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    Clinical Trial Results:
    A PHASE 2, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, MULTICENTER, DOSE-FINDING STUDY TO EVALUATE THE EFFICACY AND SAFETY OF CC-90001 IN SUBJECTS WITH NON-ALCOHOLIC STEATOHEPATITIS (NASH) AND LIVER FIBROSIS

    Summary
    EudraCT number
    2018-004431-79
    Trial protocol
    GB   FR   ES   PL  
    Global end of trial date
    28 Sep 2021

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

    Trial information

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    Trial identification
    Sponsor protocol code
    CC-90001-NASH-001
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04048876
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Bristol-Myers Squibb
    Sponsor organisation address
    Chaussée de la Hulpe 185, Brussels, Belgium, 1170
    Public contact
    EU Study Start-Up Unit, Bristol-Myers Squibb International Corporation, Clinical.Trials@bms.com
    Scientific contact
    Bristol-Myers Squibb Study Director, Bristol-Myers Squibb, Clinical.Trials@bms.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    28 Sep 2021
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    28 Sep 2021
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    The primary objective of the study is to evaluate the effect of oral CC-90001, administered once daily (QD), compared with placebo, on liver histology in subjects with nonalcoholic steatohepatitis (NASH) and Stage 2 or Stage 3 fibrosis.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Conference on Harmonization Good Clinical Practice Guidelines. All the local regulatory requirements pertinent to safety of trial subjects were followed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    14 Aug 2019
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Japan: 12
    Country: Number of subjects enrolled
    Korea, Republic of: 2
    Country: Number of subjects enrolled
    France: 3
    Country: Number of subjects enrolled
    Germany: 1
    Country: Number of subjects enrolled
    Poland: 5
    Country: Number of subjects enrolled
    Spain: 2
    Country: Number of subjects enrolled
    Canada: 3
    Country: Number of subjects enrolled
    United States: 28
    Worldwide total number of subjects
    56
    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)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    41
    From 65 to 84 years
    15
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    56 Participants Randomized and Treated

    Period 1
    Period 1 title
    Placebo Controlled Phase
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Treatment 1
    Arm description
    CC-90001 100 mg PO QD
    Arm type
    Experimental

    Investigational medicinal product name
    CC-90001
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    100 mg

    Arm title
    Treatment 2
    Arm description
    CC-90001 200 mg PO QD
    Arm type
    Experimental

    Investigational medicinal product name
    CC-90001
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    200 mg

    Arm title
    Treatment 3
    Arm description
    CC-90001 400 mg PO QD
    Arm type
    Experimental

    Investigational medicinal product name
    CC-90001
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    400 mg

    Arm title
    Placebo
    Arm description
    Placebo in placebo controlled phase. CC-90001 100mg 200mg or 400mg in active treatment extension phase
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Placebo

    Number of subjects in period 1
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Started
    13
    15
    13
    15
    Continuing to Follow Up
    7
    12
    8
    11
    Completed
    2
    0
    3
    2
    Not completed
    11
    15
    10
    13
         Consent withdrawn by subject
    1
    2
    -
    1
         Adverse event, non-fatal
    -
    1
    -
    -
         Study Terminated by Sponsor
    10
    12
    10
    12
    Period 2
    Period 2 title
    Active Treatment Phase
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Treatment 1
    Arm description
    CC-90001 100 mg PO QD
    Arm type
    Experimental

    Investigational medicinal product name
    CC-90001
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    100 mg

    Arm title
    Treatment 3
    Arm description
    CC-90001 400 mg PO QD
    Arm type
    Experimental

    Investigational medicinal product name
    CC-90001
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    400 mg

    Arm title
    Placebo
    Arm description
    Placebo in placebo controlled phase. CC-90001 100mg 200mg or 400mg in active treatment extension phase
    Arm type
    Placebo

    Investigational medicinal product name
    CC-90001
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    100 mg

    Investigational medicinal product name
    CC-90001
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    400 mg

    Number of subjects in period 2
    Treatment 1 Treatment 3 Placebo
    Started
    2
    3
    2
    Completed
    0
    0
    0
    Not completed
    2
    3
    2
         Study Terminated by Sponsor
    2
    3
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Treatment 1
    Reporting group description
    CC-90001 100 mg PO QD

    Reporting group title
    Treatment 2
    Reporting group description
    CC-90001 200 mg PO QD

    Reporting group title
    Treatment 3
    Reporting group description
    CC-90001 400 mg PO QD

    Reporting group title
    Placebo
    Reporting group description
    Placebo in placebo controlled phase. CC-90001 100mg 200mg or 400mg in active treatment extension phase

    Reporting group values
    Treatment 1 Treatment 2 Treatment 3 Placebo Total
    Number of subjects
    13 15 13 15 56
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    10 11 10 10 41
        From 65-84 years
    3 4 3 5 15
    Age Continuous
    Units: Years
        arithmetic mean (standard deviation)
    52.2 ( 12.37 ) 58.3 ( 9.92 ) 52.1 ( 11.91 ) 60.5 ( 8.20 ) -
    Sex: Female, Male
    Units: Participants
        Female
    8 11 6 12 37
        Male
    5 4 7 3 19
    Race (NIH/OMB)
    Units: Subjects
        American Indian or Alaska Native
    0 0 0 0 0
        Asian
    5 5 1 4 15
        Native Hawaiian or Other Pacific Islander
    0 0 0 0 0
        Black or African American
    0 0 0 0 0
        White
    7 9 11 9 36
        More than one race
    0 0 0 0 0
        Unknown or Not Reported
    1 1 1 2 5
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    3 0 4 2 9
        Not Hispanic or Latino
    10 15 9 12 46
        Unknown or Not Reported
    0 0 0 1 1

    End points

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    End points reporting groups
    Reporting group title
    Treatment 1
    Reporting group description
    CC-90001 100 mg PO QD

    Reporting group title
    Treatment 2
    Reporting group description
    CC-90001 200 mg PO QD

    Reporting group title
    Treatment 3
    Reporting group description
    CC-90001 400 mg PO QD

    Reporting group title
    Placebo
    Reporting group description
    Placebo in placebo controlled phase. CC-90001 100mg 200mg or 400mg in active treatment extension phase
    Reporting group title
    Treatment 1
    Reporting group description
    CC-90001 100 mg PO QD

    Reporting group title
    Treatment 3
    Reporting group description
    CC-90001 400 mg PO QD

    Reporting group title
    Placebo
    Reporting group description
    Placebo in placebo controlled phase. CC-90001 100mg 200mg or 400mg in active treatment extension phase

    Primary: Percentage of participants who achieve a ≥1 stage improvement in liver fibrosis using the NASH CRN Histological Scoring System at Week 52

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    End point title
    Percentage of participants who achieve a ≥1 stage improvement in liver fibrosis using the NASH CRN Histological Scoring System at Week 52 [1]
    End point description
    Percentage of participants who achieve a ≥1 stage improvement in liver fibrosis using the NASH CRN Histological Scoring System at Week 52. A participant with a change of ≤ -1 from baseline in fibrosis stage is considered as an improvement responder for this endpoint. The NASH CRN Histologic Scoring System comprised: steatosis (0 to 3) lobular inflammation (0 to 3) hepatocellular ballooning (0 to 2) fibrosis disease stage (0 to 4) · Stage 0 - None; · Stage 1a - Mild (delicate) zone 3 perisinusoidal fibrosis; · Stage 1b - Moderate (dense) zone 3 perisinusoidal fibrosis; · Stage 1c - Portal/periportal fibrosis only; · Stage 2 - Zone 3 perisinusoidal fibrosis with portal/periportal fibrosis; · Stage 3 - Bridging fibrosis; · Stage 4 - Cirrhosis.
    End point type
    Primary
    End point timeframe
    at week 52
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No Statistical Analysis done for this endpoint
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    13
    15
    13
    15
    Units: Percentage of Participants
        number (confidence interval 95%)
    15.4 (1.92 to 45.45)
    0 (0 to 21.80)
    7.7 (0.19 to 36.03)
    6.7 (0.17 to 31.95)
    No statistical analyses for this end point

    Secondary: Percentage of participants with no worsening of steatohepatitis and ≥1 stage improvement in liver fibrosis score at week 52

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    End point title
    Percentage of participants with no worsening of steatohepatitis and ≥1 stage improvement in liver fibrosis score at week 52
    End point description
    Percentage of participants with no worsening of steatohepatitis and ≥1 stage improvement in liver fibrosis score at week 52 using the NASH CRN Histological Scoring System at Week 52. A participant with a change of ≥ -1 from baseline in fibrosis stage and no worsening in steatohepatitis is considered as an improvement responder for this endpoint. The NASH CRN Histologic Scoring System comprised: steatosis (0 to 3) lobular inflammation (0 to 3) hepatocellular ballooning (0 to 2) fibrosis disease stage (0 to 4) · Stage 0 - None; · Stage 1a - Mild (delicate) zone 3 perisinusoidal fibrosis; · Stage 1b - Moderate (dense) zone 3 perisinusoidal fibrosis; · Stage 1c - Portal/periportal fibrosis only; · Stage 2 - Zone 3 perisinusoidal fibrosis with portal/periportal fibrosis; · Stage 3 - Bridging fibrosis; · Stage 4 - Cirrhosis.
    End point type
    Secondary
    End point timeframe
    at week 52
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    13
    15
    13
    15
    Units: Percentage of Participants
        number (confidence interval 95%)
    15.4 (1.92 to 45.45)
    0 (0 to 21.80)
    7.7 (0.19 to 36.03)
    6.7 (0.17 to 31.95)
    No statistical analyses for this end point

    Secondary: Percentage of participants with improvement in total NAS

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    End point title
    Percentage of participants with improvement in total NAS
    End point description
    Percentage of participants with an improvement of ≥ 2 points in the total NAS in more than one category of steatosis, lobular inflammation, and hepatocellular ballooning, and no worsening of liver fibrosis at Week 52. A participant with a change of ≤ -2 from baseline in total NAS, a change of ≤ -1 from baseline in more than one subscore, and a change of ≤ 0 from baseline in fibrosis stage is considered as a responder for this endpoint.
    End point type
    Secondary
    End point timeframe
    at week 52
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    13
    15
    13
    15
    Units: Percentage of Participants
        number (confidence interval 95%)
    7.7 (0.19 to 36.03)
    6.7 (0.17 to 31.95)
    15.4 (1.92 to 45.45)
    13.3 (1.66 to 40.46)
    No statistical analyses for this end point

    Secondary: Percentage of participants with resolution of NASH

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    End point title
    Percentage of participants with resolution of NASH
    End point description
    Percentage of participants who demonstrate absence of ballooning, and lobular inflammation score of 0 or 1 at Week 52. Absence of ballooning is defined as a score of 0 in hepatocellular ballooning. A participant with a score of 0 in ballooning, a score of 0 or 1 in lobular inflammation is considered as a responder for this endpoint.
    End point type
    Secondary
    End point timeframe
    at week 52
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    13
    15
    13
    15
    Units: Percentage of Participants
        number (confidence interval 95%)
    15.4 (1.92 to 45.45)
    0 (0.00 to 21.80)
    7.7 (0.19 to 36.03)
    6.7 (0.17 to 31.95)
    No statistical analyses for this end point

    Secondary: Percentage of participants with resolution of NASH with no worsening of liver fibrosis

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    End point title
    Percentage of participants with resolution of NASH with no worsening of liver fibrosis
    End point description
    Percentage of participants who demonstrate absence of ballooning, and lobular inflammation score of 0 or 1 and no worsening of liver fibrosis at Week 52 Absence of ballooning is defined as a score of 0 in hepatocellular ballooning. Worsening of fibrosis stage was defined as progression of NASH CRN fibrosis stage. A participant with a score of 0 in ballooning, a score of 0 or 1 in lobular inflammation, and a change of ≤ 0 from baseline in fibrosis stage is considered as a responder for this endpoint.
    End point type
    Secondary
    End point timeframe
    at week 52
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    13
    15
    13
    15
    Units: Percentage of Participants
        number (confidence interval 95%)
    15.4 (1.92 to 45.45)
    0 (0.00 to 21.80)
    7.7 (0.19 to 36.03)
    6.7 (0.17 to 31.95)
    No statistical analyses for this end point

    Secondary: Percentage of participants who progressed to cirrhosis

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    End point title
    Percentage of participants who progressed to cirrhosis
    End point description
    Percentage of participants who progress to cirrhosis
    End point type
    Secondary
    End point timeframe
    at week 52
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    13
    15
    13
    15
    Units: Percentage of Participants
        number (confidence interval 95%)
    0 (0 to 24.71)
    0 (0.00 to 21.80)
    7.7 (0.19 to 36.03)
    6.7 (0.17 to 31.95)
    No statistical analyses for this end point

    Secondary: Mean Change from Baseline in Liver Biochemistry

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    End point title
    Mean Change from Baseline in Liver Biochemistry
    End point description
    Mean change from Baseline in serum aspartate aminotransferase (AST), alanine aminotransferase (ALT) and γ-glutamyl transferase (GGT)
    End point type
    Secondary
    End point timeframe
    through week 52
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    2
    0 [2]
    3
    2
    Units: U/L
    arithmetic mean (standard deviation)
        ALT (U/L)
    26.0 ( 19.80 )
    ( )
    -22.3 ( 14.19 )
    -6.5 ( 21.92 )
        AST (U/L)
    9.5 ( 10.61 )
    ( )
    -17.0 ( 10.15 )
    7.0 ( 4.24 )
        GGT (U/L)
    13.0 ( 28.28 )
    ( )
    -6.3 ( 5.86 )
    2.5 ( 58.69 )
    Notes
    [2] - No subjects in this arm were analyzed
    No statistical analyses for this end point

    Secondary: Mean Change from Baseline in Metabolic Parameters

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    End point title
    Mean Change from Baseline in Metabolic Parameters
    End point description
    Mean change from baseline in total low density cholesterol (LDL) high density cholesterol (HDL), and triglycerides
    End point type
    Secondary
    End point timeframe
    through week 52
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    2
    0 [3]
    3
    2
    Units: mmol/L
    arithmetic mean (standard deviation)
        HDL (mmol/L)
    0.005 ( 0.0354 )
    ( )
    0.147 ( 0.2155 )
    0.120 ( 0.2687 )
        LDL (mmol/L)
    0.970 ( 0.4525 )
    ( )
    0.623 ( 0.3785 )
    -1.395 ( 1.3223 )
        Triglycerides (mmol/L)
    -0.135 ( 0.0495 )
    ( )
    0.027 ( 0.2650 )
    -0.805 ( 0.5445 )
    Notes
    [3] - No subjects in this arm
    No statistical analyses for this end point

    Secondary: Cmax

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    End point title
    Cmax
    End point description
    Cmax is defined as maximum plasma concentration of the drug
    End point type
    Secondary
    End point timeframe
    Day 1 and at Week 4
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    1
    0 [4]
    2
    0 [5]
    Units: ng/mL
    geometric mean (geometric coefficient of variation)
        Day 1
    501.0 ( 99999 )
    ( )
    2938.8 ( 44.94 )
    ( )
        Week 4
    352.0 ( 99999 )
    ( )
    2610.0 ( 99999 )
    ( )
    Notes
    [4] - No subjects in this arm
    [5] - No subjects in this arm
    No statistical analyses for this end point

    Secondary: Tmax

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    End point title
    Tmax
    End point description
    Tmax is defined is the time to maximum plasma concentration
    End point type
    Secondary
    End point timeframe
    Day 1 and at Week 4
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    1
    0 [6]
    2
    0 [7]
    Units: hours
    median (full range (min-max))
        Day 1
    2.0 (2 to 2)
    ( to )
    2.0 (2 to 2)
    ( to )
        Week 4
    2.0 (2 to 2)
    ( to )
    4.0 (4 to 4)
    ( to )
    Notes
    [6] - No subjects in this arm
    [7] - No subjects in this arm
    No statistical analyses for this end point

    Secondary: AUC 0-t

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    End point title
    AUC 0-t
    End point description
    area under the plasma concentration time-curve. AUC from time 0 to the last time of quantifiable concentration Here "99999" = NA
    End point type
    Secondary
    End point timeframe
    Day 1 and at Week 4
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    1
    0 [8]
    2
    0 [9]
    Units: h*ng/mL
    geometric mean (geometric coefficient of variation)
        Day 1
    2322.7 ( 99999 )
    ( )
    26803.9 ( 62.87 )
    ( )
        Week 4
    2530.5 ( 99999 )
    ( )
    20918.8 ( 99999 )
    ( )
    Notes
    [8] - No subjects in this arm
    [9] - No subjects in this arm
    No statistical analyses for this end point

    Secondary: AUC t

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    End point title
    AUC t
    End point description
    area under the plasma concentration time-curve. AUC over the dosing interval Here "99999" = NA
    End point type
    Secondary
    End point timeframe
    Day 1 and at Week 4
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    1
    0 [10]
    2
    0 [11]
    Units: h*ng/mL
    geometric mean (geometric coefficient of variation)
        Day 1
    2322.7 ( 99999 )
    ( )
    27173.7 ( 59.71 )
    ( )
        Week 4
    2530.5 ( 99999 )
    ( )
    21182.1 ( 99999 )
    ( )
    Notes
    [10] - No subjects in this arm
    [11] - No subjects in this arm
    No statistical analyses for this end point

    Secondary: Apparent total body clearance of the drug

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    End point title
    Apparent total body clearance of the drug
    End point description
    apparent total body clearance of the drug (CL/F) Here "99999" = NA
    End point type
    Secondary
    End point timeframe
    Day 1 and at Week 4
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    1
    0 [12]
    2
    0 [13]
    Units: L/h
    geometric mean (geometric coefficient of variation)
        Day 1
    99999 ( 99999 )
    ( )
    99999 ( 99999 )
    ( )
        Week 4
    39.5 ( 99999 )
    ( )
    18.9 ( 99999 )
    ( )
    Notes
    [12] - No subjects in this arm
    [13] - No subjects in this arm
    No statistical analyses for this end point

    Secondary: Number of participants with treatment related safety events

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    End point title
    Number of participants with treatment related safety events
    End point description
    Number of participants with treatment related safety events Study Drug (SD) Dose Interruption (DI)
    End point type
    Secondary
    End point timeframe
    Up to 52 weeks
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    13
    15
    13
    15
    Units: participants
        Participants with at least one TEAE
    10
    13
    12
    10
        Subjects with ≥ 1TEAE related to study drug (SD)
    4
    5
    10
    3
        Subjects with ≥ 1 serious TEAE
    2
    1
    2
    0
        Subjects with ≥ 1 serious TEAE related to SD
    0
    1
    0
    0
        Subjects with ≥ 1 grade 3/4 TEAE
    2
    1
    2
    1
        Subjects with ≥ 1 grade 3/4 TEAE related to SD
    0
    1
    0
    0
        Subjects with ≥ 1 TEAE leading to DI
    2
    1
    2
    0
        Subjects with ≥ 1 TEAE leading to SD withdrawal
    0
    1
    0
    0
    No statistical analyses for this end point

    Secondary: Mean change from baseline of ECG results - PR Intervals

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    End point title
    Mean change from baseline of ECG results - PR Intervals
    End point description
    Mean change from baseline in PR interval PR Interval: Atrial depolarization and conduction through the AV node Normal Range: 0.12 - 0.20 (120 to 200 msec)
    End point type
    Secondary
    End point timeframe
    Up to week 52
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    13 [14]
    15 [15]
    13 [16]
    15 [17]
    Units: msec
    arithmetic mean (standard deviation)
        Week 4
    5.8 ( 10.42 )
    -5.5 ( 10.18 )
    3.6 ( 14.84 )
    5.0 ( 19.24 )
        Week 12
    5.7 ( 10.32 )
    -2.3 ( 10.01 )
    2.3 ( 21.02 )
    15.2 ( 26.99 )
        Week 24
    4.4 ( 7.46 )
    -2.8 ( 3.90 )
    -3.7 ( 8.99 )
    3.2 ( 12.75 )
        Week 52
    -7.0 ( 9.90 )
    99999 ( 99999 )
    -7.7 ( 27.06 )
    13.5 ( 10.61 )
    Notes
    [14] - Number analyzed at given week Week 4 - 11 Week 12- 9 Week 24 - 7 Week 52 - 2
    [15] - Number analyzed at given week Week 4 - 13 Week 12- 10 Week 24 - 5 Week 52 - 0
    [16] - Number analyzed at given week Week 4 - 10 Week 12- 10 Week 24 - 7 Week 52 -3
    [17] - Number analyzed at given week Week 4 - 12 Week 12- 9 Week 24 - 6 Week 52 -2
    No statistical analyses for this end point

    Secondary: Mean change from baseline of ECG results - QRS Duration

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    End point title
    Mean change from baseline of ECG results - QRS Duration
    End point description
    Mean change from baseline in QRS duration QRS Duration: Ventricular depolarization and atrial repolarization Normal Range: 0.08 to 0.10 (80 to 100 msec)
    End point type
    Secondary
    End point timeframe
    Up to week 52
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    13 [18]
    15 [19]
    13 [20]
    15 [21]
    Units: msec
    arithmetic mean (standard deviation)
        Week 4
    0.8 ( 2.93 )
    0.1 ( 5.79 )
    -0.1 ( 6.90 )
    -1.2 ( 3.59 )
        Week 12
    4.0 ( 3.77 )
    0.7 ( 3.56 )
    -2.5 ( 5.38 )
    -2.8 ( 3.11 )
        Week 24
    -8.7 ( 16.54 )
    0.6 ( 4.77 )
    -2.7 ( 3.77 )
    -1.0 ( 3.90 )
        Week 52
    -5.5 ( 7.78 )
    99999 ( 99999 )
    -1.3 ( 4.16 )
    1.0 ( 7.07 )
    Notes
    [18] - Number analyzed at given week Week 4 - 11 Week 12- 9 Week 24 - 7 Week 52 - 2
    [19] - Number analyzed at given week Week 4 - 13 Week 12- 10 Week 24 - 5 Week 52 - 0
    [20] - Number analyzed at given week Week 4 - 10 Week 12- 10 Week 24 - 7 Week 52 -3
    [21] - Number analyzed at given week Week 4 - 12 Week 12- 9 Week 24 - 6 Week 52 -2
    No statistical analyses for this end point

    Secondary: Mean change from baseline of ECG results - QT Interval

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    End point title
    Mean change from baseline of ECG results - QT Interval
    End point description
    Mean change from baseline in QT interval QT Interval: Ventricular depolarization plus ventricular repolarization Normal Range: 400 to 460 msec
    End point type
    Secondary
    End point timeframe
    Up to week 52
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    13 [22]
    15 [23]
    13 [24]
    15 [25]
    Units: msec
    arithmetic mean (standard deviation)
        Week 4
    0.4 ( 19.71 )
    -7.6 ( 12.52 )
    -0.5 ( 9.47 )
    1.0 ( 13.48 )
        Week 12
    10.6 ( 24.57 )
    -9.8 ( 15.48 )
    -2.0 ( 27.22 )
    -3.3 ( 17.33 )
        Week 24
    12.0 ( 11.55 )
    -11.2 ( 12.99 )
    0.6 ( 22.10 )
    13.5 ( 27.07 )
        Week 52
    -6.0 ( 8.49 )
    99999 ( 99999 )
    -15.3 ( 21.73 )
    8.0 ( 25.46 )
    Notes
    [22] - Number analyzed at given week Week 4 - 11 Week 12- 9 Week 24 - 7 Week 52 -2
    [23] - Number analyzed at given week Week 4 - 13 Week 12- 10 Week 24 - 5 Week 52 - 0
    [24] - Number analyzed at given week Week 4 - 10 Week 12- 10 Week 24 - 7 Week 52 -3
    [25] - Number analyzed at given week Week 4 - 12 Week 12- 9 Week 24 - 6 Week 52 -2
    No statistical analyses for this end point

    Secondary: Mean change from baseline of ECG results - QTcB Interval

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    End point title
    Mean change from baseline of ECG results - QTcB Interval
    End point description
    Mean change from baseline in QTcB interval QT Interval: Ventricular depolarization plus ventricular repolarization Normal Range: 400 to 460 msec QTc: QT interval corrected based on the patient's heart rate QTcB: An electrocardiographic finding in which the QT interval corrected for heart rate using Bazzett's formula. QTc = QT/√(RR) RR= Respiration Rate
    End point type
    Secondary
    End point timeframe
    Up to week 52
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    13 [26]
    15 [27]
    13 [28]
    15 [29]
    Units: msec
    arithmetic mean (standard deviation)
        Week 4
    -0.8 ( 16.18 )
    -2.8 ( 17.51 )
    -4.0 ( 15.18 )
    -9.3 ( 10.81 )
        Week 12
    -0.3 ( 19.75 )
    -1.5 ( 10.62 )
    -9.6 ( 22.59 )
    1.4 ( 9.25 )
        Week 24
    7.9 ( 10.75 )
    1.2 ( 16.41 )
    0.7 ( 39.65 )
    -11.0 ( 10.55 )
        Week 52
    -13.0 ( 1.41 )
    99999 ( 99999 )
    -35.0 ( 9.85 )
    4.5 ( 14.85 )
    Notes
    [26] - Number analyzed at given week Week 4 - 9 Week 12- 9 Week 24 - 7 Week 52 -2
    [27] - Number analyzed at given week Week 4 - 12 Week 12- 10 Week 24 - 5 Week 52 -0
    [28] - Number analyzed at given week Week 4 - 9 Week 12- 9 Week 24 - 6 Week 52 -3
    [29] - Number analyzed at given week Week 4 - 12 Week 12- 9 Week 24 - 4 Week 52 -2
    No statistical analyses for this end point

    Secondary: Mean change from baseline of ECG results - QTcF Interval

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    End point title
    Mean change from baseline of ECG results - QTcF Interval
    End point description
    Mean change from baseline in QTcF interval QT Interval: Ventricular depolarization plus ventricular repolarization Normal Range: 400 to 460 msec QTc: QT interval corrected based on the patient's heart rate QTcF: An electrocardiographic finding in which the QT interval corrected for heart rate using Fridericia's formula. QTc = QT/∛(RR) RR = Respiration rate
    End point type
    Secondary
    End point timeframe
    Up to week 52
    End point values
    Treatment 1 Treatment 2 Treatment 3 Placebo
    Number of subjects analysed
    13 [30]
    15 [31]
    13 [32]
    15 [33]
    Units: msec
    arithmetic mean (standard deviation)
        Week 4
    -3.9 ( 15.33 )
    -3.5 ( 14.45 )
    -1.4 ( 12.06 )
    -4.0 ( 10.53 )
        Week 12
    1.0 ( 12.33 )
    -4.6 ( 6.43 )
    -6.3 ( 21.54 )
    -1.4 ( 11.24 )
        Week 24
    9.4 ( 8.71 )
    -3.0 ( 10.49 )
    -0.9 ( 30.17 )
    2.2 ( 12.67 )
        Week 52
    -11.5 ( 3.54 )
    99999 ( 99999 )
    -27.7 ( 7.77 )
    5.5 ( 0.71 )
    Notes
    [30] - Number analyzed at given week Week 4 - 8 Week 12- 7 Week 24 - 5 Week 52 -2
    [31] - Number analyzed at given week Week 4 - 13 Week 12- 10 Week 24 - 5 Week 52 -0
    [32] - Number analyzed at given week Week 4 - 10 Week 12- 10 Week 24 - 7 Week 52 -3
    [33] - Number analyzed at given week Week 4 - 12 Week 12- 9 Week 24 - 6 Week 52 -2
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Treatment-emergent adverse events: up to 108 weeks All-Cause Mortality: up to 108 weeks
    Adverse event reporting additional description
    TEAE includes AEs that begin or worsen on or after the first dose of study drug following randomization at Week 0 through 31 days after the last dose of study drug or on the date of the actual last follow-up in the study, whichever is later. All-cause mortality will be calculated from date of randomization to study completion.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.1
    Reporting groups
    Reporting group title
    Treatment 1
    Reporting group description
    CC-90001 100 mg PO QD

    Reporting group title
    Treatment 2
    Reporting group description
    CC-90001 200 mg PO QD

    Reporting group title
    400 mg QD
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    Placebo in placebo controlled phase. CC-90001 100mg, 200mg or 400mg in active treatment extension phase

    Serious adverse events
    Treatment 1 Treatment 2 400 mg QD Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 13 (15.38%)
    1 / 15 (6.67%)
    2 / 13 (15.38%)
    0 / 15 (0.00%)
         number of deaths (all causes)
    0
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Colon cancer metastatic
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Ligament sprain
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Spinal retrolisthesis
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Appendicitis
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    COVID-19
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Treatment 1 Treatment 2 400 mg QD Placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    10 / 13 (76.92%)
    13 / 15 (86.67%)
    12 / 13 (92.31%)
    11 / 15 (73.33%)
    Vascular disorders
    Haematoma
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Hypertension
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    2
    0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    1 / 15 (6.67%)
         occurrences all number
    0
    0
    1
    1
    Fatigue
         subjects affected / exposed
    1 / 13 (7.69%)
    2 / 15 (13.33%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    1
    2
    1
    0
    Injection site pain
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Non-cardiac chest pain
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Pain
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Pyrexia
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    1 / 15 (6.67%)
         occurrences all number
    0
    0
    0
    1
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Cough
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Rhinorrhoea
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Pleurisy
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Depression
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    1 / 15 (6.67%)
         occurrences all number
    0
    0
    2
    1
    Insomnia
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Libido decreased
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    1 / 15 (6.67%)
         occurrences all number
    0
    0
    0
    1
    Investigations
    Electrocardiogram QT prolonged
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Liver function test increased
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Occult blood positive
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    0
    0
    SARS-CoV-2 test positive
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Urine cytology abnormal
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    1 / 15 (6.67%)
         occurrences all number
    0
    0
    0
    1
    Weight increased
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Injury, poisoning and procedural complications
    Foot fracture
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Joint injury
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Ligament sprain
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    1 / 15 (6.67%)
         occurrences all number
    1
    0
    1
    1
    Muscle strain
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Procedural pain
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Tooth fracture
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Cardiac disorders
    Atrioventricular block first degree
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    1 / 15 (6.67%)
         occurrences all number
    0
    0
    0
    1
    Nervous system disorders
    Carpal tunnel syndrome
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Dizziness
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Headache
         subjects affected / exposed
    1 / 13 (7.69%)
    2 / 15 (13.33%)
    4 / 13 (30.77%)
    4 / 15 (26.67%)
         occurrences all number
    2
    3
    6
    4
    Blood and lymphatic system disorders
    Allergic eosinophilia
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Eosinophilia
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Iron deficiency anaemia
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Ear and labyrinth disorders
    Tinnitus
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Vertigo
         subjects affected / exposed
    1 / 13 (7.69%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Gastrointestinal disorders
    Abdominal discomfort
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Abdominal distension
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Abdominal pain
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    2 / 13 (15.38%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Abdominal pain upper
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Abdominal pain lower
         subjects affected / exposed
    1 / 13 (7.69%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Chronic gastritis
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Constipation
         subjects affected / exposed
    2 / 13 (15.38%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    2
    1
    0
    0
    Diarrhoea
         subjects affected / exposed
    2 / 13 (15.38%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    1 / 15 (6.67%)
         occurrences all number
    4
    0
    0
    1
    Dry mouth
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    1 / 15 (6.67%)
         occurrences all number
    0
    0
    0
    1
    Dyspepsia
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Epigastric discomfort
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Eructation
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Frequent bowel movements
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    1 / 15 (6.67%)
         occurrences all number
    0
    0
    0
    1
    Flatulence
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Haematochezia
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 13 (7.69%)
    2 / 15 (13.33%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    2
    0
    0
    Hiatus hernia
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Large intestine polyp
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Nausea
         subjects affected / exposed
    1 / 13 (7.69%)
    1 / 15 (6.67%)
    6 / 13 (46.15%)
    1 / 15 (6.67%)
         occurrences all number
    1
    1
    8
    1
    Salivary hypersecretion
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Vomiting
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Skin and subcutaneous tissue disorders
    Eczema
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Prurigo
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Hand dermatitis
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Pruritus
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    2
    0
    0
    Skin lesion
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Skin mass
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Urticaria
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    1 / 15 (6.67%)
         occurrences all number
    0
    0
    0
    1
    Renal and urinary disorders
    Haematuria
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Proteinuria
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Arthritis
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Back pain
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Flank pain
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Joint stiffness
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Muscle contracture
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Muscular weakness
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Osteoarthritis
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    1 / 15 (6.67%)
         occurrences all number
    0
    1
    0
    1
    Neck pain
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Pain in extremity
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    1 / 15 (6.67%)
         occurrences all number
    0
    0
    0
    1
    Pain in jaw
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Tendonitis
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Infections and infestations
    Appendicitis
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Bronchitis
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    COVID-19
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    4 / 13 (30.77%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    4
    0
    Cystitis
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Gastroenteritis viral
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Hordeolum
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    1 / 15 (6.67%)
         occurrences all number
    0
    0
    0
    1
    Nail bed infection
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Nasopharyngitis
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    2
    0
    0
    0
    Sinusitis
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Upper respiratory tract infection
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Urinary tract infection
         subjects affected / exposed
    0 / 13 (0.00%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    2 / 15 (13.33%)
         occurrences all number
    0
    0
    0
    2
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    1 / 13 (7.69%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Diabetes mellitus
         subjects affected / exposed
    1 / 13 (7.69%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Type 2 diabetes mellitus
         subjects affected / exposed
    0 / 13 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
    0 / 15 (0.00%)
         occurrences all number
    0
    1
    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
    Changes in the following sections. Medical Monitor / Emergency Contact Information Celgene therapeutic area head signature page Introduction Exclusion Criteria for All Subjects Exclusion Criteria for All Subjects (Section 4.3.1) and Prohibited Concomitant Medications and Procedures Prohibited Concomitant Medications and Procedures Table of Events Sample Size and Power Considerations Discontinuations
    26 Sep 2019
    • Medical Monitor / Emergency Contact Information ­ Contact information was changed to replace medical monitor’s phone numbers with hotline number • Protocol Summary and Overall Study Design (Section 3) ­ Screening period was extended to 10 weeks to allow enough time for completion of study procedures. • Study Population (Section 4) ­ Inclusion criterion #5 was updated to clarify that the historical liver biopsy in subjects who had been on therapy for treatment of NASH is not to be accepted. ­ Inclusion criteria #6 and #7 were updated to ensure stable doses of medications prior to and after historical liver biopsy is obtained, if the historical biopsy was going to be used for the inclusion criteria. ­ Exclusion criterion #3 was corrected. ­ Exclusion criterion #17 were updated to clarify that positive screening hepatitis B/C is also exclusionary for the study. ­ Exclusion criterion #31 was added to exclude subjects with history of Gilbert's syndrome since clinical manifestations of Gilbert's syndrome might confound the safety and efficacy assessments of CC-90001. • Table of Events (Section 5) and Procedures (Section 6) ­ Added screening α-fetoprotein test to Table of Events and Procedures sections. Protocol Section 4.3.2 Exclusion Criteria for the Subjects with Stage 3 Fibrosis excludes subjects with a screening α-fetoprotein ≥ 200 ng/mL and α-fetoprotein > 20 ng/mL should be discussed with Sponsor to review the evaluation of Hepatocellular Cancer (HCC). ­ Added ultrasound and α-fetoprotein test at Early Termination Visit to ensure HCC surveillance to be done for early terminated subjects with Stage 4 fibrosis. • Prohibited Concomitant Medications and Procedures (Section 8.2) ­ Acetaminophen dose was corrected. • Individual Subject Stopping Criteria (Section 11.1.1) ­ Clarification was made on FOBT stopping criterion.
    11 Nov 2020
    Protocol Summary, Rationale (Section 1.3), Study objectives and Endpoints (Section 2), Overall Study Design (Section 3), Study Population (Section 4), Method of Treatment Assignment (Section 7.3), Statistical Considerations (Section 9), Appendix B and Appendix C - Expanded study population to allow subjects with NASH and Stage 2 fibrosis in the study and evaluate efficacy and safety of CC-90001 in these subjects. - References to Appendix B and Appendix C were removed from Study population, Table of Events footnote and Procedures sections because they did not apply to Stage 2 fibrosis. Appendix B and Appendix C were removed as well. Study objectives and Endpoints (Section 2) - Added exploratory endpoint for Ishak score and Section 6.6 Efficacy Assessment was updated accordingly - Exploratory endpoints of 2-dimensional magnetic resonance elastography (MRE), 3-dimentional MRE and magnetic resonance imaging-proton density fat fraction (MRI-PDFF) were updated to add absolute change from baseline - Added N-terminal type III collagen propeptide (PRO-C3) to exploratory pharmacodynamic endpoint Added rationale on assessment of severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) serologic status Added SARS-CoV-2 serology to the Table of Events and Section 6.8.1 Biomarkers/Pharmacodynamics - Added exploratory objective and endpoint on SARS-CoV-2 serology - Revised exclusion criterion #13 to clarify that subjects with SARS-CoV-2 infection within 4 weeks of Screening will be excluded and symptoms must have completely resolved - Added exclusion criterion #34 to exclude subjects who have received live attenuated or investigational SARS-CoV-2 vaccine within 3 months prior to the first dose of study treatment. - Changes were made to clarify that fasting is required for certain visits.
    16 Apr 2021
     100 mg dose treatment arm was removed - Data from non-clinical and clinical studies suggest that therapeutic doses in humans are likely to be 200 mg and 400 mg once daily (QD). 100 mg QD dose of CC-90001 is likely not as effective a dose in subjects with NASH and liver fibrosis. The subjects who are randomized to the 100 mg dose group prior to implementation of Protocol Amendment 4 will stay on 100 mg QD dose throughout the study. Stage 4 population was removed - The protocol was revised to focus on assessing the efficacy and safety of CC-90001 in subjects with NASH and Stage 2 or Stage 3 liver fibrosis in this study.  Active Treatment/Extension Phase was removed - Active treatment/extension phase was removed to reduce burden for the subjects due to the Coronavirus Disease 2019 (COVID-19) pandemic and to shorten the duration of the study. Subjects who sign informed consent form (ICF) prior to the implementation of Protocol Amendment 4 will have an option to participate active treatment/extension phase.  Exclusion criterion #21 “Subjects has 2 positive fecal occult blood test (FOBT) during Screening, collected at least 4 weeks apart” was removed - Gastrointestinal (GI) toxicity was noted in nonclinical studies. The clinical studies to date have not indicated an increased risk for GI bleeding. Positive FOBT may be caused by different cuases (such as rectal hemmorhage, ulcers, colitis, divertriculosis). The protocol has excluded the subjects with a history of inflammatory bowel disease and the subjects with a history of bleeding peptic ulcer or bleeding diverticular disease within 5 years. Furthermore, the protocol also implemented FOBT at Screening and approximately every 12 weeks during the study and discontinuation criteria for the subject with positive FOBT in the study. With all these in place the occurrence of GI bleeding in the study continues to be well monitored to ensure safety of subjects over the course of the trial.

    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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