10.00%)
    2 / 30 (6.67%)
         occurrences all number
    1
    2
    Vascular disorders
    Hypertension
         subjects affected / exposed
    0 / 10 (0.00%)
    2 / 30 (6.67%)
         occurrences all number
    0
    2
    General disorders and administration site conditions
    Application site erythema
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Application site exfoliation
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    4
    Application site oedema
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Application site pain
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    2
    Application site pruritus
         subjects affected / exposed
    0 / 10 (0.00%)
    2 / 30 (6.67%)
         occurrences all number
    0
    2
    Condition aggravated
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Fatigue
         subjects affected / exposed
    1 / 10 (10.00%)
    0 / 30 (0.00%)
         occurrences all number
    1
    0
    Mucosal ulceration
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    2
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Rhinorrhoea
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Psychiatric disorders
    Abnormal dreams
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Investigations
    Amylase increased
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Electrocardiogram repolarisation abnormality
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Pancreatic enzymes increased
         subjects affected / exposed
    1 / 10 (10.00%)
    0 / 30 (0.00%)
         occurrences all number
    1
    0
    Injury, poisoning and procedural complications
    Procedural pain
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Sinus bradycardia
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Gastrointestinal disorders
    Mouth ulceration
         subjects affected / exposed
    1 / 10 (10.00%)
    1 / 30 (3.33%)
         occurrences all number
    1
    1
    Nausea
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Paraesthesia oral
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Oral pain
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    3
    Toothache
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Skin and subcutaneous tissue disorders
    Actinic keratosis
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Pruritus
         subjects affected / exposed
    0 / 10 (0.00%)
    2 / 30 (6.67%)
         occurrences all number
    0
    2
    Rash
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Musculoskeletal and connective tissue disorders
    Muscle tightness
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Myalgia
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Neck pain
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Pain in extremity
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Infections and infestations
    Pharyngitis
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    Upper respiratory tract infection
         subjects affected / exposed
    0 / 10 (0.00%)
    6 / 30 (20.00%)
         occurrences all number
    0
    6
    Metabolism and nutrition disorders
    Polydipsia
         subjects affected / exposed
    0 / 10 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    01 Mar 2018
    Amendment was generated in response to request from an Institutional Review Board (IRB) in the United States to add more details in the discontinuation of study treatment for increased-size lesions. Additionally, this amendment also addressed typographical errors to ensure data quality and minimize the risk of inconsistent interpretation.

    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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    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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