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    Clinical Trial Results:
    Efficacy and safety of 3 doses of S201086/GLPG1972 administered orally once daily in patients with knee osteoarthritis. A 52-week international, multi-regional, multi-centre, randomised, double-blind, placebo-controlled, dose-ranging study. ROCCELLA Study

    Summary
    EudraCT number
    2017-004581-10
    Trial protocol
    ES   HU   DK   PL   BG  
    Global end of trial date
    14 Jul 2020

    Results information
    Results version number
    v1(current)
    This version publication date
    06 May 2021
    First version publication date
    06 May 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CL2-201086-002
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03595618
    WHO universal trial number (UTN)
    U1111-1205-0321
    Sponsors
    Sponsor organisation name
    Institut de Recherches Internationales Servier
    Sponsor organisation address
    50 rue Carnot, Suresnes, France, 92284
    Public contact
    Neuro-ImmunoInflammation Therapeutic Area, Institut de Recherches Internationales Servier, +33 1 55 72 70 63, clinicaltrials@servier.com
    Scientific contact
    Neuro-ImmunoInflammation Therapeutic Area, Institut de Recherches Internationales Servier, +33 1 55 72 70 63, clinicaltrials@servier.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    14 Jul 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    14 Jul 2020
    Global end of trial reached?
    Yes
    Global end of trial date
    14 Jul 2020
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To demonstrate the efficacy of at least one dose (among 3 doses) of S201086 compared to placebo after 52 weeks of treatment in reducing cartilage loss measured by cartilage thickness using quantitative magnetic resonance imaging (qMRI) of the central medial tibiofemoral compartment (cMTFC) of the target knee.
    Protection of trial subjects
    This study was conducted in accordance with Good Clinical Practice standards, ethical principles stated in the Declaration of Helsinki and applicable regulatory requirements. After the subject has ended his/her participation in the trial, the investigator provided appropriate medication and/or arranged access to appropriate care for the patient.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    14 Aug 2018
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Argentina: 67
    Country: Number of subjects enrolled
    Brazil: 139
    Country: Number of subjects enrolled
    Canada: 64
    Country: Number of subjects enrolled
    Japan: 67
    Country: Number of subjects enrolled
    Korea, Republic of: 31
    Country: Number of subjects enrolled
    Russian Federation: 38
    Country: Number of subjects enrolled
    Taiwan: 16
    Country: Number of subjects enrolled
    United States: 326
    Country: Number of subjects enrolled
    Denmark: 74
    Country: Number of subjects enrolled
    Hungary: 32
    Country: Number of subjects enrolled
    Poland: 52
    Country: Number of subjects enrolled
    Spain: 26
    Worldwide total number of subjects
    932
    EEA total number of subjects
    184
    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)
    503
    From 65 to 84 years
    429
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Male or female patients aged from 40 to 75 years with history of knee pain for at least 6 months and on the majority of days (> 50%) during the preceding month, symptom severity defined by a pain ≥ 40 mm and ≤ 90 mm on a 100 mm VAS, diagnosed for knee OA based on clinical and radiological criteria of the American College of Rheumatology.

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

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    S201086/GLPG1972 75mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    S201086/GLPG1972
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    ­S201086/GLPG1972 75 mg/day: From the day of inclusion until the W052 visit, the patient had to take 4 tablets orally once a day with a glass of water preferably in the morning (at the same time), corresponding to 1 tablet of 75 mg + 3 matching tablets of placebo.

    Arm title
    S201086/GLPG1972 150mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    S201086/GLPG1972
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    ­S201086/GLPG1972 150 mg/day: From the day of inclusion until the W052 visit, the patient had to take 4 tablets orally once a day with a glass of water preferably in the morning (at the same time), corresponding to 2 tablets of 75 mg + 2 matching tablets of placebo.

    Arm title
    S201086/GLPG1972 300mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    S201086/GLPG1972
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    ­S201086/GLPG1972 300 mg/day: From the day of inclusion until the W052 visit, the patient had to take 4 tablets orally once a day with a glass of water preferably in the morning (at the same time), corresponding to 4 tablets of 75 mg.

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Placebo: From the day of inclusion until the W052 visit, the patient had to take 4 tablets orally once a day with a glass of water preferably in the morning (at the same time), corresponding to 4 matching tablets of placebo.

    Number of subjects in period 1
    S201086/GLPG1972 75mg S201086/GLPG1972 150mg S201086/GLPG1972 300mg Placebo
    Started
    234
    231
    233
    234
    Completed
    191
    191
    177
    200
    Not completed
    43
    40
    56
    34
         Adverse event, serious fatal
    -
    1
    -
    -
         Consent withdrawn by subject
    12
    14
    14
    10
         Physician decision
    -
    -
    1
    2
         Adverse event, non-fatal
    16
    16
    20
    8
         Other
    7
    5
    10
    6
         Lost to follow-up
    6
    4
    5
    6
         Protocol deviation
    2
    -
    6
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    S201086/GLPG1972 75mg
    Reporting group description
    -

    Reporting group title
    S201086/GLPG1972 150mg
    Reporting group description
    -

    Reporting group title
    S201086/GLPG1972 300mg
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Reporting group values
    S201086/GLPG1972 75mg S201086/GLPG1972 150mg S201086/GLPG1972 300mg Placebo Total
    Number of subjects
    234 231 233 234 932
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    125 125 130 123 503
        From 65-84 years
    109 106 103 111 429
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    62.9 ± 7.5 63.2 ± 7.2 62.1 ± 7.4 63.3 ± 7.1 -
    Gender categorical
    Units: Subjects
        Female
    164 165 154 163 646
        Male
    70 66 79 71 286

    End points

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    End points reporting groups
    Reporting group title
    S201086/GLPG1972 75mg
    Reporting group description
    -

    Reporting group title
    S201086/GLPG1972 150mg
    Reporting group description
    -

    Reporting group title
    S201086/GLPG1972 300mg
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Primary: Change from baseline to W052 in cartilage thickness of the central medial tibiofemoral compartment of the target knee by using qMRI (mm)

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    End point title
    Change from baseline to W052 in cartilage thickness of the central medial tibiofemoral compartment of the target knee by using qMRI (mm)
    End point description
    End point type
    Primary
    End point timeframe
    The cartilage thickness was measured at baseline (before inclusion), at the W028 and W052 visits, and at the WD if the time window between WD and the previous qMRI (W000 or W028) was ≥ 2 months .
    End point values
    S201086/GLPG1972 75mg S201086/GLPG1972 150mg S201086/GLPG1972 300mg Placebo
    Number of subjects analysed
    234 [1]
    231 [2]
    233 [3]
    234 [4]
    Units: No unit
        arithmetic mean (standard deviation)
    -0.06791 ± 0.20169
    -0.09693 ± 0.26839
    -0.08545 ± 0.21697
    -0.11562 ± 0.27275
    Notes
    [1] - Arithmetic mean is based on 162 patients with measured value at baseline and W52
    [2] - Arithmetic mean is based on 158 patients with measured value at baseline and W52
    [3] - Arithmetic mean is based on 151 patients with measured value at baseline and W52
    [4] - Arithmetic mean is based on 172 patients with measured value at baseline and W52
    Statistical analysis title
    S201086/GLPG1972 75mg minus placebo
    Comparison groups
    S201086/GLPG1972 75mg v Placebo
    Number of subjects included in analysis
    468
    Analysis specification
    Pre-specified
    Analysis type
    superiority [5]
    P-value
    = 0.165
    Method
    Mixed-effects model for repeated measure
    Parameter type
    Adjusted mean difference
    Point estimate
    0.04514
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.00317
         upper limit
    0.09345
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.02465
    Notes
    [5] - Estimate of the adjusted difference from baseline to last post baseline value between treatment groups means: each S201086/GLPG1972 dose regimen minus placebo using a MMRM including the fixed, categorical effects of treatment, region, time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for patients without post-baseline measurement.
    Statistical analysis title
    S201086/GLPG1972 150mg minus placebo
    Comparison groups
    S201086/GLPG1972 150mg v Placebo
    Number of subjects included in analysis
    465
    Analysis specification
    Pre-specified
    Analysis type
    superiority [6]
    P-value
    = 0.939
    Method
    Mixed-effects model for repeated measure
    Parameter type
    Adjusted mean difference
    Point estimate
    0.012
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.03868
         upper limit
    0.06267
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.02585
    Notes
    [6] - Estimate of the adjusted difference from baseline to last post baseline value between treatment groups means: each S201086/GLPG1972 dose regimen minus placebo using a MMRM including the fixed, categorical effects of treatment, region, time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for patients without post-baseline measurement.
    Statistical analysis title
    S201086/GLPG1972 300mg minus placebo
    Comparison groups
    S201086/GLPG1972 300mg v Placebo
    Number of subjects included in analysis
    467
    Analysis specification
    Pre-specified
    Analysis type
    superiority [7]
    P-value
    = 0.682
    Method
    Mixed-effects model for repeated measure
    Parameter type
    Adjusted mean difference
    Point estimate
    0.02329
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.02641
         upper limit
    0.073
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.02536
    Notes
    [7] - Estimate of the adjusted difference from baseline to last post baseline value between treatment groups means: each S201086/GLPG1972 dose regimen minus placebo using a MMRM including the fixed, categorical effects of treatment, region, time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for patients without post-baseline measurement.

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    All adverse events that occurred, worsened or became serious between the first study treatment intake date (included) and the last visit.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    23.0
    Reporting groups
    Reporting group title
    S201086/GLPG1972 75mg
    Reporting group description
    -

    Reporting group title
    S201086/GLPG1972 150mg
    Reporting group description
    -

    Reporting group title
    S201086/GLPG1972 300mg
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Serious adverse events
    S201086/GLPG1972 75mg S201086/GLPG1972 150mg S201086/GLPG1972 300mg Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    17 / 234 (7.26%)
    17 / 231 (7.36%)
    18 / 232 (7.76%)
    18 / 234 (7.69%)
         number of deaths (all causes)
    0
    1
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal cell carcinoma
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Endometrial adenocarcinoma
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Glottis carcinoma
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intraductal proliferative breast lesion
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Invasive ductal breast carcinoma
         subjects affected / exposed
    0 / 234 (0.00%)
    3 / 231 (1.30%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Invasive papillary breast carcinoma
         subjects affected / exposed
    0 / 234 (0.00%)
    1 / 231 (0.43%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Malignant melanoma in situ
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Prostate cancer stage II
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Hypotension
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Orthostatic hypotension
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Chills
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Non-cardiac chest pain
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Ovarian cyst
         subjects affected / exposed
    0 / 234 (0.00%)
    1 / 231 (0.43%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vaginal haemorrhage
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pulmonary embolism
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Depression suicidal
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Face injury
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Fall
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Femur fracture
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Humerus fracture
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Joint dislocation
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Procedural pain
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tendon rupture
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Wrist fracture
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Acute myocardial infarction
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    2 / 234 (0.85%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atrial fibrillation
         subjects affected / exposed
    1 / 234 (0.43%)
    1 / 231 (0.43%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atrial flutter
         subjects affected / exposed
    1 / 234 (0.43%)
    1 / 231 (0.43%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Coronary artery occlusion
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Coronary artery stenosis
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myocarditis
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Supraventricular tachycardia
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Cerebrovascular accident
         subjects affected / exposed
    0 / 234 (0.00%)
    1 / 231 (0.43%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cervical cord compression
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypoaesthesia
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ischaemic stroke
         subjects affected / exposed
    2 / 234 (0.85%)
    1 / 231 (0.43%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Sciatica
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    0 / 234 (0.00%)
    1 / 231 (0.43%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    Angle closure glaucoma
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Macular degeneration
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Retinal detachment
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal incarcerated hernia
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Food poisoning
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peritoneal cyst
         subjects affected / exposed
    0 / 234 (0.00%)
    1 / 231 (0.43%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Bile duct stone
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cholecystitis acute
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    2 / 234 (0.85%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cholelithiasis
         subjects affected / exposed
    0 / 234 (0.00%)
    1 / 231 (0.43%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Drug-induced liver injury
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ureterolithiasis
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    2 / 234 (0.85%)
    1 / 231 (0.43%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Back pain
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Joint swelling
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Myopathy
         subjects affected / exposed
    0 / 234 (0.00%)
    1 / 231 (0.43%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Osteoarthritis
         subjects affected / exposed
    2 / 234 (0.85%)
    2 / 231 (0.87%)
    3 / 232 (1.29%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Appendiceal abscess
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bronchitis
         subjects affected / exposed
    0 / 234 (0.00%)
    1 / 231 (0.43%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Burn infection
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    1 / 234 (0.43%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    COVID-19
         subjects affected / exposed
    0 / 234 (0.00%)
    1 / 231 (0.43%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia bacterial
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyelonephritis
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    0 / 234 (0.00%)
    0 / 231 (0.00%)
    1 / 232 (0.43%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypercalcaemia
         subjects affected / exposed
    1 / 234 (0.43%)
    0 / 231 (0.00%)
    0 / 232 (0.00%)
    0 / 234 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 3%
    Non-serious adverse events
    S201086/GLPG1972 75mg S201086/GLPG1972 150mg S201086/GLPG1972 300mg Placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    171 / 234 (73.08%)
    176 / 231 (76.19%)
    170 / 232 (73.28%)
    170 / 234 (72.65%)
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    4 / 234 (1.71%)
    3 / 231 (1.30%)
    10 / 232 (4.31%)
    7 / 234 (2.99%)
         occurrences all number
    4
    4
    10
    7
    Aspartate aminotransferase increased
         subjects affected / exposed
    4 / 234 (1.71%)
    2 / 231 (0.87%)
    10 / 232 (4.31%)
    6 / 234 (2.56%)
         occurrences all number
    4
    2
    10
    6
    Blood creatine phosphokinase increased
         subjects affected / exposed
    12 / 234 (5.13%)
    7 / 231 (3.03%)
    9 / 232 (3.88%)
    8 / 234 (3.42%)
         occurrences all number
    12
    7
    9
    9
    C-reactive protein increased
         subjects affected / exposed
    1 / 234 (0.43%)
    1 / 231 (0.43%)
    9 / 232 (3.88%)
    2 / 234 (0.85%)
         occurrences all number
    1
    1
    9
    2
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    3 / 234 (1.28%)
    2 / 231 (0.87%)
    16 / 232 (6.90%)
    4 / 234 (1.71%)
         occurrences all number
    3
    2
    16
    4
    Injury, poisoning and procedural complications
    Contusion
         subjects affected / exposed
    4 / 234 (1.71%)
    7 / 231 (3.03%)
    6 / 232 (2.59%)
    6 / 234 (2.56%)
         occurrences all number
    6
    8
    6
    7
    Fall
         subjects affected / exposed
    14 / 234 (5.98%)
    20 / 231 (8.66%)
    16 / 232 (6.90%)
    13 / 234 (5.56%)
         occurrences all number
    16
    23
    17
    16
    Vascular disorders
    Hypertension
         subjects affected / exposed
    6 / 234 (2.56%)
    9 / 231 (3.90%)
    12 / 232 (5.17%)
    16 / 234 (6.84%)
         occurrences all number
    6
    9
    13
    16
    Nervous system disorders
    Headache
         subjects affected / exposed
    15 / 234 (6.41%)
    12 / 231 (5.19%)
    11 / 232 (4.74%)
    9 / 234 (3.85%)
         occurrences all number
    16
    14
    11
    9
    General disorders and administration site conditions
    Oedema peripheral
         subjects affected / exposed
    6 / 234 (2.56%)
    4 / 231 (1.73%)
    2 / 232 (0.86%)
    8 / 234 (3.42%)
         occurrences all number
    6
    4
    2
    8
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    3 / 234 (1.28%)
    7 / 231 (3.03%)
    4 / 232 (1.72%)
    7 / 234 (2.99%)
         occurrences all number
    3
    7
    5
    7
    Nausea
         subjects affected / exposed
    3 / 234 (1.28%)
    7 / 231 (3.03%)
    11 / 232 (4.74%)
    5 / 234 (2.14%)
         occurrences all number
    3
    8
    12
    6
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    26 / 234 (11.11%)
    34 / 231 (14.72%)
    26 / 232 (11.21%)
    19 / 234 (8.12%)
         occurrences all number
    30
    39
    31
    20
    Back pain
         subjects affected / exposed
    11 / 234 (4.70%)
    10 / 231 (4.33%)
    6 / 232 (2.59%)
    19 / 234 (8.12%)
         occurrences all number
    12
    10
    6
    21
    Joint swelling
         subjects affected / exposed
    3 / 234 (1.28%)
    7 / 231 (3.03%)
    4 / 232 (1.72%)
    4 / 234 (1.71%)
         occurrences all number
    3
    7
    4
    4
    Musculoskeletal pain
         subjects affected / exposed
    3 / 234 (1.28%)
    4 / 231 (1.73%)
    8 / 232 (3.45%)
    5 / 234 (2.14%)
         occurrences all number
    4
    5
    8
    5
    Osteoarthritis
         subjects affected / exposed
    6 / 234 (2.56%)
    10 / 231 (4.33%)
    8 / 232 (3.45%)
    10 / 234 (4.27%)
         occurrences all number
    6
    11
    8
    12
    Pain in extremity
         subjects affected / exposed
    5 / 234 (2.14%)
    7 / 231 (3.03%)
    6 / 232 (2.59%)
    4 / 234 (1.71%)
         occurrences all number
    5
    7
    6
    4
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    8 / 234 (3.42%)
    7 / 231 (3.03%)
    5 / 232 (2.16%)
    6 / 234 (2.56%)
         occurrences all number
    9
    7
    5
    6
    Influenza
         subjects affected / exposed
    8 / 234 (3.42%)
    4 / 231 (1.73%)
    3 / 232 (1.29%)
    7 / 234 (2.99%)
         occurrences all number
    8
    4
    3
    7
    Nasopharyngitis
         subjects affected / exposed
    21 / 234 (8.97%)
    16 / 231 (6.93%)
    22 / 232 (9.48%)
    20 / 234 (8.55%)
         occurrences all number
    23
    16
    26
    28
    Upper respiratory tract infection
         subjects affected / exposed
    7 / 234 (2.99%)
    12 / 231 (5.19%)
    6 / 232 (2.59%)
    10 / 234 (4.27%)
         occurrences all number
    7
    20
    7
    13
    Urinary tract infection
         subjects affected / exposed
    6 / 234 (2.56%)
    5 / 231 (2.16%)
    4 / 232 (1.72%)
    8 / 234 (3.42%)
         occurrences all number
    8
    8
    4
    8
    Metabolism and nutrition disorders
    Hypercholesterolaemia
         subjects affected / exposed
    3 / 234 (1.28%)
    7 / 231 (3.03%)
    4 / 232 (1.72%)
    7 / 234 (2.99%)
         occurrences all number
    3
    7
    4
    7

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    11 Jul 2018
    ­Amendment No. 1 was applicable in all countries. The main changes included: - Increase of the age of female patients of non-childbearing potential to 50 years old instead of 40 years old (inclusion criterion n°1) (except for female patients surgically sterile) as requested by USA IRB. - Addition of information regarding the management of an overdose of S201086/GLPG1972 as requested by Health Canada. - Addition of one withdrawal criterion “delta > 60 ms over baseline value (inclusion) with regards to ECG parameters as beside the absolute values on QTcF the delta is also an important parameter to evaluate for the safety of the patient. - Implementation of an evaluation of the consistency of the primary analysis’ results between Japanese patients and non-Japanese patients as recommended by the Pharmaceuticals and Medical Devices Agency (Japanese Competent Authorities). The initial randomisation list was stratified on 2 strata (Asia vs Rest of the World). In order to ensure balanced Japanese patients between treatment groups, the stratification factors of the randomisation list were modified accordingly (3 strata in the randomisation list: Japan vs South Korea/Taiwan vs Rest of the World). - Clarification of the choice of the target knee in inclusion criterion n°9.
    12 Mar 2019
    Amendment No. 2 was applicable in all countries. It mainly concerned the widening of the recruitment: - Clarification and/or modification of inclusion criteria n°7, 9 and exclusion criteria n°24, 25, 27, 28, 29, 31, 32, 33, 38, 40, 44. - Update of forbidden/authorised concomitant treatments with regards to database reference.

    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.
    Due to the exceptional circumstances in relation to the COVID-19 pandemic, the Sponsor decided in accordance with competent regulatory authorities’ guidelines to implement some precautionary measures in order to mitigate the risk of infection.
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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