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    Clinical Trial Results:
    A Phase 3b, Prospective, Open-Label, Uncontrolled, Multicenter Study on Long-Term Safety and Efficacy of rVWF in Pediatric and Adult Subjects With Severe Von Willebrand Disease (VWD)

    Summary
    EudraCT number
    2018-003453-16
    Trial protocol
    FR   NL   DE   ES   AT   IT   BE  
    Global end of trial date
    30 Jan 2025

    Results information
    Results version number
    v1(current)
    This version publication date
    20 Jul 2025
    First version publication date
    20 Jul 2025
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    SHP677-304
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03879135
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Takeda
    Sponsor organisation address
    95 Hayden Ave, Lexington, MA, United States, 02421
    Public contact
    Study Director, Takeda, TrialDisclosures@takeda.com
    Scientific contact
    Study Director, Takeda, TrialDisclosures@takeda.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?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    30 Jan 2025
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    30 Jan 2025
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main aim of this study is to check effectiveness of rVWF (vonicog alfa) prophylaxis based on the annualized bleeding rate (ABR) of spontaneous (not related to trauma) bleeding episodes in pediatric and adult participants during the first 12 months on study treatment.
    Protection of trial subjects
    Each participant or their parents/guardians/legally authorized representatives signed an informed consent form (ICF) before participating in the study.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Apr 2019
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety
    Long term follow-up duration
    5 Years
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Austria: 1
    Country: Number of subjects enrolled
    France: 3
    Country: Number of subjects enrolled
    Italy: 3
    Country: Number of subjects enrolled
    Netherlands: 1
    Country: Number of subjects enrolled
    Russian Federation: 2
    Country: Number of subjects enrolled
    Spain: 3
    Country: Number of subjects enrolled
    Türkiye: 11
    Country: Number of subjects enrolled
    United States: 11
    Worldwide total number of subjects
    35
    EEA total number of subjects
    11
    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)
    8
    Adolescents (12-17 years)
    9
    Adults (18-64 years)
    17
    From 65 to 84 years
    1
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Participants took part in the study at 23 investigative sites globally from 1 April 2019 to 30 January 2025.

    Pre-assignment
    Screening details
    38 subjects with diagnosis of Von Willebrand disease were enrolled. Only subjects who received treatment(N=35) were included in analysis.These subjects received rVWF(vonicog alfa), 50±10 IU/kg,IV infusion in either prophylaxis/OD cohorts. Some subjects received supportive treatment with ADVATE for treating BEs if deemed necessary by investigator.

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

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Cohort 1: Prophylaxis
    Arm description
    Adult participants who transitioned from the phase 3 prophylaxis parent study 071301 (NCT02973087) received the same prophylactic dose, 50±10 IU/kg, IV infusion of vonicog alfa twice weekly as in parent study 071301.
    Arm type
    Experimental

    Investigational medicinal product name
    Vonicog alfa
    Investigational medicinal product code
    Other name
    BAX-111, SHP-677, TAK-577
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Vonicog alfa, prophylactic dose 50±10 IU/kg, IV, infusion, twice weekly.

    Arm title
    Cohort 2: Prophylaxis
    Arm description
    Adult participants who transitioned from parent study 071301 (NCT02973087) with no clinically significant BE for the past 6 months started this continuation study at a lower dose/frequency of vonicog alfa once weekly or twice weekly prophylactic dose, 50±10 IU/kg, IV infusion compared to the dose received (50±10 IU/kg, IV infusion, thrice weekly) in parent study 071301.
    Arm type
    Experimental

    Investigational medicinal product name
    Vonicog alfa
    Investigational medicinal product code
    Other name
    BAX-111, SHP-677, TAK-577
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Vonicog alfa, prophylactic dose 50±10 IU/kg, IV infusion, once weekly or twice weekly.

    Arm title
    Cohort 3: Prophylaxis
    Arm description
    Adolescent participants (aged 12 to <18 years) who transitioned from the phase 3 OD and surgery parent study 071102 (NCT02932618) switched from receiving vonicog alfa OD treatment to receiving prophylactic dose of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.
    Arm type
    Experimental

    Investigational medicinal product name
    Vonicog alfa
    Investigational medicinal product code
    Other name
    BAX-111, SHP-677, TAK-577
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Vonicog alfa, prophylactic dose, 50±10 IU/kg, IV infusion once weekly or twice weekly .

    Arm title
    Cohort 4: Prophylaxis
    Arm description
    Newly enrolled adult and adolescent (aged 12 to <18 years) participants who switched from OD treatment with Von Willebrand Factor (VWF) products started 50±10 IU/kg, IV infusion once weekly prophylaxis with vonicog alfa in this continuation study.
    Arm type
    Experimental

    Investigational medicinal product name
    Vonicog alfa
    Investigational medicinal product code
    Other name
    BAX-111, SHP-677, TAK-577
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Vonicog alfa prophylactic dose, 50±10 IU/kg, IV infusion, once weekly.

    Arm title
    Cohort 5: On Demand
    Arm description
    Pediatric participants of all ages from parent study 071102 (NCT02932618) continued receiving OD treatment of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.
    Arm type
    Experimental

    Investigational medicinal product name
    Vonicog alfa
    Investigational medicinal product code
    Other name
    BAX-111, SHP-677, TAK-577
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Vonicog alfa, 50±10 IU/kg, IV infusion, once weekly or twice weekly.

    Arm title
    Cohort 6: On Demand
    Arm description
    Adult participants from parent study 071301 (NCT02973087) switched back from prophylactic treatment in study 071301 to OD treatment of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.
    Arm type
    Experimental

    Investigational medicinal product name
    Vonicog alfa
    Investigational medicinal product code
    Other name
    BAX-111, SHP-677, TAK-577
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Vonicog alfa, 50±10 IU/kg, IV infusion once weekly or twice weekly.

    Number of subjects in period 1
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Started
    10
    1
    1
    5
    16
    2
    Completed
    10
    1
    1
    3
    15
    1
    Not completed
    0
    0
    0
    2
    1
    1
         Physician decision
    -
    -
    -
    1
    -
    -
         Consent withdrawn by subject
    -
    -
    -
    -
    -
    1
         Site Closed by Sponsor
    -
    -
    -
    1
    1
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Cohort 1: Prophylaxis
    Reporting group description
    Adult participants who transitioned from the phase 3 prophylaxis parent study 071301 (NCT02973087) received the same prophylactic dose, 50±10 IU/kg, IV infusion of vonicog alfa twice weekly as in parent study 071301.

    Reporting group title
    Cohort 2: Prophylaxis
    Reporting group description
    Adult participants who transitioned from parent study 071301 (NCT02973087) with no clinically significant BE for the past 6 months started this continuation study at a lower dose/frequency of vonicog alfa once weekly or twice weekly prophylactic dose, 50±10 IU/kg, IV infusion compared to the dose received (50±10 IU/kg, IV infusion, thrice weekly) in parent study 071301.

    Reporting group title
    Cohort 3: Prophylaxis
    Reporting group description
    Adolescent participants (aged 12 to <18 years) who transitioned from the phase 3 OD and surgery parent study 071102 (NCT02932618) switched from receiving vonicog alfa OD treatment to receiving prophylactic dose of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.

    Reporting group title
    Cohort 4: Prophylaxis
    Reporting group description
    Newly enrolled adult and adolescent (aged 12 to <18 years) participants who switched from OD treatment with Von Willebrand Factor (VWF) products started 50±10 IU/kg, IV infusion once weekly prophylaxis with vonicog alfa in this continuation study.

    Reporting group title
    Cohort 5: On Demand
    Reporting group description
    Pediatric participants of all ages from parent study 071102 (NCT02932618) continued receiving OD treatment of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.

    Reporting group title
    Cohort 6: On Demand
    Reporting group description
    Adult participants from parent study 071301 (NCT02973087) switched back from prophylactic treatment in study 071301 to OD treatment of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.

    Reporting group values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand Total
    Number of subjects
    10 1 1 5 16 2 35
    Age categorical
    Units: participants
        <6 years
    0 0 0 0 3 0 3
        >=6 to <12 years
    0 0 0 0 5 0 5
        >=12 to <18 years
    0 0 1 2 6 0 9
        >=18 years
    10 1 0 3 2 2 18
    Gender categorical
    Units: Subjects
        Female
    4 1 0 2 9 1 17
        Male
    6 0 1 3 7 1 18
    Race (NIH/OMB)
    Units: Subjects
        American Indian or Alaska Native
    0 0 0 0 0 0 0
        Asian
    0 0 0 0 0 0 0
        Native Hawaiian or Other Pacific Islander
    0 0 0 0 0 0 0
        Black or African American
    0 0 0 0 0 0 0
        White
    9 0 1 4 14 2 30
        More than one race
    0 0 0 0 1 0 1
        Unknown or Not Reported
    1 1 0 1 1 0 4
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    1 0 0 0 1 0 2
        Not Hispanic or Latino
    8 0 1 5 14 2 30
        Unknown or Not Reported
    1 1 0 0 1 0 3

    End points

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    End points reporting groups
    Reporting group title
    Cohort 1: Prophylaxis
    Reporting group description
    Adult participants who transitioned from the phase 3 prophylaxis parent study 071301 (NCT02973087) received the same prophylactic dose, 50±10 IU/kg, IV infusion of vonicog alfa twice weekly as in parent study 071301.

    Reporting group title
    Cohort 2: Prophylaxis
    Reporting group description
    Adult participants who transitioned from parent study 071301 (NCT02973087) with no clinically significant BE for the past 6 months started this continuation study at a lower dose/frequency of vonicog alfa once weekly or twice weekly prophylactic dose, 50±10 IU/kg, IV infusion compared to the dose received (50±10 IU/kg, IV infusion, thrice weekly) in parent study 071301.

    Reporting group title
    Cohort 3: Prophylaxis
    Reporting group description
    Adolescent participants (aged 12 to <18 years) who transitioned from the phase 3 OD and surgery parent study 071102 (NCT02932618) switched from receiving vonicog alfa OD treatment to receiving prophylactic dose of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.

    Reporting group title
    Cohort 4: Prophylaxis
    Reporting group description
    Newly enrolled adult and adolescent (aged 12 to <18 years) participants who switched from OD treatment with Von Willebrand Factor (VWF) products started 50±10 IU/kg, IV infusion once weekly prophylaxis with vonicog alfa in this continuation study.

    Reporting group title
    Cohort 5: On Demand
    Reporting group description
    Pediatric participants of all ages from parent study 071102 (NCT02932618) continued receiving OD treatment of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.

    Reporting group title
    Cohort 6: On Demand
    Reporting group description
    Adult participants from parent study 071301 (NCT02973087) switched back from prophylactic treatment in study 071301 to OD treatment of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.

    Primary: Spontaneous Annualized Bleeding Rate (sABR)

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    End point title
    Spontaneous Annualized Bleeding Rate (sABR) [1] [2]
    End point description
    sABR was derived as [number of treated bleeds] / [duration in years]. Bleeds with unknown causality were considered as spontaneous. Bleeds were categorized based on the investigator assessment of cause. sABR during the first 12 months of prophylactic treatment with rVWF (vonicog alfa) was reported. The FAS consisted of all participants who satisfied all the entry criteria and received any amount of study drug. '99999' denotes that standard deviation was not estimable for a single participant.
    End point type
    Primary
    End point timeframe
    Up to 12 months
    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 analysis was planned for this endpoint.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the prophylaxis cohort.
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis
    Number of subjects analysed
    10
    1
    1
    5
    Units: spontaneous bleeds per year
        arithmetic mean (standard deviation)
    1.430 ( 2.3894 )
    1.040 ( 99999 )
    0.000 ( 99999 )
    3.022 ( 2.4746 )
    No statistical analyses for this end point

    Secondary: Number of participants with Treatment emergent Adverse Events (TEAEs) and Serious TEAEs

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    End point title
    Number of participants with Treatment emergent Adverse Events (TEAEs) and Serious TEAEs
    End point description
    AE:any untoward medical occurrence in participant administered a pharmaceutical product;untoward medical occurrence does not necessarily have a causal relationship with this treatment.AE can therefore be any unfavorable&unintended sign(including an abnormal laboratory finding),symptom/disease temporally associated with use of medicinal(investigational) product whether or not it is related to medicinal product.TEAE :any AE that started after first administration of study drug in this continuation study.Serious TEAEs:any untoward medical occurrence that:results in death,is life-threatening,requires inpatient hospitalization/prolongation of existing hospitalization,results in persistent/significant disability/incapacity,leads to a congenital anomaly/birth defect in offspring of participant/ is medically important.SAS:all participants who received any amount of vonicog alfa as obtained from study drug administration eDiary,study drug administration details eCRF,or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
        TEAEs
    8
    1
    1
    4
    15
    2
        Serious TEAEs
    3
    0
    0
    1
    3
    1
    No statistical analyses for this end point

    Secondary: Number of Participants Based on Severity of TEAEs

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    End point title
    Number of Participants Based on Severity of TEAEs
    End point description
    An AE is defined as any untoward medical occurrence in a participant administered IP that does not necessarily have a causal relationship with the treatment. TEAE was defined as any AE that started after the first administration of study drug in this continuation study. Severity of TEAEs was determined by following definitions: Mild: No limitation of usual activities; Moderate: Some limitation of usual activities and may required therapeutic intervention; Severe: Inability to carry out usual activities with sequelae, which required therapeutic intervention. Number of participants with TEAEs based on severity of TEAEs were reported. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
        Mild
    7
    1
    1
    4
    14
    2
        Moderate
    7
    0
    0
    3
    11
    1
        Severe
    3
    0
    0
    1
    1
    2
    No statistical analyses for this end point

    Secondary: Number of Participants Based on Causality of TEAEs

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    End point title
    Number of Participants Based on Causality of TEAEs
    End point description
    An AE is defined as any untoward medical occurrence in a participant administered IP that does not necessarily have a causal relationship with the treatment. TEAE was defined as any AE that started after the first administration of study drug in this continuation study. A physician/investigator made the assessment of relationship to investigational product for each AE. Number of participants with TEAEs based on causality were reported. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
    0
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Number of Participants With Thromboembolic Events

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    End point title
    Number of Participants With Thromboembolic Events
    End point description
    Thromboembolism defined as formation of a clot (thrombus) in a blood vessel that breaks loose, is carried by the blood stream and could plug another vessel. Number of participants with thromboembolic events as TEAEs of special interest were reported. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
    0
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Number of Participants who Developed Neutralizing Antibodies to von Willebrand factor (VWF)

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    End point title
    Number of Participants who Developed Neutralizing Antibodies to von Willebrand factor (VWF)
    End point description
    Three functional VWF assays for von Willebrand factor collagen binding (VWF:CB), von Willebrand factor: Ristocetin Cofactor (VWF:RCo) and von Willebrand factor VIII B (VWF:FVIIIB) were used to test the presence of neutralizing anti-VWF antibodies. Neutralizing antibodies to VWF:RCo, VWF:CB and VWF:FVIIIB activities were measured by assays based on the Bethesda assay established for quantitative analysis of FVIII inhibitors (Nijmegen modification of the Bethesda assay). Only confirmed neutralizing anti -VWF antibodies were considered inhibitors. Number of participants who developed neutralizing antibodies to rVWF were assessed. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
    0
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Number of Participants With Hypersensitivity Reactions

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    End point title
    Number of Participants With Hypersensitivity Reactions
    End point description
    Hypersensitivity (also called hypersensitivity reaction or intolerance) defined as undesirable reactions produced by the normal immune system, including allergies and autoimmunity. Potential hypersensitivity events were identified by broad search criteria and then medically assessed. Number of participants with hypersensitivity reactions as TEAEs of special interest was calculated. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
    0
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Number of Participants who Developed Total Binding Antibodies to von Willebrand factor (VWF)

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    End point title
    Number of Participants who Developed Total Binding Antibodies to von Willebrand factor (VWF)
    End point description
    The presence of total binding anti-VWF antibodies was determined by an enzyme-linked immunosorbent assay (ELISA) employing polyclonal anti-human Immunoglobulin (Ig) antibodies (IgG, IgM and IgA). Number of participants who developed of total binding antibodies to rVWF were assessed. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
    0
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Number of Participants who Developed Neutralizing Antibodies to Factor VIII (FVIII)

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    End point title
    Number of Participants who Developed Neutralizing Antibodies to Factor VIII (FVIII)
    End point description
    Three functional VWF assays for von Willebrand factor collagen binding (VWF:CB), von Willebrand factor: Ristocetin Cofactor (VWF:RCo) and von Willebrand factor VIII B (VWF:FVIIIB) were used to test the presence of neutralizing anti-VWF antibodies. Neutralizing antibodies to VWF:RCo, VWF:CB and VWF:FVIIIB activities was measured by assays based on the Bethesda assay established for quantitative analysis of FVIII inhibitors (Nijmegen modification of the Bethesda assay). Only confirmed neutralizing anti -VWF antibodies were considered inhibitors. Number of participants who developed neutralizing antibodies to FVIII were assessed. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
    0
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Number of Participants who Developed Binding Antibodies to Chinese hamster ovary (CHO) proteins

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    End point title
    Number of Participants who Developed Binding Antibodies to Chinese hamster ovary (CHO) proteins
    End point description
    Total Ig antibodies (IgG, IgA, IgM) against CHO protein were analyzed using ELISA. Number of participants who developed binding antibodies to CHO proteins were assessed. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
    0
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Number of Participants who Developed Total Binding Antibodies to Factor VIII (FVIII)

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    End point title
    Number of Participants who Developed Total Binding Antibodies to Factor VIII (FVIII)
    End point description
    Binding antibodies against FVIII were analyzed using a proprietary enzyme immunoassay. Number of participants who developed of total binding antibodies to FVIII were assessed. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
    0
    0
    0
    0
    1
    0
    No statistical analyses for this end point

    Secondary: Number of Participants who Developed Binding Antibodies to Mouse Immunoglobulin G (IgG)

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    End point title
    Number of Participants who Developed Binding Antibodies to Mouse Immunoglobulin G (IgG)
    End point description
    Detection and quantification of IgG antibodies originating from human plasma that were directed against mouse-IgG (HAMA: human anti- mouse antibodies) were assessed using ELISA (Medac, Hamburg, Germany). Number of participants who developed binding antibodies to Mouse IgG were assessed. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
    0
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Number of Participants who Develop Binding Antibodies to recombinant Furin (rFurin)

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    End point title
    Number of Participants who Develop Binding Antibodies to recombinant Furin (rFurin)
    End point description
    Total Ig antibodies (IgG, IgA, IgM) against human furin were analyzed using ELISA. Number of participants who developed binding antibodies to rFurin were assessed. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
    0
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Number of Participants With Clinically Significant Changes in Vital Signs

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    End point title
    Number of Participants With Clinically Significant Changes in Vital Signs
    End point description
    Vital signs included blood pressure (systolic and diastolic), pulse rate, respiratory rate and body temperature. Number of participants with clinically significant change from baseline in vital signs were assessed. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
    0
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Number of Participants With Clinically Significant Changes in Laboratory Parameters

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    End point title
    Number of Participants With Clinically Significant Changes in Laboratory Parameters
    End point description
    Clinical laboratory parameters included serum chemistry, hematology and urinalysis assessments. Number of participants with clinically significant change from baseline in clinical laboratory parameters were assessed. The SAS consisted of all participants who received any amount of vonicog alfa as obtained from the study drug administration eDiary, study drug administration details eCRF, or PK infusion eCRF. '9999' denotes that no postbaseline results were collected for any urinalysis parameters in the OD cohorts.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    10
    1
    1
    5
    16
    2
    Units: participants
        Serum Chemistry
    0
    0
    0
    0
    0
    0
        Hematology
    0
    0
    0
    0
    0
    0
        Urinalysis
    0
    0
    0
    0
    9999
    9999
    No statistical analyses for this end point

    Secondary: Spontaneous Annualized Bleeding Rate (sABR) Under Prophylactic Treatment

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    End point title
    Spontaneous Annualized Bleeding Rate (sABR) Under Prophylactic Treatment [3]
    End point description
    sABR was derived as [number of treated bleeds] / [duration in years]. Bleeds with unknown causality were considered as spontaneous. Bleeds were categorized based on the investigator assessment of cause. sABR during prophylaxis treatment with rVWF (vonicog alfa) while enrolled in the study were reported. The FAS consisted of all participants who satisfied all the entry criteria and received any amount of study drug. '99999' denotes that standard deviation was not estimable for a single participant.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the prophylaxis cohort.
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis
    Number of subjects analysed
    10
    1
    1
    5
    Units: spontaneous bleeds per year
        arithmetic mean (standard deviation)
    1.122 ( 2.1084 )
    0.330 ( 99999 )
    0.000 ( 99999 )
    2.110 ( 1.9954 )
    No statistical analyses for this end point

    Secondary: Number of Participants Categorized Based on Weekly Number of Infusions

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    End point title
    Number of Participants Categorized Based on Weekly Number of Infusions [4]
    End point description
    Categorized as ≥ 0 to < 1 infusion per week, ≥ 1 to < 2 infusions per week, ≥ 2 to < 3 infusions per week, ≥ 3 infusions per week. The number of participants categorized based on number of infusions per week during prophylactic treatment with rVWF (vonicog alfa) were reported. The FAS consisted of all participants who satisfied all the entry criteria and received any amount of study drug.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the prophylaxis cohort.
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis
    Number of subjects analysed
    10
    1
    1
    5
    Units: participants
        ≥0 to <1
    1
    0
    0
    0
        ≥ 1to <2
    6
    1
    1
    5
        ≥2 to <3
    3
    0
    0
    0
        ≥3
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Number of Participants Categorized Based on Spontaneous Annualized Bleeding Rate (sABR)

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    End point title
    Number of Participants Categorized Based on Spontaneous Annualized Bleeding Rate (sABR) [5]
    End point description
    The sABR was the number of spontaneous bleeds divided by the observation period in years, where an observation period = (date of completion/termination-date of first dose+1)/365.2425. sABR was categorized based on number of BEs as 0, greater than (>) 0 through 2, >2 through 5, >5 during the prophylactic treatment with rVWF (vonicog alfa). Bleeding at multiple locations related to the same injury was counted as single BE. BEs of unknown cause were counted as spontaneous bleeds. Number of participants categorized based on sABR during prophylactic treatment with rVWF (vonicog alfa) were reported. The FAS consisted of all participants who satisfied all entry criteria and received any amount of study drug.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the prophylaxis cohort.
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis
    Number of subjects analysed
    10
    1
    1
    5
    Units: participants
        0 bleeds/year
    5
    0
    1
    0
        >0 to ≤2 bleeds/year
    3
    1
    0
    3
        >2 to ≤5 bleeds/year
    1
    0
    0
    1
        >5 bleeds/year
    1
    0
    0
    1
    No statistical analyses for this end point

    Secondary: Time to First Bleeding Event on Prophylaxis Treatment

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    End point title
    Time to First Bleeding Event on Prophylaxis Treatment [6]
    End point description
    Time to event estimates and confidence intervals obtained from Kaplan-Meier analysis. Participants with 0 bleeds during each study period were censored at the date of the last day in that study period. The FAS consisted of all participants who satisfied all entry criteria and received any amount of study drug. Subjects analysed is the number of participants with event. '9' and '99999' indicates that the lower and upper limit of 95% Confidence interval (CI) was not estimable due to censoring.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the prophylaxis cohort.
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis
    Number of subjects analysed
    7
    1
    0 [7]
    5
    Units: days
        median (confidence interval 95%)
    172 (5 to 99999)
    141 (9 to 99999)
    ( to )
    88 (9 to 99999)
    Notes
    [7] - No participants with data were available for analyses.
    No statistical analyses for this end point

    Secondary: Spontaneous Annualized Bleeding Rate (sABR) by Location of Bleeding

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    End point title
    Spontaneous Annualized Bleeding Rate (sABR) by Location of Bleeding [8]
    End point description
    sABR was derived as [number of treated bleeds] / [duration in years]. sABR for BEs based on location of bleeding: Skin, Muscle, Mucosal Nasal, Mucosal Oral, Joint, Gastrointestinal (GI), Menstrual/Heavy Menstrual, Venipuncture Site, Soft Tissue, Body Cavity, Hematuria, Central Nervous System (CNS) and Other, while on prophylactic treatment with rVWF (vonicog alfa) were reported. The FAS consisted of all participants who satisfied all entry criteria and received any amount of study drug. 'n' is the number of participants with data available for analyses for the specified category. 'n' denotes the number of participants with data available for analyses for the specified category. '999' denotes mean was not estimable as number of participants analysed was zero. '99999' indicates that standard deviation was not estimable for a single participant.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the prophylaxis cohort.
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis
    Number of subjects analysed
    10
    1
    1
    5
    Units: bleeds per year
    arithmetic mean (standard deviation)
        Skin (n=10,1,1,5)
    0.033 ( 0.1044 )
    0.000 ( 99999 )
    0.000 ( 99999 )
    0.000 ( 0.0000 )
        Muscle (n=10,1,1,5)
    0.000 ( 0.0000 )
    0.000 ( 99999 )
    0.000 ( 99999 )
    0.068 ( 0.1521 )
        Mucosal, Nasal (n=10,1,1,5)
    0.199 ( 0.3542 )
    0.000 ( 99999 )
    0.000 ( 99999 )
    0.068 ( 0.1521 )
        Mucosal, Oral (n=10,1,1,5)
    0.268 ( 0.7358 )
    0.330 ( 99999 )
    0.000 ( 99999 )
    0.268 ( 0.5993 )
        Joint (n=10,1,1,5)
    0.067 ( 0.2119 )
    0.000 ( 99999 )
    0.000 ( 99999 )
    1.370 ( 2.3644 )
        GI (n=10,1,1,5)
    0.000 ( 0.0000 )
    0.000 ( 99999 )
    0.000 ( 99999 )
    0.136 ( 0.3041 )
        Menstrual/Heavy Menstrual (n=2,1,0,2)
    2.770 ( 3.9174 )
    0.000 ( 99999 )
    999 ( 99999 )
    0.500 ( 0.7071 )
        Venipuncture Site (n=10,1,1,5)
    0.000 ( 0.0000 )
    0.000 ( 99999 )
    0.000 ( 99999 )
    0.000 ( 0.0000 )
        Soft Tissue (n=10,1,1,5)
    0.000 ( 0.0000 )
    0.000 ( 99999 )
    0.000 ( 99999 )
    0.000 ( 0.0000 )
        Body Cavity (n=10,1,1,5)
    0.000 ( 0.0000 )
    0.000 ( 99999 )
    0.000 ( 99999 )
    0.000 ( 0.0000 )
        Hematuria (n=10,1,1,5)
    0.000 ( 0.0000 )
    0.000 ( 99999 )
    0.000 ( 99999 )
    0.000 ( 0.0000 )
        CNS (n=10,1,1,5)
    0.000 ( 0.0000 )
    0.000 ( 99999 )
    0.000 ( 99999 )
    0.000 ( 0.0000 )
        Other (n=10,1,1,5)
    0.067 ( 0.1413 )
    0.000 ( 99999 )
    0.000 ( 99999 )
    0.068 ( 0.1521 )
    No statistical analyses for this end point

    Secondary: Total Number of Infusions During Prophylactic Treatment

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    End point title
    Total Number of Infusions During Prophylactic Treatment [9]
    End point description
    Total number of infusions during prophylactic treatment with rVWF (vonicog alfa) were reported. The FAS consisted of all participants who satisfied all the entry criteria and received any amount of study drug. '99999' denotes that standard deviation was not estimable for a single participant.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [9] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the prophylaxis cohort.
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis
    Number of subjects analysed
    10
    1
    1
    5
    Units: infusions
        arithmetic mean (standard deviation)
    287.8 ( 53.42 )
    157.0 ( 99999 )
    177.0 ( 99999 )
    159.2 ( 41.55 )
    No statistical analyses for this end point

    Secondary: Average Number of Infusions Per Week During Prophylactic Treatment

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    End point title
    Average Number of Infusions Per Week During Prophylactic Treatment [10]
    End point description
    Average number of infusions per week during prophylactic treatment with rVWF (vonicog alfa) were reported. The FAS consisted of all participants who satisfied all the entry criteria and received any amount of study drug. '99999' denotes that standard deviation was not estimable for a single participant.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the prophylaxis cohort.
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis
    Number of subjects analysed
    10
    1
    1
    5
    Units: infusions per week
        arithmetic mean (standard deviation)
    1.87 ( 0.351 )
    1.01 ( 99999 )
    1.14 ( 99999 )
    1.38 ( 0.372 )
    No statistical analyses for this end point

    Secondary: Number of Participants who Achieved Transfusion-free Maintenance of Hemoglobin Levels

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    End point title
    Number of Participants who Achieved Transfusion-free Maintenance of Hemoglobin Levels [11]
    End point description
    Transfusion free maintenance of hemoglobin levels during prophylactic treatment with rVWF (vonicog alfa) were reported. The FAS consisted of all participants who satisfied all the entry criteria and received any amount of study drug.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [11] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the prophylaxis cohort.
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis
    Number of subjects analysed
    10
    1
    1
    5
    Units: participants
    8
    1
    1
    5
    No statistical analyses for this end point

    Secondary: Change From Baseline in Ferritin Levels Over Time

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    End point title
    Change From Baseline in Ferritin Levels Over Time [12]
    End point description
    Change from baseline in ferritin levels over time during prophylactic treatment with rVWF (vonicog alfa) were reported. The FAS consisted of all participants who satisfied all the entry criteria and received any amount of study drug. Subjects analysed are the number of participants with data available for analysis at Baseline. 'n' denotes the number of participants with data available for analyses at the specified timepoint.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the prophylaxis cohort.
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis
    Number of subjects analysed
    2
    0 [13]
    0 [14]
    5
    Units: picomole per liter (pmol/L)
    arithmetic mean (standard deviation)
        Baseline (n=2,0,0,5)
    148.5 ( 171.83 )
    ( )
    ( )
    90.8 ( 110.82 )
        Month 1 (n=2,0,0,5)
    11.0 ( 18.38 )
    ( )
    ( )
    -31.0 ( 44.89 )
        Month 2 (n=2,0,0,5)
    0.0 ( 1.41 )
    ( )
    ( )
    -43.8 ( 59.60 )
        Month 3 (n=2,0,0,4)
    -18.5 ( 21.92 )
    ( )
    ( )
    -33.3 ( 64.57 )
        Month 6 (n=2,0,0,5)
    2.0 ( 2.83 )
    ( )
    ( )
    -16.6 ( 19.88 )
        Month 9 (n=2,0,0,5)
    58.5 ( 91.22 )
    ( )
    ( )
    -12.8 ( 53.05 )
        Month 12 (n=2,0,0,4)
    19.0 ( 26.87 )
    ( )
    ( )
    -27.0 ( 27.51 )
        Month 15 (n=2,0,0,3)
    5.5 ( 13.44 )
    ( )
    ( )
    -25.7 ( 80.16 )
        Month 18 (n=2,0,0,3)
    18.0 ( 46.67 )
    ( )
    ( )
    -49.7 ( 52.56 )
        Month 21 (n=2,0,0,5)
    37.5 ( 64.35 )
    ( )
    ( )
    -59.3 ( 50.16 )
        Month 24 (n=2,0,0,5)
    12.0 ( 26.87 )
    ( )
    ( )
    -53.3 ( 91.22 )
        Month 27 (n=2,0,0,5)
    34.0 ( 60.81 )
    ( )
    ( )
    -54.0 ( 55.56 )
        Month 30(n=2,0,0,3)
    46.5 ( 77.07 )
    ( )
    ( )
    -70.7 ( 70.12 )
        Month 33 (n=2,0,0,3)
    71.5 ( 106.77 )
    ( )
    ( )
    -21.3 ( 114.00 )
        End of Study (n=2,0,0,5)
    38.5 ( 48.79 )
    ( )
    ( )
    -27.6 ( 52.46 )
    Notes
    [13] - No participants were analysed.
    [14] - No participants were analysed.
    No statistical analyses for this end point

    Secondary: Total Weight Adjusted Consumption of Recombinant Von Willebrand Factor (rVWF) (Vonicog Alfa) Per Participant During Prophylactic Treatment

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    End point title
    Total Weight Adjusted Consumption of Recombinant Von Willebrand Factor (rVWF) (Vonicog Alfa) Per Participant During Prophylactic Treatment [15]
    End point description
    For each participant, the body weight-adjusted dose (IU/kg) was derived as the number of units of rVWF infused (IU) divided by the last available body weight (kilogram [kg]) prior to the infusion. Total weight adjusted consumption of rVWF (vonicog alfa) per participant during prophylactic treatment with rVWF (vonicog alfa) was reported as International Units per kilogram (IU/kg). The FAS consisted of all participants who satisfied all the entry criteria and received any amount of study drug. '99999' denotes that standard deviation was not estimable for a single participant.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [15] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the prophylaxis cohort.
    End point values
    Cohort 1: Prophylaxis Cohort 2: Prophylaxis Cohort 3: Prophylaxis Cohort 4: Prophylaxis
    Number of subjects analysed
    10
    1
    1
    5
    Units: IU/kg
        arithmetic mean (standard deviation)
    14953.497 ( 3349.4461 )
    9992.460 ( 99999 )
    9270.620 ( 99999 )
    9171.746 ( 1505.5667 )
    No statistical analyses for this end point

    Secondary: Overall Hemostatic Efficacy Rating

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    End point title
    Overall Hemostatic Efficacy Rating [16]
    End point description
    .Hemostatic efficacy for treatment of BEs was rated on 4-point Likert scale as:excellent=full relief of pain&cessation of objective signs of bleeding after single infusion,no additional infusion is required for control of bleeding&administration of further infusion to maintain hemostasis would not affect scoring;good=definite pain relief&/or improvement in signs of bleeding after single infusion,possibly requires >2 infusions for complete resolution&administration of further infusion to maintain hemostasis would not affect scoring;fair=probable&/or slight relief of pain&slight improvement in signs of bleeding after single infusion,required multiple infusions for complete resolution;none=no improvement of signs/symptoms or conditions worsen.Missing=number of unique BEs without any overall hemostatic efficacy rating at resolution of breakthrough BE. Analysis Population: FAS. Subjects analysed is the number of participants with treated bleeding episodes.
    End point type
    Secondary
    End point timeframe
    Initial 12 months of study
    Notes
    [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the On Demand cohort.
    End point values
    Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    15
    2
    Units: bleeding episodes
    number (not applicable)
        Excellent
    74
    21
        Good
    1
    0
        Fair
    0
    0
        None
    0
    0
        Missing
    1
    3
    No statistical analyses for this end point

    Secondary: Number of Infusions of ADVATE

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    End point title
    Number of Infusions of ADVATE [17]
    End point description
    Number of infusions of ADVATE (rFVIII, octocog alfa) utilized to treat BEs during OD treatment while enrolled in the study were reported. The FAS consisted of all participants who satisfied all the entry criteria and received any amount of study drug. Subjects analysed is the number of participants with ADVATE-treated bleeding episodes.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [17] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the On Demand cohort.
    End point values
    Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    7
    1
    Units: infusions
        arithmetic mean (standard deviation)
    1.1 ( 0.25 )
    1.0 ( 0.00 )
    No statistical analyses for this end point

    Secondary: Number of Infusions of Vonicog Alfa

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    End point title
    Number of Infusions of Vonicog Alfa [18]
    End point description
    Number of infusions of rVWF (vonicog alfa) utilized to treat BEs during OD treatment while enrolled in the study were reported. The FAS consisted of all participants who satisfied all the entry criteria and received any amount of study drug.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the On Demand cohort.
    End point values
    Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    16
    2
    Units: infusions
        arithmetic mean (standard deviation)
    1.1 ( 0.65 )
    1.2 ( 0.45 )
    No statistical analyses for this end point

    Secondary: Weight-adjusted Consumption of Vonicog alfa per Bleeding Episode

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    End point title
    Weight-adjusted Consumption of Vonicog alfa per Bleeding Episode [19]
    End point description
    Weight-adjusted consumption (IU/kg) was derived as the total units infused (IU) divided by the last available body weight (kg) prior to the infusion. Weight-adjusted consumption of rVWF (vonicog alfa) per bleeding episode during OD treatment while enrolled in the study were reported. The FAS consisted of all participants who satisfied all the entry criteria and received any amount of study drug.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [19] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the On Demand cohort.
    End point values
    Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    16
    2
    Units: IU/kg per bleeding episode
        arithmetic mean (standard deviation)
    56.109 ( 33.1312 )
    61.713 ( 26.6936 )
    No statistical analyses for this end point

    Secondary: Weight-adjusted Consumption of ADVATE per Bleeding Episode

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    End point title
    Weight-adjusted Consumption of ADVATE per Bleeding Episode [20]
    End point description
    Weight-adjusted consumption (IU/kg) was derived as the total units infused (IU) divided by the last available body weight (kg) prior to the infusion. Weight-adjusted consumption of ADVATE (rFVIII, octocog alfa) per bleeding episode during OD treatment while enrolled in the study were reported. The FAS consisted of all participants who satisfied all the entry criteria and received any amount of study drug. Subjects analysed is the number of participants with ADVATE-treated bleeding episodes.
    End point type
    Secondary
    End point timeframe
    Up to 5.8 years
    Notes
    [20] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable for the arms in the On Demand cohort.
    End point values
    Cohort 5: On Demand Cohort 6: On Demand
    Number of subjects analysed
    7
    1
    Units: IU/kg per bleeding episode
        arithmetic mean (standard deviation)
    39.217 ( 11.0752 )
    35.175 ( 2.2274 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Up to 5.8 years
    Adverse event reporting additional description
    The SAS consisted of all participants who received any amount of rVWF as obtained from the IP administration eDiary, Study Drug Administration Details eCRF or Pharmacokinetic Infusion eCRF.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    27.1
    Reporting groups
    Reporting group title
    Cohort 2: Prophylaxis: Adult ≥18 years
    Reporting group description
    Adult participants who transitioned from parent study 071301 (NCT02973087) with no clinically significant BE for the past 6 months started this continuation study at a lower dose/frequency of vonicog alfa once weekly or twice weekly prophylactic dose, 50±10 IU/kg, IV infusion compared to the dose received (50±10 IU/kg, IV infusion, thrice weekly) in parent study 071301.

    Reporting group title
    Cohort 1: Prophylaxis: Adult ≥18 years
    Reporting group description
    Adult participants who transitioned from the phase 3 prophylaxis parent study 071301 (NCT02973087) received the same prophylactic dose, 50±10 IU/kg, IV infusion of vonicog alfa twice weekly as in parent study 071301.

    Reporting group title
    Cohort 4: Prophylaxis: Pediatric 12 to <18 years
    Reporting group description
    Newly enrolled adolescent (aged 12 to <18 years) participants who switched from OD treatment with VWF products started 50±10 IU/kg, IV infusion once weekly prophylaxis with vonicog alfa in this continuation study.

    Reporting group title
    Cohort 3: Prophylaxis: Pediatric 12 to <18 years
    Reporting group description
    Adolescent participants (aged 12 to <18 years) who transitioned from the phase 3 OD and surgery parent study 071102 (NCT02932618) switched from receiving vonicog alfa OD treatment to receiving prophylactic dose of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.

    Reporting group title
    Cohort 4: Prophylaxis: Adult ≥18 years
    Reporting group description
    Newly enrolled adult participants who switched from OD treatment with VWF products started 50±10 IU/kg, IV infusion once weekly prophylaxis with vonicog alfa in this continuation study.

    Reporting group title
    Cohort 5: On Demand: Pediatric <6 years
    Reporting group description
    Pediatric participants of <6 years of age from Parent Study 071102/NCT02932618 continued receiving OD treatment of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.

    Reporting group title
    Cohort 5: On Demand: Pediatric 6 to <12 years
    Reporting group description
    Pediatric participants of 6 to <12 years age from parent study 071102 (NCT02932618) continued receiving OD treatment of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.

    Reporting group title
    Cohort 5: On Demand: Pediatric 12 to <18 years
    Reporting group description
    Pediatric participants of 12 to <18 years of age from parent study 071102 (NCT02932618) continued receiving OD treatment of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.

    Reporting group title
    Cohort 5: On Demand: Adult ≥18 years
    Reporting group description
    Adult Participants from Parent Study 071102/NCT02932618 continued receiving OD treatment of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.

    Reporting group title
    Cohort 6: On Demand: Adult ≥18 years
    Reporting group description
    Adult participants from parent study 071301 (NCT02973087) switched back from prophylactic treatment in Study 071301 to OD treatment of vonicog alfa 50±10 IU/kg, IV infusion, once weekly or twice weekly in this continuation study.

    Serious adverse events
    Cohort 2: Prophylaxis: Adult ≥18 years Cohort 1: Prophylaxis: Adult ≥18 years Cohort 4: Prophylaxis: Pediatric 12 to <18 years Cohort 3: Prophylaxis: Pediatric 12 to <18 years Cohort 4: Prophylaxis: Adult ≥18 years Cohort 5: On Demand: Pediatric <6 years Cohort 5: On Demand: Pediatric 6 to <12 years Cohort 5: On Demand: Pediatric 12 to <18 years Cohort 5: On Demand: Adult ≥18 years Cohort 6: On Demand: Adult ≥18 years
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 1 (0.00%)
    3 / 10 (30.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    2 / 3 (66.67%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    1 / 2 (50.00%)
         number of deaths (all causes)
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Investigations
    Haemoglobin decreased
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    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
    Fibula fracture
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (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
         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
    Spinal compression fracture
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (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
         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
    Post procedural haemorrhage
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    Tibia fracture
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (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
         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
    Vascular disorders
    Hypotension
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    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
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    General disorders and administration site conditions
    Medical device site extravasation
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    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
    Reproductive system and breast disorders
    Ovarian cyst ruptured
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    1 / 2 (50.00%)
         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 / 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
    Infections and infestations
    Bacteraemia
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    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
    Coronavirus infection
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences causally related to treatment / all
    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
    Pneumonia
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (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
         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
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Cohort 2: Prophylaxis: Adult ≥18 years Cohort 1: Prophylaxis: Adult ≥18 years Cohort 4: Prophylaxis: Pediatric 12 to <18 years Cohort 3: Prophylaxis: Pediatric 12 to <18 years Cohort 4: Prophylaxis: Adult ≥18 years Cohort 5: On Demand: Pediatric <6 years Cohort 5: On Demand: Pediatric 6 to <12 years Cohort 5: On Demand: Pediatric 12 to <18 years Cohort 5: On Demand: Adult ≥18 years Cohort 6: On Demand: Adult ≥18 years
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    1 / 1 (100.00%)
    8 / 10 (80.00%)
    2 / 2 (100.00%)
    1 / 1 (100.00%)
    2 / 3 (66.67%)
    3 / 3 (100.00%)
    5 / 5 (100.00%)
    6 / 6 (100.00%)
    1 / 2 (50.00%)
    2 / 2 (100.00%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Varicose vein
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Chills
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    0
    0
    0
    0
    0
    Chest discomfort
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    1 / 1 (100.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    0
    0
    Infusion site rash
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    1 / 1 (100.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    0
    0
    Peripheral swelling
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Pyrexia
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    2 / 3 (66.67%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    2
    0
    1
    2
    0
    0
    0
    0
    Reproductive system and breast disorders
    Intermenstrual bleeding
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    0
    0
    0
    0
    0
    Dysmenorrhoea
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    1 / 2 (50.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    4
    0
    Respiratory, thoracic and mediastinal disorders
    Atelectasis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    Asthma
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Cough
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    2 / 3 (66.67%)
    1 / 5 (20.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    5
    1
    1
    0
    0
    Catarrh
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Dyspnoea
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    Nasal congestion
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    1
    0
    0
    Oropharyngeal pain
         subjects affected / exposed
    1 / 1 (100.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    2 / 6 (33.33%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    1
    0
    2
    0
    0
    Pleural effusion
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Respiratory tract congestion
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Product issues
    Device malfunction
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    Investigations
    Anti factor VIII antibody positive
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Alanine aminotransferase increased
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    1
    1
    0
    0
    Blood triglycerides increased
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Aspartate aminotransferase increased
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    1
    0
    0
    SARS-CoV-2 test positive
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 10 (20.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    0
    0
    0
    0
    Serum ferritin decreased
         subjects affected / exposed
    1 / 1 (100.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    1 / 1 (100.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    0
    0
    2
    0
    0
    0
    0
    0
    0
    Injury, poisoning and procedural complications
    Arthropod bite
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Arthropod sting
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    1
    0
    0
    0
    0
    Bone contusion
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Chest injury
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Contusion
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 10 (20.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    0
    0
    0
    0
    Fall
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Epicondylitis
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Fracture displacement
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Head injury
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    1
    0
    0
    0
    0
    Infusion related reaction
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    0
    0
    0
    0
    0
    Joint injury
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    Ligament sprain
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    1 / 2 (50.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    0
    Procedural pain
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 10 (20.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    0
    0
    0
    0
    Meniscus injury
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    2
    0
    0
    0
    0
    0
    0
    0
    Limb injury
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    1
    1
    0
    0
    Road traffic accident
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Skin laceration
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    1
    0
    0
    0
    Spinal compression fracture
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Stress fracture
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Traumatic haematoma
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    1
    0
    0
    0
    Wound
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    1 / 1 (100.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    0
    0
    Sunburn
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    2 / 3 (66.67%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    2
    0
    0
    0
    0
    Congenital, familial and genetic disorders
    Lymphatic malformation
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    1
    0
    0
    0
    0
    0
    Cardiac disorders
    Bundle branch block right
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Palpitations
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    0
    0
    0
    0
    0
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Headache
         subjects affected / exposed
    1 / 1 (100.00%)
    3 / 10 (30.00%)
    2 / 2 (100.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    1 / 2 (50.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    5
    12
    0
    0
    0
    1
    0
    3
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    2
    0
    0
    1
    0
    0
    0
    0
    1
    Eosinophilia
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Iron deficiency anaemia
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    1 / 2 (50.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    1
    0
    1
    0
    1
    0
    Ear and labyrinth disorders
    Cerumen impaction
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Ear pain
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Eye disorders
    Cataract
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Astigmatism
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    1
    Conjunctivitis allergic
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Gastrointestinal disorders
    Abdominal pain upper
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 10 (20.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    1 / 2 (50.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    3
    0
    0
    0
    0
    0
    0
    1
    0
    Abdominal distension
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    0
    0
    0
    0
    Abdominal pain
         subjects affected / exposed
    1 / 1 (100.00%)
    1 / 10 (10.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    1
    1
    0
    0
    1
    0
    0
    0
    0
    Angular cheilitis
         subjects affected / exposed
    1 / 1 (100.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Dental caries
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Dyspepsia
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    3
    0
    0
    0
    0
    0
    0
    0
    0
    Constipation
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    1
    0
    0
    0
    Diarrhoea
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    1
    0
    0
    1
    0
    0
    0
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Flatulence
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    Faeces discoloured
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Haematochezia
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    Enteritis
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    0
    0
    0
    0
    Dysphagia
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Irritable bowel syndrome
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    1 / 1 (100.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    0
    0
    Nausea
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    1
    0
    0
    Salivary hypersecretion
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Toothache
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 10 (20.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    3
    0
    0
    0
    0
    0
    0
    0
    0
    Vomiting
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    3 / 3 (100.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    0
    1
    5
    0
    1
    0
    0
    Tooth deposit
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Hepatobiliary disorders
    Cholecystitis
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Bile duct stone
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Haemobilia
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Cholelithiasis
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Hepatomegaly
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    Skin and subcutaneous tissue disorders
    Dermatitis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Perioral dermatitis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    0
    0
    0
    0
    0
    Skin disorder
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Ecchymosis
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Pruritus
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Petechiae
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Renal and urinary disorders
    Haematuria
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Nephrolithiasis
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    0
    0
    0
    0
    Arthralgia
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    0
    0
    1
    0
    0
    Haemophilic arthropathy
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Muscle spasms
         subjects affected / exposed
    1 / 1 (100.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    0
    2
    0
    1
    0
    0
    0
    0
    0
    Joint effusion
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    0
    0
    0
    0
    0
    Musculoskeletal chest pain
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Pain in extremity
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    1 / 2 (50.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    2
    1
    0
    0
    0
    1
    0
    1
    0
    Tendonitis
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Juvenile idiopathic arthritis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    0
    0
    0
    0
    0
    Infections and infestations
    Acute sinusitis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Conjunctivitis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    0
    0
    0
    0
    0
    COVID-19
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    1 / 1 (100.00%)
    2 / 3 (66.67%)
    3 / 3 (100.00%)
    1 / 5 (20.00%)
    3 / 6 (50.00%)
    1 / 2 (50.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    1
    2
    3
    1
    3
    1
    0
    Conjunctivitis bacterial
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    Croup infectious
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    2
    0
    0
    0
    0
    Coronavirus infection
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    1
    0
    0
    0
    Gastroenteritis
         subjects affected / exposed
    1 / 1 (100.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Gingivitis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1
    Gastroenteritis viral
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    Influenza
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Laryngitis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Nasopharyngitis
         subjects affected / exposed
    1 / 1 (100.00%)
    0 / 10 (0.00%)
    1 / 2 (50.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    2
    0
    2
    0
    0
    0
    0
    0
    0
    0
    Otitis media
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    Onychomycosis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Periodontitis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Otitis media acute
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Pharyngitis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Rhinitis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Pneumonia
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    1
    0
    0
    0
    0
    0
    Sinusitis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    1 / 1 (100.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    0
    0
    0
    0
    0
    Tracheobronchitis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    0
    Viral infection
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    1
    0
    0
    Upper respiratory tract infection
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    3 / 5 (60.00%)
    1 / 6 (16.67%)
    1 / 2 (50.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    1
    0
    0
    0
    1
    3
    2
    3
    1
    Viral rhinitis
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    2
    0
    0
    0
    0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Vitamin B12 deficiency
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Iron deficiency
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    1 / 2 (50.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    0
    0
    0
    2
    0
    0
    1
    1
    4
    Obesity
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    1 / 6 (16.67%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    0
    0
    Hypomagnesaemia
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 10 (10.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 5 (0.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    1
    0
    0
    0
    0
    0
    0
    0
    0
    Zinc deficiency
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 10 (0.00%)
    0 / 2 (0.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 5 (20.00%)
    0 / 6 (0.00%)
    0 / 2 (0.00%)
    0 / 2 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    29 May 2019
    The following change was made as per protocol amendment 01: 1. Requirement of human leukocyte antigen genotyping was removed from screening. 2. Pregnant Partner reporting was added.
    19 May 2020
    The following change was made as per protocol amendment 03: Wording was included to provide for additional interim analyses to be performed as needed to support submissions to health authorities.
    20 Dec 2021
    The following changes were made as per protocol amendment 4: 1. Updated Sponsor name to Takeda. 2. The time for completion of the study was extended to December 2025. 3. The total sample size was updated to include up to 71 pediatric and adult subjects.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

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

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