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    Clinical Trial Results:
    A randomized, double-blind, placebo-controlled, study evaluating the efficacy and safety of otilimab in patients with severe pulmonary COVID-19 related disease

    Summary
    EudraCT number
    2020-001759-42
    Trial protocol
    GB   NL   ES   BE   DE   IT  
    Global end of trial date
    16 Aug 2021

    Results information
    Results version number
    v1(current)
    This version publication date
    16 Mar 2022
    First version publication date
    16 Mar 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    214094
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    GlaxoSmithKline
    Sponsor organisation address
    980 Great West Road, Brentford, Middlesex, United Kingdom, TW8 9GS
    Public contact
    GSK Response Center, GlaxoSmithKline, 1 8664357343, GSKClinicalSupportHD@gsk.com
    Scientific contact
    GSK Response Center, GlaxoSmithKline, 1 8664357343, GSKClinicalSupportHD@gsk.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
    24 Sep 2021
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    16 Aug 2021
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To compare the efficacy of otilimab intravenous (IV) versus placebo
    Protection of trial subjects
    Not Applicable
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    28 May 2020
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Argentina: 102
    Country: Number of subjects enrolled
    Belgium: 21
    Country: Number of subjects enrolled
    Brazil: 31
    Country: Number of subjects enrolled
    Canada: 19
    Country: Number of subjects enrolled
    Chile: 11
    Country: Number of subjects enrolled
    Colombia: 1
    Country: Number of subjects enrolled
    France: 258
    Country: Number of subjects enrolled
    India: 72
    Country: Number of subjects enrolled
    Italy: 7
    Country: Number of subjects enrolled
    Japan: 48
    Country: Number of subjects enrolled
    Mexico: 48
    Country: Number of subjects enrolled
    Netherlands: 47
    Country: Number of subjects enrolled
    Peru: 12
    Country: Number of subjects enrolled
    Poland: 12
    Country: Number of subjects enrolled
    Russian Federation: 113
    Country: Number of subjects enrolled
    South Africa: 36
    Country: Number of subjects enrolled
    Spain: 94
    Country: Number of subjects enrolled
    United Kingdom: 10
    Country: Number of subjects enrolled
    United States: 214
    Worldwide total number of subjects
    1156
    EEA total number of subjects
    439
    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)
    499
    From 65 to 84 years
    643
    85 years and over
    14

    Subject disposition

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    Recruitment
    Recruitment details
    This was a 2-part study evaluating efficacy and safety of intravenously (IV) administered otilimab in participants with severe pulmonary Coronavirus Disease-2019 (COVID-19) related disease. Part 1 consisted of participants aged 18 to 79 years and Part 2 consisted of participants aged 70 years and older.

    Pre-assignment
    Screening details
    A total of 1156 (806 in Part 1 and 350 in Part 2) participants were enrolled in the study (Enrolled Population: All participants who entered the study).

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

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Part 1: Placebo 1
    Arm description
    Participants between the ages of greater than or equal to (>=)18 years and less than or equal to (<=)79 years received blinded 1-hour IV infusion of placebo (sterile 0.9 percent [%] weight by volume [w/v] sodium chloride solution) once along with standard of care.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo 1
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Sterile 0.9% (w/v) sodium chloride solution administered once via IV infusion

    Arm title
    Part 1: Otilimab 90 mg
    Arm description
    Participants between the ages of >=18 years and <=79 years received blinded otilimab 90 milligrams (mg) (solution in single-use vial diluted in sterile 0.9% w/v sodium chloride solution) once as 1-hour IV infusion along with standard of care.
    Arm type
    Experimental

    Investigational medicinal product name
    Otilimab 90 mg (diluted in sodium chloride solution)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Solution in single-use vial (150 mg/milliliters [mL]) diluted in sterile 0.9% (w/v) sodium chloride solution and administered once via IV infusion

    Arm title
    Part 2: Placebo 2
    Arm description
    Participants aged 70 years or above received blinded 1-hour IV infusion of placebo (sterile 5% w/v dextrose solution) once along with standard of care.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo 2
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Sterile 5% (w/v) dextrose solution administered once via IV infusion

    Arm title
    Part 2: Otilimab 90 mg
    Arm description
    Participants aged 70 years or above received blinded otilimab 90 mg (solution in single-use vial diluted in sterile 5% dextrose solution) once as 1-hour IV infusion along with standard of care.
    Arm type
    Experimental

    Investigational medicinal product name
    Otilimab 90 mg (diluted in dextrose solution)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Solution in single-use vial (150 mg/mL) diluted in sterile 5% (w/v) dextrose solution and administered once via IV infusion

    Number of subjects in period 1
    Part 1: Placebo 1 Part 1: Otilimab 90 mg Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Started
    403
    403
    175
    175
    Completed
    388
    379
    170
    171
    Not completed
    15
    24
    5
    4
         Consent withdrawn by subject
    7
    8
    1
    1
         Physician decision
    2
    5
    1
    1
         Lost to follow-up
    4
    8
    3
    2
         Protocol deviation
    2
    3
    -
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Part 1: Placebo 1
    Reporting group description
    Participants between the ages of greater than or equal to (>=)18 years and less than or equal to (<=)79 years received blinded 1-hour IV infusion of placebo (sterile 0.9 percent [%] weight by volume [w/v] sodium chloride solution) once along with standard of care.

    Reporting group title
    Part 1: Otilimab 90 mg
    Reporting group description
    Participants between the ages of >=18 years and <=79 years received blinded otilimab 90 milligrams (mg) (solution in single-use vial diluted in sterile 0.9% w/v sodium chloride solution) once as 1-hour IV infusion along with standard of care.

    Reporting group title
    Part 2: Placebo 2
    Reporting group description
    Participants aged 70 years or above received blinded 1-hour IV infusion of placebo (sterile 5% w/v dextrose solution) once along with standard of care.

    Reporting group title
    Part 2: Otilimab 90 mg
    Reporting group description
    Participants aged 70 years or above received blinded otilimab 90 mg (solution in single-use vial diluted in sterile 5% dextrose solution) once as 1-hour IV infusion along with standard of care.

    Reporting group values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg Part 2: Placebo 2 Part 2: Otilimab 90 mg Total
    Number of subjects
    403 403 175 175 1156
    Age Categorical
    Baseline characteristics were presented for Enrolled Population.
    Units: Participants
        <18 years
    0 0 0 0 0
        Between 18 to 64 years
    249 250 0 0 499
        >=65 to 84 years
    154 153 168 168 643
        >=85 years
    0 0 7 7 14
    Age continuous
    Baseline characteristics were presented for Enrolled Population.
    Units: years
        arithmetic mean (standard deviation)
    59.4 ± 11.86 59.8 ± 11.69 75.0 ± 4.67 75.3 ± 4.70 -
    Sex: Female, Male
    Baseline characteristics were presented for Enrolled Population.
    Units: Participants
        Female
    128 101 75 73 377
        Male
    275 302 100 102 779
    Race/Ethnicity, Customized
    Baseline characteristics were presented for Enrolled Population.
    Units: Subjects
        American Indian or Alaska Native
    24 30 3 8 65
        Asian - Central/South Asian Heritage
    42 31 1 0 74
        Asian - East Asian Heritage
    4 4 0 0 8
        Asian - Japanese Heritage
    15 14 13 5 47
        Asian - South East Asian Heritage
    12 8 1 0 21
        Black or African American
    25 26 6 6 63
        White - Arabic/North African Heritage
    27 21 14 21 83
        White - White/Caucasian/European Heritage
    235 251 136 134 756
        Mixed Asian Race
    0 1 0 0 1
        Mixed White Race
    1 1 1 0 3
        Multiple
    7 7 0 0 14
        Unknown
    11 9 0 1 21

    End points

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    End points reporting groups
    Reporting group title
    Part 1: Placebo 1
    Reporting group description
    Participants between the ages of greater than or equal to (>=)18 years and less than or equal to (<=)79 years received blinded 1-hour IV infusion of placebo (sterile 0.9 percent [%] weight by volume [w/v] sodium chloride solution) once along with standard of care.

    Reporting group title
    Part 1: Otilimab 90 mg
    Reporting group description
    Participants between the ages of >=18 years and <=79 years received blinded otilimab 90 milligrams (mg) (solution in single-use vial diluted in sterile 0.9% w/v sodium chloride solution) once as 1-hour IV infusion along with standard of care.

    Reporting group title
    Part 2: Placebo 2
    Reporting group description
    Participants aged 70 years or above received blinded 1-hour IV infusion of placebo (sterile 5% w/v dextrose solution) once along with standard of care.

    Reporting group title
    Part 2: Otilimab 90 mg
    Reporting group description
    Participants aged 70 years or above received blinded otilimab 90 mg (solution in single-use vial diluted in sterile 5% dextrose solution) once as 1-hour IV infusion along with standard of care.

    Primary: Part 1: Percentage of participants alive and free of respiratory failure at Day 28

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    End point title
    Part 1: Percentage of participants alive and free of respiratory failure at Day 28 [1]
    End point description
    Participants were considered alive and free of respiratory failure if they were in category 1,2,3 or 4 from the GSK modified version ordinal scale adapted from World Health Organization (WHO) scale 2020.The 8-point scale was as follows:1)Non-hospitalized,no limitation of activity;2) Non-hospitalized,limitation of activity;3) Hospitalized,no oxygen therapy;4)Hospitalized,low-flow oxygen by mask/nasal prongs;5) Hospitalized,highflow oxygen (>=15 liters per minute),continuous positive airway pressure(CPAP),bilevel positive airway pressure(BIPAP),non-invasive ventilation;6) Hospitalized,intubation and mechanical ventilation;7) Hospitalized,mechanical ventilation plus additional organ support;8)Death.Higher scale indicate higher intensity of respiratory failure. Percentage values are rounded off.Modified intent to treat(mITT) population consisted of all randomized participants who received study intervention.Only those participants with data available at specified timepoints were analyzed
    End point type
    Primary
    End point timeframe
    At Day 28
    Notes
    [1] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    393 [2]
    389 [3]
    Units: Percentage of participants
    67
    71
    Notes
    [2] - mITT Population
    [3] - mITT Population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, and both clinical status at Baseline and age group as randomized. Missing data was imputed with monotone discriminant multiple imputation assuming data is missing at random.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    782
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.0456 [4]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.32
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.96
         upper limit
    1.82
    Notes
    [4] - p-value is from a one-sided test.

    Primary: Part 2: Percentage of participants alive and free of respiratory failure at Day 28

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    End point title
    Part 2: Percentage of participants alive and free of respiratory failure at Day 28 [5]
    End point description
    Participants were alive and free of respiratory failure if they were in category 1, 2, 3 or 4 from the GlaxoSmithKline (GSK) modified version ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Higher scale indicates higher intensity of respiratory failure. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Primary
    End point timeframe
    At Day 28
    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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    170 [6]
    172 [7]
    Units: Percentage of participants
    51
    52
    Notes
    [6] - mITT Population.
    [7] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, age, and both clinical status at Baseline and sex as randomized. Missing data was imputed with monotone logistic multiple imputation assuming data is missing at random.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    342
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.8574 [8]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.04
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.67
         upper limit
    1.61
    Notes
    [8] - p-value is generated from a two-sided test.

    Secondary: Part 1: Number of participants who died due to all causes at Day 60

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    End point title
    Part 1: Number of participants who died due to all causes at Day 60 [9]
    End point description
    Number of participants who died due to all causes at Day 60 are reported. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 60
    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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    386 [10]
    373 [11]
    Units: Participants
    93
    84
    Notes
    [10] - mITT Population.
    [11] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, and both clinical status at Baseline and age group as randomized. Missing data was imputed with monotone discriminant multiple imputation assuming data is missing at random.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    759
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.2057 [12]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    0.86
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.61
         upper limit
    1.22
    Notes
    [12] - p-value is from a one-sided test.

    Secondary: Part 2: Number of participants who died due to all causes at Day 28

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    End point title
    Part 2: Number of participants who died due to all causes at Day 28 [13]
    End point description
    Number of participants who died due to all causes at Day 28 is reported. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 28
    Notes
    [13] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    170 [14]
    172 [15]
    Units: Participants
    70
    63
    Notes
    [14] - mITT Population.
    [15] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, age, and both clinical status at Baseline and sex as randomized. Missing data was imputed with monotone logistic multiple imputation assuming data is missing at random.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    342
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.3061 [16]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    0.79
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.5
         upper limit
    1.24
    Notes
    [16] - p-value is generated from a two-sided test.

    Secondary: Part 2: Number of participants who died due to all causes at Day 60

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    End point title
    Part 2: Number of participants who died due to all causes at Day 60 [17]
    End point description
    Number of participants who died due to all causes at Day 60 is reported. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 60
    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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    170 [18]
    171 [19]
    Units: Participants
    76
    74
    Notes
    [18] - mITT Population.
    [19] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, age, and both clinical status at Baseline and sex as randomized. Missing data was imputed with monotone logistic multiple imputation assuming data is missing at random.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    341
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.6665 [20]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    0.91
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.59
         upper limit
    1.41
    Notes
    [20] - p-value is generated from a two-sided test.

    Secondary: Part 1: Time to death due to all causes up to Day 60

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    End point title
    Part 1: Time to death due to all causes up to Day 60 [21]
    End point description
    Time to death due to all causes was defined as the time (days) from dosing to death, due to any cause, up to (and including) Day 60. Median and inter-quartile range (first quartile and third quartile) of time to death are presented. Only those participants with data available at the specified time points were analyzed. 9999 indicates that <25% of participants experienced the event within the treatment arm. Hence, median and inter-quartile range could not be derived.
    End point type
    Secondary
    End point timeframe
    Up to Day 60
    Notes
    [21] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    93 [22]
    84 [23]
    Units: Days
        median (inter-quartile range (Q1-Q3))
    99999 (99999 to 99999)
    99999 (99999 to 99999)
    Notes
    [22] - mITT Population.
    [23] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Model adjusted analysis performed using a Cox proportional hazards model adjusted by treatment, clinical status at Baseline as randomized and age group as randomized.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    177
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.1942 [24]
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.88
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.65
         upper limit
    1.18
    Notes
    [24] - p-value is from a one-sided test.

    Secondary: Part 2: Time to death due to all causes up to Day 60

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    End point title
    Part 2: Time to death due to all causes up to Day 60 [25]
    End point description
    Time to death due to all causes was defined as the time (days) from dosing to death, due to any cause, up to (and including) Day 60. Median and inter-quartile range (first quartile and third quartile) of time to death are presented. Only those participants with data available at the specified time points were analyzed. 9999 indicates that <50% of participants experienced the event within the treatment arm. Hence, median and third-quartile could not be derived.
    End point type
    Secondary
    End point timeframe
    Up to Day 60
    Notes
    [25] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    76 [26]
    74 [27]
    Units: Days
        median (inter-quartile range (Q1-Q3))
    99999 (16 to 99999)
    99999 (16 to 99999)
    Notes
    [26] - mITT Population.
    [27] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Model adjusted analysis performed using a Cox proportional hazards model adjusted by treatment, clinical status at Baseline as randomized, sex as randomized and age.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    150
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.5324 [28]
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.65
         upper limit
    1.24
    Notes
    [28] - p-value is generated from a two-sided test

    Secondary: Part 1: Percentage of participants alive and free of respiratory failure at Day 7

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    End point title
    Part 1: Percentage of participants alive and free of respiratory failure at Day 7 [29]
    End point description
    Participants were alive and free of respiratory failure if they were in category 1, 2, 3 or 4 from the GlaxoSmithKline (GSK) modified version ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Higher scale indicates higher intensity of respiratory failure. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 7
    Notes
    [29] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    396 [30]
    393 [31]
    Units: Percentage of participants
    42
    44
    Notes
    [30] - mITT Population.
    [31] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, and both clinical status at Baseline and age group as randomized. Missing data was imputed with monotone discriminant multiple imputation assuming data is missing at random.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    789
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.2871 [32]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.09
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.8
         upper limit
    1.49
    Notes
    [32] - p-value is from a one-sided test.

    Secondary: Part 1: Percentage of participants alive and free of respiratory failure at Day 14

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    End point title
    Part 1: Percentage of participants alive and free of respiratory failure at Day 14 [33]
    End point description
    Participants were alive and free of respiratory failure if they were in category 1, 2, 3 or 4 from the GlaxoSmithKline (GSK) modified version ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Higher scale indicates higher intensity of respiratory failure. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 14
    Notes
    [33] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    394 [34]
    391 [35]
    Units: Percentage of participants
    61
    63
    Notes
    [34] - mITT Population.
    [35] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, and both clinical status at Baseline and age group as randomized. Missing data was imputed with monotone discriminant multiple imputation assuming data is missing at random.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    785
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.1754 [36]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.16
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.85
         upper limit
    1.58
    Notes
    [36] - p-value is from a one-sided test.

    Secondary: Part 1: Percentage of participants alive and free of respiratory failure at Day 60

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    End point title
    Part 1: Percentage of participants alive and free of respiratory failure at Day 60 [37]
    End point description
    Participants were alive and free of respiratory failure if they were in category 1, 2, 3 or 4 from the GlaxoSmithKline (GSK) modified version ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Higher scale indicates higher intensity of respiratory failure. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 60
    Notes
    [37] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    386 [38]
    373 [39]
    Units: Percentage of participants
    74
    75
    Notes
    [38] - mITT Population.
    [39] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, and both clinical status at Baseline and age group as randomized. Missing data was imputed with monotone discriminant multiple imputation assuming data is missing at random.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    759
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.183 [40]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.17
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.84
         upper limit
    1.63
    Notes
    [40] - p-value is from a one-sided test.

    Secondary: Part 1: Percentage of participants alive and free of respiratory failure at Day 42

    Close Top of page
    End point title
    Part 1: Percentage of participants alive and free of respiratory failure at Day 42 [41]
    End point description
    Participants were alive and free of respiratory failure if they were in category 1, 2, 3 or 4 from the GlaxoSmithKline (GSK) modified version ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Higher scale indicates higher intensity of respiratory failure. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 42
    Notes
    [41] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    392 [42]
    385 [43]
    Units: Percentage of participants
    70
    74
    Notes
    [42] - mITT Population.
    [43] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, and both clinical status at Baseline and age group as randomized. Missing data was imputed with monotone discriminant multiple imputation assuming data is missing at random.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    777
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.0616 [44]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.29
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.93
         upper limit
    1.79
    Notes
    [44] - p-value is from a one-sided test.

    Secondary: Part 2: Percentage of participants alive and free of respiratory failure at Day 7

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    End point title
    Part 2: Percentage of participants alive and free of respiratory failure at Day 7 [45]
    End point description
    Participants were alive and free of respiratory failure if they were in category 1, 2, 3 or 4 from the GlaxoSmithKline (GSK) modified version ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Higher scale indicates higher intensity of respiratory failure. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 7
    Notes
    [45] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    173 [46]
    174 [47]
    Units: Percentage of participants
    28
    37
    Notes
    [46] - mITT Population.
    [47] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, age, and both clinical status at Baseline and sex as randomized. Missing data was imputed with monotone logistic multiple imputation assuming data is missing at random.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    347
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.0831 [48]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.51
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.95
         upper limit
    2.39
    Notes
    [48] - p-value is generated from a two-sided test.

    Secondary: Part 2: Percentage of participants alive and free of respiratory failure at Day 14

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    End point title
    Part 2: Percentage of participants alive and free of respiratory failure at Day 14 [49]
    End point description
    Participants were alive and free of respiratory failure if they were in category 1, 2, 3 or 4 from the GlaxoSmithKline (GSK) modified version ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Higher scale indicates higher intensity of respiratory failure. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 14
    Notes
    [49] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    171 [50]
    174 [51]
    Units: Percentage of participants
    43
    49
    Notes
    [50] - mITT Population.
    [51] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, age, and both clinical status at Baseline and sex as randomized. Missing data was imputed with monotone logistic multiple imputation assuming data is missing at random.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    345
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.2557 [52]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.29
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.83
         upper limit
    2
    Notes
    [52] - p-value is generated from a two-sided test.

    Secondary: Part 2: Percentage of participants alive and free of respiratory failure at Day 42

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    End point title
    Part 2: Percentage of participants alive and free of respiratory failure at Day 42 [53]
    End point description
    Participants were alive and free of respiratory failure if they were in category 1, 2, 3 or 4 from the GlaxoSmithKline (GSK) modified version ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Higher scale indicates higher intensity of respiratory failure. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 42
    Notes
    [53] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    170 [54]
    172 [55]
    Units: Percentage of participants
    54
    54
    Notes
    [54] - mITT Population.
    [55] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, age, and both clinical status at Baseline and sex as randomized. Missing data was imputed with monotone logistic multiple imputation assuming data is missing at random.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    342
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.856 [56]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.04
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.67
         upper limit
    1.61
    Notes
    [56] - p-value is generated from a two-sided test.

    Secondary: Part 2: Percentage of participants alive and free of respiratory failure at Day 60

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    End point title
    Part 2: Percentage of participants alive and free of respiratory failure at Day 60 [57]
    End point description
    Participants were alive and free of respiratory failure if they were in category 1, 2, 3 or 4 from the GlaxoSmithKline (GSK) modified version ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Higher scale indicates higher intensity of respiratory failure. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 60
    Notes
    [57] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    170 [58]
    171 [59]
    Units: Percentage of participants
    55
    56
    Notes
    [58] - mITT Population
    [59] - mITT Population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, age, and both clinical status at Baseline and sex as randomized. Missing data was imputed with monotone logistic multiple imputation assuming data is missing at random.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    341
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.7533 [60]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.07
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.69
         upper limit
    1.66
    Notes
    [60] - p-value is generated from a two-sided test.

    Secondary: Part 1: Time to recovery from respiratory failure up to Day 28

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    End point title
    Part 1: Time to recovery from respiratory failure up to Day 28 [61]
    End point description
    Time to recovery from respiratory failure was defined as time (days) from dosing to last recovery from respiratory failure upto (and including) Day 28.Participants were in respiratory failure if they were in category 5 or above from the GSK modified ordinal scale adapted from WHO scale 2020.The 8-point scale was as follows:1) Non-hospitalized, no limitation of activity;2) Non-hospitalized,limitation of activity;3) Hospitalized, no oxygen therapy;4) Hospitalized, low-flow oxygen by mask/nasal prongs;5)Hospitalized,highflow oxygen(>=15L/min),continuous positive airway pressure (CPAP),bilevel positive airway pressure(BIPAP),non-invasive ventilation;6)Hospitalized, intubation and mechanical ventilation;7)Hospitalized, mechanical ventilation plus additional organ support;8)Death.9999 indicates that <75% participants experienced event within treatment arm. Third-quartile could not be derived. Only those participants with data available at the specified time points were analyzed
    End point type
    Secondary
    End point timeframe
    Up to Day 28
    Notes
    [61] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    263 [62]
    281 [63]
    Units: Days
        median (inter-quartile range (Q1-Q3))
    10 (5 to 99999)
    9 (5 to 99999)
    Notes
    [62] - mITT Population.
    [63] - mITT Population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Model adjusted analysis performed using a Cox proportional hazards model adjusted by treatment, clinical status at Baseline as randomized and age group as randomized.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    544
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.0959 [64]
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.12
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.95
         upper limit
    1.32
    Notes
    [64] - p-value is from a one-sided test.

    Secondary: Part 2: Time to recovery from respiratory failure up to Day 28

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    End point title
    Part 2: Time to recovery from respiratory failure up to Day 28 [65]
    End point description
    Time to recovery from respiratory failure was defined as time (days) from dosing to last recovery from respiratory failure upto (and including) Day 28.Participants were in respiratory failure if they were in category 5 or above from the GSK modified ordinal scale adapted from WHO scale 2020.The 8-point scale was as follows:1) Non-hospitalized,no limitation of activity;2)Non-hospitalized,limitation of activity;3) Hospitalized, no oxygen therapy;4) Hospitalized, low-flow oxygen by mask/nasal prongs;5)Hospitalized,highflow oxygen(>=15L/min),continuous positive airway pressure (CPAP),bilevel positive airway pressure(BIPAP),non-invasive ventilation;6)Hospitalized, intubation and mechanical ventilation;7)Hospitalized, mechanical ventilation plus additional organ support;8)Death.99999 indicates that <75% participants experienced event within treatment arm. Third-quartile could not be derived. Only those participants with data available at the specified time points were analyzed
    End point type
    Secondary
    End point timeframe
    Up to Day 28
    Notes
    [65] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    90 [66]
    91 [67]
    Units: Days
        median (inter-quartile range (Q1-Q3))
    24 (7 to 99999)
    22 (5 to 99999)
    Notes
    [66] - mITT Population
    [67] - mITT Population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Model adjusted analysis performed using a Cox proportional hazards model adjusted by treatment, clinical status at Baseline as randomized, sex as randomized and age.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    181
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.4421 [68]
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.12
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.84
         upper limit
    1.5
    Notes
    [68] - p-value is generated from a two-sided test.

    Secondary: Part 1: Percentage of participants alive and independent of supplementary oxygen at Day 7

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    End point title
    Part 1: Percentage of participants alive and independent of supplementary oxygen at Day 7 [69]
    End point description
    Participants were independent of supplementary oxygen if they were in category 1, 2 or 3 from the GlaxoSmithKline (GSK) modified ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Percentage values are rounded. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 7
    Notes
    [69] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    396 [70]
    393 [71]
    Units: Percentage of participants
    11
    12
    Notes
    [70] - mITT Population.
    [71] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, and both clinical status at Baseline and age group as randomized. Missing data was imputed with monotone discriminant multiple imputation assuming data is missing at random.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    789
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.2814 [72]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.14
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.73
         upper limit
    1.8
    Notes
    [72] - p-value is from a one-sided test.

    Secondary: Part 1: Percentage of participants alive and independent of supplementary oxygen at Day 14

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    End point title
    Part 1: Percentage of participants alive and independent of supplementary oxygen at Day 14 [73]
    End point description
    Participants were independent of supplementary oxygen if they were in category 1, 2 or 3 from the GlaxoSmithKline (GSK) modified ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 14
    Notes
    [73] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    394 [74]
    391 [75]
    Units: Percentage of participants
    37
    37
    Notes
    [74] - mITT Population.
    [75] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, and both clinical status at Baseline and age group as randomized. Missing data was imputed with monotone discriminant multiple imputation assuming data is missing at random.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    785
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.3901 [76]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.04
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.77
         upper limit
    1.42
    Notes
    [76] - p-value is from a one-sided test.

    Secondary: Part 1: Percentage of participants alive and independent of supplementary oxygen at Day 28

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    End point title
    Part 1: Percentage of participants alive and independent of supplementary oxygen at Day 28 [77]
    End point description
    Participants were independent of supplementary oxygen if they were in category 1, 2 or 3 from the GlaxoSmithKline (GSK) modified ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 28
    Notes
    [77] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    393 [78]
    389 [79]
    Units: Percentage of participants
    57
    57
    Notes
    [78] - mITT Population.
    [79] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, and both clinical status at Baseline and age group as randomized. Missing data was imputed with monotone discriminant multiple imputation assuming data is missing at random.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    782
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.4763 [80]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.01
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.75
         upper limit
    1.36
    Notes
    [80] - p-value is from a one-sided test.

    Secondary: Part 1: Percentage of participants alive and independent of supplementary oxygen at Day 42

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    End point title
    Part 1: Percentage of participants alive and independent of supplementary oxygen at Day 42 [81]
    End point description
    Participants were independent of supplementary oxygen if they were in category 1, 2 or 3 from the GlaxoSmithKline (GSK) modified ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 42
    Notes
    [81] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    392 [82]
    385 [83]
    Units: Percentage of participants
    63
    66
    Notes
    [82] - mITT population.
    [83] - mITT population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, and both clinical status at Baseline and age group as randomized. Missing data was imputed with monotone discriminant multiple imputation assuming data is missing at random.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    777
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.1973 [84]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.14
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.84
         upper limit
    1.56
    Notes
    [84] - p-value is from a one-sided test.

    Secondary: Part 1: Percentage of participants alive and independent of supplementary oxygen at Day 60

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    End point title
    Part 1: Percentage of participants alive and independent of supplementary oxygen at Day 60 [85]
    End point description
    Participants were independent of supplementary oxygen if they were in category 1, 2 or 3 from the GlaxoSmithKline (GSK) modified ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 60
    Notes
    [85] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    386 [86]
    373 [87]
    Units: Percentage of participants
    67
    71
    Notes
    [86] - mITT Population.
    [87] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, and both clinical status at Baseline and age group as randomized. Missing data was imputed with monotone discriminant multiple imputation assuming data is missing at random.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    759
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.1173 [88]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.21
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.88
         upper limit
    1.67
    Notes
    [88] - p-value is from a one-sided test.

    Secondary: Part 2: Percentage of participants alive and independent of supplementary oxygen at Day 7

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    End point title
    Part 2: Percentage of participants alive and independent of supplementary oxygen at Day 7 [89]
    End point description
    Participants were independent of supplementary oxygen if they were in category 1, 2 or 3 from the GlaxoSmithKline (GSK) modified ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 7
    Notes
    [89] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    173 [90]
    174 [91]
    Units: Percentage of participants
    3
    13
    Notes
    [90] - mITT Population.
    [91] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, age, and both clinical status at Baseline and sex as randomized. Missing data was imputed with monotone logistic multiple imputation assuming data is missing at random.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    347
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.0037 [92]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    3.98
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.57
         upper limit
    10.13
    Notes
    [92] - p-value is generated from a two-sided test.

    Secondary: Part 2: Percentage of participants alive and independent of supplementary oxygen at Day 14

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    End point title
    Part 2: Percentage of participants alive and independent of supplementary oxygen at Day 14 [93]
    End point description
    Participants were independent of supplementary oxygen if they were in category 1, 2 or 3 from the GlaxoSmithKline (GSK) modified ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 14
    Notes
    [93] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    171 [94]
    174 [95]
    Units: Percentage of participants
    23
    28
    Notes
    [94] - mITT Population.
    [95] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, age, and both clinical status at Baseline and sex as randomized. Missing data was imputed with monotone logistic multiple imputation assuming data is missing at random.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    345
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.3581 [96]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.26
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.77
         upper limit
    2.06
    Notes
    [96] - p-value is generated from a two-sided test.

    Secondary: Part 2: Percentage of participants alive and independent of supplementary oxygen at Day 28

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    End point title
    Part 2: Percentage of participants alive and independent of supplementary oxygen at Day 28 [97]
    End point description
    Participants were independent of supplementary oxygen if they were in category 1, 2 or 3 from the GlaxoSmithKline (GSK) modified ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 28
    Notes
    [97] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    170 [98]
    172 [99]
    Units: Percentage of participants
    39
    38
    Notes
    [98] - mITT Population.
    [99] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, age, and both clinical status at Baseline and sex as randomized. Missing data was imputed with monotone logistic multiple imputation assuming data is missing at random.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    342
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.9621 [100]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    0.99
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.63
         upper limit
    1.54
    Notes
    [100] - p-value is generated from a two-sided test.

    Secondary: Part 2: Percentage of participants alive and independent of supplementary oxygen at Day 42

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    End point title
    Part 2: Percentage of participants alive and independent of supplementary oxygen at Day 42 [101]
    End point description
    Participants were independent of supplementary oxygen if they were in category 1, 2 or 3 from the GlaxoSmithKline (GSK) modified ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 42
    Notes
    [101] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    170 [102]
    172 [103]
    Units: Percentage of participants
    46
    41
    Notes
    [102] - mITT Population.
    [103] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, age, and both clinical status at Baseline and sex as randomized. Missing data was imputed with monotone logistic multiple imputation assuming data is missing at random.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    342
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.4167 [104]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    0.83
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.54
         upper limit
    1.29
    Notes
    [104] - p-value is generated from a two-sided test.

    Secondary: Part 2: Percentage of participants alive and independent of supplementary oxygen at Day 60

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    End point title
    Part 2: Percentage of participants alive and independent of supplementary oxygen at Day 60 [105]
    End point description
    Participants were independent of supplementary oxygen if they were in category 1, 2 or 3 from the GlaxoSmithKline (GSK) modified ordinal scale adapted from World Health Organization (WHO) scale 2020. The 8-point scale was as follows: 1) Non-hospitalized, no limitation of activity; 2) Non-hospitalized,limitation of activity; 3) Hospitalized, no oxygen therapy; 4) Hospitalized, low-flow oxygen by mask or nasal prongs; 5) Hospitalized, highflow oxygen (>=15L/min), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), non-invasive ventilation; 6) Hospitalized, intubation and mechanical ventilation; 7) Hospitalized, mechanical ventilation plus additional organ support; 8) Death. Percentage values are rounded off. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    At Day 60
    Notes
    [105] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    170 [106]
    171 [107]
    Units: Percentage of participants
    51
    46
    Notes
    [106] - mITT Population.
    [107] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, age, and both clinical status at Baseline and sex as randomized. Missing data was imputed with monotone logistic multiple imputation assuming data is missing at random.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    341
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.3408 [108]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    0.81
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.53
         upper limit
    1.25
    Notes
    [108] - p-value is generated from a two-sided test.

    Secondary: Part 1: Time to last dependence on supplementary oxygen

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    End point title
    Part 1: Time to last dependence on supplementary oxygen [109]
    End point description
    Time to last dependence on supplementary oxygen was defined as the time (days) from dosing to last dependence on supplementary oxygen up to (and including) Day 28. Median and inter-quartile range (first quartile and third quartile) of time to last dependence on supplementary oxygen are presented. Only those participants with data available at the specified time points were analyzed. 99999 indicates that <75% of participants experienced the event within the treatment arm. Hence, third-quartile could not be derived.
    End point type
    Secondary
    End point timeframe
    Up to Day 28
    Notes
    [109] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    223 [110]
    221 [111]
    Units: Days
        median (inter-quartile range (Q1-Q3))
    22 (11 to 99999)
    21 (10 to 99999)
    Notes
    [110] - mITT Population.
    [111] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Model adjusted analysis performed using a Cox proportional hazards model adjusted by treatment, clinical status at Baseline as randomized and age group as randomized.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    444
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.425 [112]
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.02
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.85
         upper limit
    1.23
    Notes
    [112] - p-value is from a one-sided test.

    Secondary: Part 2: Time to last dependence on supplementary oxygen

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    End point title
    Part 2: Time to last dependence on supplementary oxygen [113]
    End point description
    Time to last dependence on supplementary oxygen was defined as the time (days) from dosing to last dependence on supplementary oxygen up to (and including) Day 28. Median and inter-quartile range (first quartile and third quartile) of time to last dependence on supplementary oxygen are presented. Only those participants with data available at the specified time points were analyzed. 99999 indicates that <50% of participants experienced the event within the treatment arm. Hence, median and third-quartile could not be derived.
    End point type
    Secondary
    End point timeframe
    Up to Day 28
    Notes
    [113] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    66 [114]
    68 [115]
    Units: Days
        median (inter-quartile range (Q1-Q3))
    99999 (15 to 99999)
    99999 (13 to 99999)
    Notes
    [114] - mITT Population.
    [115] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Model adjusted analysis performed using a Cox proportional hazards model adjusted by treatment, clinical status at Baseline as randomized, sex as randomized and age.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    134
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.4774 [116]
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.13
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.81
         upper limit
    1.59
    Notes
    [116] - p-value is generated from a two-sided test.

    Secondary: Part 1: Percentage of participants admitted to Intensive Care Unit (ICU) up to Day 28

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    End point title
    Part 1: Percentage of participants admitted to Intensive Care Unit (ICU) up to Day 28 [117]
    End point description
    Participants who were admitted to the ICU up to (and including) Day 28 were evaluated. Percentage values are rounded off. mITT Population (not in ICU at Baseline) comprised of participants in the mITT population who were not in the ICU at Baseline. Only those participants with data available at the specified time points were analyzed.
    End point type
    Secondary
    End point timeframe
    Up to Day 28
    Notes
    [117] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    98 [118]
    95 [119]
    Units: Percentage of participants
    24
    13
    Notes
    [118] - mITT Population (not in ICU at Baseline)
    [119] - mITT Population (not in ICU at Baseline)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Analysis performed using logistic regression adjusted for treatment, and both clinical status at Baseline and age group as randomized. Missing data was imputed with monotone discriminant multiple imputation assuming data is missing at random.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    193
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.0119 [120]
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    0.4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.18
         upper limit
    0.89
    Notes
    [120] - p-value is from a one-sided test.

    Secondary: Part 1: Time to final ICU discharge

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    End point title
    Part 1: Time to final ICU discharge [121]
    End point description
    Time to final ICU discharge was defined as the time from dosing to when the participant is discharged from the ICU for the last time up to (and including) Day 28. mITT Population admitted to ICU at Baseline comprised of those participants in mITT who were admitted to ICU at Baseline. Median and inter-quartile range (first quartile and third quartile) of time to final ICU discharge is presented. Only those participants with data available at the specified time points were analyzed. 99999 indicates that <75% of participants experienced the event within the treatment arm. Hence, third-quartile could not be derived.
    End point type
    Secondary
    End point timeframe
    Up to Day 28
    Notes
    [121] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    300 [122]
    300 [123]
    Units: Days
        median (inter-quartile range (Q1-Q3))
    13 (7 to 99999)
    15 (7 to 99999)
    Notes
    [122] - mITT population admitted to ICU at Baseline.
    [123] - mITT population admitted to ICU at Baseline.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Model adjusted analysis performed using a Cox proportional hazards model adjusted by treatment, clinical status at Baseline as randomized and age group as randomized.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    600
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.4404 [124]
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.02
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.83
         upper limit
    1.24
    Notes
    [124] - p-value is from a one-sided test.

    Secondary: Part 2: Time to final ICU discharge

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    End point title
    Part 2: Time to final ICU discharge [125]
    End point description
    Time to final ICU discharge was defined as the time from dosing to when the participant was discharged from the ICU for the last time up to (and including) Day 28. Median and inter-quartile range (first quartile and third quartile) of time to final ICU discharge is presented. Only those participants with data available at the specified time points were analyzed. 99999 indicates that <50% of participants experienced the event within the treatment arm. Hence, median and third-quartile could not be derived.
    End point type
    Secondary
    End point timeframe
    Up to Day 28
    Notes
    [125] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    38 [126]
    44 [127]
    Units: Days
        median (inter-quartile range (Q1-Q3))
    99999 (12 to 99999)
    99999 (7 to 99999)
    Notes
    [126] - mITT population admitted to ICU at Baseline.
    [127] - mITT population admitted to ICU at Baseline.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Model adjusted analysis performed using a Cox proportional hazards model adjusted by treatment, clinical status at Baseline as randomized, sex as randomized and age.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    82
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.6253 [128]
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.11
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.72
         upper limit
    1.72
    Notes
    [128] - p-value is generated from a two-sided test.

    Secondary: Part 1: Time to first discharge from investigator site up to Day 60

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    End point title
    Part 1: Time to first discharge from investigator site up to Day 60 [129]
    End point description
    Time to first discharge from investigator site was defined as the time (days) from dosing to when the participant was first discharged from investigator site (IS) up to (and including) Day 60. Median and inter-quartile range (first quartile and third quartile) of time to first discharge from investigator site is presented. Only those participants with data available at the specified time points were analyzed. 99999 indicates that <75% of participants experienced the event within the treatment arm. Hence, third-quartile could not be derived.
    End point type
    Secondary
    End point timeframe
    Up to Day 60
    Notes
    [129] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    288 [130]
    294 [131]
    Units: Days
        median (inter-quartile range (Q1-Q3))
    18 (11 to 99999)
    18 (10 to 99999)
    Notes
    [130] - mITT Population.
    [131] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Model adjusted analysis performed using a Cox proportional hazards model adjusted by treatment, clinical status at Baseline as randomized and age group as randomized.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    582
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.1078 [132]
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.11
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.94
         upper limit
    1.3
    Notes
    [132] - p-value is from a one-sided test.

    Secondary: Part 1: Time to first discharge to non-hospitalized residence up to Day 60

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    End point title
    Part 1: Time to first discharge to non-hospitalized residence up to Day 60 [133]
    End point description
    Time to first discharge to non-hospitalized residence was defined as the time (days) from dosing to when the participant was discharged to a non-hospitalized residence for the first time up to (and including) Day 60. Median and inter-quartile range (first quartile and third quartile) of time to first discharge to non-hospitalized residence is presented. Only those participants with data available at the specified time points were analyzed. 99999 indicates that <75% of participants experienced the event within the treatment arm. Hence, third-quartile could not be derived.
    End point type
    Secondary
    End point timeframe
    Up to Day 60
    Notes
    [133] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    269 [134]
    280 [135]
    Units: Days
        median (inter-quartile range (Q1-Q3))
    21 (12 to 99999)
    20 (11 to 99999)
    Notes
    [134] - mITT Population.
    [135] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Model adjusted analysis performed using a Cox proportional hazards model adjusted by treatment, clinical status at Baseline as randomized and age group as randomized.
    Comparison groups
    Part 1: Placebo 1 v Part 1: Otilimab 90 mg
    Number of subjects included in analysis
    549
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.114 [136]
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.11
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.94
         upper limit
    1.31
    Notes
    [136] - p-value is from a one-sided test.

    Secondary: Part 2: Time to first discharge from investigator site up to Day 60

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    End point title
    Part 2: Time to first discharge from investigator site up to Day 60 [137]
    End point description
    Time to first discharge from investigator site was defined as the time (days) from dosing to when the participant was first discharged from investigator site up to (and including) Day 60. Median and inter-quartile range (first quartile and third quartile) of time to first discharge from investigator site is presented. Only those participants with data available at the specified time points were analyzed. 99999 indicates that <75% of participants experienced the event within the treatment arm. Hence, third-quartile could not be derived.
    End point type
    Secondary
    End point timeframe
    Up to Day 60
    Notes
    [137] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    96 [138]
    99 [139]
    Units: Days
        median (inter-quartile range (Q1-Q3))
    36 (15 to 99999)
    37 (15 to 99999)
    Notes
    [138] - mITT Population.
    [139] - mITT Population.
    Statistical analysis title
    Statistical analysis 1
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    195
    Analysis specification
    Pre-specified
    Analysis type
    other [140]
    P-value
    = 0.7084 [141]
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.06
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.8
         upper limit
    1.4
    Notes
    [140] - Model adjusted analysis performed using a Cox proportional hazards model adjusted by treatment, clinical status at Baseline as randomized, sex as randomized and age.
    [141] - p-value is generated from a two-sided test.

    Secondary: Part 2: Time to first discharge to non-hospitalized residence

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    End point title
    Part 2: Time to first discharge to non-hospitalized residence [142]
    End point description
    Time to first discharge to non-hospitalized residence was defined as the time (days) from dosing to when the participant (parti) was discharged to a non-hospitalized residence for the first time up to (and including) Day 60. Only those participants with data available at the specified time points were analyzed. In Part 2: Placebo 2 arm, 99999 indicates that <50% participants experienced event within treatment arm. Hence, median and third-quartile could not be derived. In Part 2: Otilimab 90 mg arm, 99999 indicates that <75%participants experienced event within the treatment arm. Hence, third-quartile could not be derived.
    End point type
    Secondary
    End point timeframe
    Up to Day 60
    Notes
    [142] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    86 [143]
    90 [144]
    Units: Days
        median (inter-quartile range (Q1-Q3))
    99999 (18 to 99999)
    53 (15 to 99999)
    Notes
    [143] - mITT Population
    [144] - mITT Population
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Model adjusted analysis performed using a Cox proportional hazards model adjusted by treatment, clinical status at Baseline as randomized, sex as randomized and age.
    Comparison groups
    Part 2: Placebo 2 v Part 2: Otilimab 90 mg
    Number of subjects included in analysis
    176
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.4085 [145]
    Method
    Regression, Cox
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.13
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.84
         upper limit
    1.52
    Notes
    [145] - p-value is generated from a two-sided test.

    Secondary: Part 1: Number of participants with serious adverse events (SAEs) and common (>=5%) non-serious adverse events (non-SAEs)

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    End point title
    Part 1: Number of participants with serious adverse events (SAEs) and common (>=5%) non-serious adverse events (non-SAEs) [146]
    End point description
    An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. An SAE is defined as any untoward medical occurrence that, at any dose may result in death or is life-threatening or requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity or is a congenital anomaly/birth defect or any other situation according to medical or scientific judgment or is associated with liver injury and impaired liver function. Number of participants with any SAE and common (>=5%) non-SAEs are presented. Safety population comprised of all participants who received study intervention.
    End point type
    Secondary
    End point timeframe
    Up to Day 60
    Notes
    [146] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 1: Placebo 1 Part 1: Otilimab 90 mg
    Number of subjects analysed
    396 [147]
    397 [148]
    Units: Participants
        Non-SAEs
    67
    91
        SAEs
    147
    124
    Notes
    [147] - Safety Population
    [148] - Safety Population
    No statistical analyses for this end point

    Secondary: Part 2: Number of participants with SAEs and common (>=5%) non-SAEs

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    End point title
    Part 2: Number of participants with SAEs and common (>=5%) non-SAEs [149]
    End point description
    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. An SAE is defined as any untoward medical occurrence that, at any dose may result in death or is life-threatening or requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity or is a congenital anomaly/birth defect or any other situation according to medical or scientific judgment or is associated with liver injury and impaired liver function. Number of participants with any SAE and common (>=5%) non-SAEs are presented.
    End point type
    Secondary
    End point timeframe
    Up to Day 60
    Notes
    [149] - 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: The endpoints are described part-wise; whereas the Baseline characteristics are for overall study.
    End point values
    Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Number of subjects analysed
    173 [150]
    174 [151]
    Units: Participants
        Non-SAEs
    57
    50
        SAEs
    90
    90
    Notes
    [150] - Safety Population
    [151] - Safety Population
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    All-cause mortality, SAEs, and non-SAEs were collected up to Day 60 in Part 1 and 2 of the study
    Adverse event reporting additional description
    SAEs and non-serious AEs were reported for Safety Population (all participants who received study intervention). All-cause mortality was reported for Enrolled population(all participants who entered the study).Sixteen participants from Enrolled Population(N=1156) did not receive study treatment, hence were not included in Safety Population(N=1140)
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    23.1
    Reporting groups
    Reporting group title
    Part 1: Placebo 1
    Reporting group description
    Participants between the ages of greater than or equal to (>=)18 years and less than or equal to (<=)79 years received blinded 1-hour IV infusion of placebo (sterile 0.9 percent [%] weight by volume [w/v] sodium chloride solution) once along with standard of care.

    Reporting group title
    Part 1: Otilimab 90 mg
    Reporting group description
    Participants between the ages of >=18 years and <=79 years received blinded otilimab 90 milligrams (mg) (solution in single-use vial diluted in sterile 0.9% w/v sodium chloride solution) once as 1-hour IV infusion along with standard of care.

    Reporting group title
    Part 2: Placebo 2
    Reporting group description
    Participants aged 70 years or above received blinded 1-hour IV infusion of placebo (sterile 5% w/v dextrose solution) once along with standard of care.

    Reporting group title
    Part 2: Otilimab 90 mg
    Reporting group description
    Participants aged 70 years or above received blinded otilimab 90 mg (solution in single-use vial diluted in sterile 5% dextrose solution) once as 1-hour IV infusion along with standard of care.

    Serious adverse events
    Part 1: Placebo 1 Part 1: Otilimab 90 mg Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    147 / 396 (37.12%)
    124 / 397 (31.23%)
    90 / 173 (52.02%)
    90 / 174 (51.72%)
         number of deaths (all causes)
    93
    84
    76
    74
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    B-cell lymphoma
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Oesophageal adenocarcinoma
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Shock
         subjects affected / exposed
    4 / 396 (1.01%)
    0 / 397 (0.00%)
    3 / 173 (1.73%)
    2 / 174 (1.15%)
         occurrences causally related to treatment / all
    1 / 4
    0 / 0
    0 / 3
    0 / 2
         deaths causally related to treatment / all
    0 / 3
    0 / 0
    0 / 3
    0 / 2
    Hypotension
         subjects affected / exposed
    3 / 396 (0.76%)
    1 / 397 (0.25%)
    2 / 173 (1.16%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    Deep vein thrombosis
         subjects affected / exposed
    2 / 396 (0.51%)
    0 / 397 (0.00%)
    2 / 173 (1.16%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Shock haemorrhagic
         subjects affected / exposed
    5 / 396 (1.26%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 4
    0 / 0
    0 / 0
    0 / 0
    Circulatory collapse
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    1 / 173 (0.58%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    Embolism
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Peripheral artery thrombosis
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Peripheral ischaemia
         subjects affected / exposed
    2 / 396 (0.51%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Arterial haemorrhage
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Extremity necrosis
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Haematoma
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Hypovolaemic shock
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Orthostatic hypotension
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    General disorders and administration site conditions
    Multiple organ dysfunction syndrome
         subjects affected / exposed
    15 / 396 (3.79%)
    12 / 397 (3.02%)
    8 / 173 (4.62%)
    6 / 174 (3.45%)
         occurrences causally related to treatment / all
    0 / 15
    1 / 12
    1 / 8
    0 / 6
         deaths causally related to treatment / all
    0 / 15
    1 / 10
    1 / 8
    0 / 6
    Catheter site haemorrhage
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Chest pain
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Complication associated with device
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Hyperthermia
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Systemic inflammatory response syndrome
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Immune system disorders
    Haemophagocytic lymphohistiocytosis
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Social circumstances
    Homeless
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Respiratory, thoracic and mediastinal disorders
    Respiratory failure
         subjects affected / exposed
    18 / 396 (4.55%)
    17 / 397 (4.28%)
    8 / 173 (4.62%)
    6 / 174 (3.45%)
         occurrences causally related to treatment / all
    0 / 18
    0 / 18
    0 / 8
    0 / 6
         deaths causally related to treatment / all
    0 / 14
    0 / 13
    0 / 7
    0 / 6
    Acute respiratory failure
         subjects affected / exposed
    10 / 396 (2.53%)
    9 / 397 (2.27%)
    9 / 173 (5.20%)
    6 / 174 (3.45%)
         occurrences causally related to treatment / all
    0 / 10
    1 / 9
    0 / 9
    0 / 6
         deaths causally related to treatment / all
    0 / 5
    1 / 7
    0 / 7
    0 / 6
    Acute respiratory distress syndrome
         subjects affected / exposed
    9 / 396 (2.27%)
    11 / 397 (2.77%)
    3 / 173 (1.73%)
    3 / 174 (1.72%)
         occurrences causally related to treatment / all
    1 / 9
    0 / 11
    0 / 3
    0 / 3
         deaths causally related to treatment / all
    0 / 8
    0 / 8
    0 / 2
    0 / 3
    Hypoxia
         subjects affected / exposed
    5 / 396 (1.26%)
    5 / 397 (1.26%)
    7 / 173 (4.05%)
    4 / 174 (2.30%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 5
    0 / 7
    0 / 4
         deaths causally related to treatment / all
    0 / 3
    0 / 4
    0 / 7
    0 / 4
    Pneumothorax
         subjects affected / exposed
    9 / 396 (2.27%)
    8 / 397 (2.02%)
    1 / 173 (0.58%)
    3 / 174 (1.72%)
         occurrences causally related to treatment / all
    0 / 10
    0 / 8
    0 / 1
    0 / 3
         deaths causally related to treatment / all
    0 / 2
    0 / 3
    0 / 0
    0 / 1
    Pulmonary embolism
         subjects affected / exposed
    11 / 396 (2.78%)
    6 / 397 (1.51%)
    3 / 173 (1.73%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 11
    0 / 6
    0 / 3
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    0 / 1
    0 / 1
    0 / 0
    Respiratory distress
         subjects affected / exposed
    2 / 396 (0.51%)
    2 / 397 (0.50%)
    5 / 173 (2.89%)
    5 / 174 (2.87%)
         occurrences causally related to treatment / all
    0 / 2
    2 / 2
    0 / 5
    0 / 5
         deaths causally related to treatment / all
    0 / 1
    2 / 2
    0 / 4
    0 / 5
    Respiratory disorder
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    3 / 173 (1.73%)
    3 / 174 (1.72%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 3
    0 / 3
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 3
    Pneumomediastinum
         subjects affected / exposed
    3 / 396 (0.76%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Organising pneumonia
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    2 / 174 (1.15%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary fibrosis
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    1 / 173 (0.58%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    Dyspnoea
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Interstitial lung disease
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Laryngeal oedema
         subjects affected / exposed
    2 / 396 (0.51%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Pleural effusion
         subjects affected / exposed
    2 / 396 (0.51%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumothorax spontaneous
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Acute pulmonary oedema
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (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 / 1
    0 / 0
    Bronchospasm
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Haemothorax
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Hypercapnia
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Pneumonia aspiration
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Pulmonary oedema
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (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 / 1
    0 / 0
    Respiratory arrest
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Stridor
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Tachypnoea
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Vocal cord dysfunction
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Psychiatric disorders
    Organic brain syndrome
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (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
    Investigations
    Oxygen consumption increased
         subjects affected / exposed
    2 / 396 (0.51%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Oxygen saturation decreased
         subjects affected / exposed
    2 / 396 (0.51%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haemoglobin decreased
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Liver function test abnormal
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Liver function test increased
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary function test decreased
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Transaminases increased
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Troponin T increased
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Multiple injuries
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (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 / 1
    0 / 0
    Subdural haematoma
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (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
    Tracheal injury
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (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
    Cardiac disorders
    Cardiac arrest
         subjects affected / exposed
    4 / 396 (1.01%)
    8 / 397 (2.02%)
    7 / 173 (4.05%)
    4 / 174 (2.30%)
         occurrences causally related to treatment / all
    1 / 4
    0 / 11
    0 / 9
    0 / 4
         deaths causally related to treatment / all
    1 / 2
    0 / 6
    0 / 6
    0 / 3
    Cardio-respiratory arrest
         subjects affected / exposed
    1 / 396 (0.25%)
    2 / 397 (0.50%)
    4 / 173 (2.31%)
    7 / 174 (4.02%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
    0 / 4
    0 / 7
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 2
    0 / 5
    Atrial fibrillation
         subjects affected / exposed
    3 / 396 (0.76%)
    1 / 397 (0.25%)
    2 / 173 (1.16%)
    2 / 174 (1.15%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
    0 / 2
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    Myocardial infarction
         subjects affected / exposed
    0 / 396 (0.00%)
    2 / 397 (0.50%)
    1 / 173 (0.58%)
    2 / 174 (1.15%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 2
    Supraventricular tachycardia
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bradycardia
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Cardiac failure
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    1 / 173 (0.58%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    Cardiogenic shock
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    Cardiopulmonary failure
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Sinus node dysfunction
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Acute myocardial infarction
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (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
    Atrial flutter
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Cardiac failure congestive
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Cardiovascular insufficiency
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Left ventricular failure
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Myocarditis
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Paroxysmal atrioventricular block
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Pneumopericardium
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Pulseless electrical activity
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Right ventricular failure
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Nervous system disorders
    Ischaemic stroke
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    3 / 173 (1.73%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    Cerebral haemorrhage
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    1 / 173 (0.58%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    Intensive care unit acquired weakness
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    3 / 174 (1.72%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cerebrovascular accident
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    2 / 173 (1.16%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    Encephalopathy
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    Subarachnoid haemorrhage
         subjects affected / exposed
    0 / 396 (0.00%)
    2 / 397 (0.50%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Haemorrhage intracranial
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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 / 1
    0 / 0
    0 / 0
    Haemorrhagic stroke
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (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 / 1
    0 / 0
    Hypercapnic coma
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Hypoxic-ischaemic encephalopathy
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Blood and lymphatic system disorders
    Coagulopathy
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Gastrointestinal disorders
    Gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intestinal ischaemia
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Upper gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    Gastric ulcer
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastric ulcer haemorrhage
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastric varices haemorrhage
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Intestinal perforation
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Rectal ulcer haemorrhage
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Retroperitoneal haematoma
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Retroperitoneal haemorrhage
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Small intestinal obstruction
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Hepatobiliary disorders
    Ischaemic hepatitis
         subjects affected / exposed
    2 / 396 (0.51%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Acute hepatic failure
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cholecystitis
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Cholestasis
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Haemorrhagic cholecystitis
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Hepatitis
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Hepatitis fulminant
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Hepatocellular injury
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Subcutaneous emphysema
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Toxic epidermal necrolysis
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    10 / 396 (2.53%)
    9 / 397 (2.27%)
    1 / 173 (0.58%)
    6 / 174 (3.45%)
         occurrences causally related to treatment / all
    0 / 11
    1 / 9
    0 / 1
    0 / 6
         deaths causally related to treatment / all
    0 / 1
    0 / 2
    0 / 1
    0 / 2
    Oliguria
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Prerenal failure
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Renal failure
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Haematoma muscle
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Septic shock
         subjects affected / exposed
    13 / 396 (3.28%)
    14 / 397 (3.53%)
    5 / 173 (2.89%)
    8 / 174 (4.60%)
         occurrences causally related to treatment / all
    2 / 14
    4 / 14
    1 / 5
    0 / 8
         deaths causally related to treatment / all
    0 / 5
    4 / 9
    1 / 3
    0 / 6
    Pneumonia
         subjects affected / exposed
    9 / 396 (2.27%)
    7 / 397 (1.76%)
    5 / 173 (2.89%)
    6 / 174 (3.45%)
         occurrences causally related to treatment / all
    3 / 9
    3 / 7
    1 / 5
    0 / 6
         deaths causally related to treatment / all
    0 / 2
    1 / 3
    1 / 3
    0 / 3
    COVID-19 pneumonia
         subjects affected / exposed
    3 / 396 (0.76%)
    12 / 397 (3.02%)
    4 / 173 (2.31%)
    5 / 174 (2.87%)
         occurrences causally related to treatment / all
    0 / 3
    1 / 12
    0 / 4
    0 / 5
         deaths causally related to treatment / all
    0 / 3
    1 / 11
    0 / 3
    0 / 5
    COVID-19
         subjects affected / exposed
    5 / 396 (1.26%)
    3 / 397 (0.76%)
    9 / 173 (5.20%)
    6 / 174 (3.45%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 3
    0 / 9
    0 / 6
         deaths causally related to treatment / all
    0 / 5
    0 / 2
    0 / 9
    0 / 6
    Sepsis
         subjects affected / exposed
    7 / 396 (1.77%)
    1 / 397 (0.25%)
    2 / 173 (1.16%)
    4 / 174 (2.30%)
         occurrences causally related to treatment / all
    2 / 7
    0 / 1
    0 / 2
    0 / 4
         deaths causally related to treatment / all
    1 / 5
    0 / 1
    0 / 2
    0 / 3
    Pneumonia staphylococcal
         subjects affected / exposed
    6 / 396 (1.52%)
    1 / 397 (0.25%)
    1 / 173 (0.58%)
    4 / 174 (2.30%)
         occurrences causally related to treatment / all
    2 / 6
    1 / 1
    0 / 1
    1 / 4
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    Pneumonia pseudomonal
         subjects affected / exposed
    7 / 396 (1.77%)
    2 / 397 (0.50%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 7
    1 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 2
    1 / 2
    0 / 0
    0 / 0
    Klebsiella sepsis
         subjects affected / exposed
    4 / 396 (1.01%)
    1 / 397 (0.25%)
    1 / 173 (0.58%)
    2 / 174 (1.15%)
         occurrences causally related to treatment / all
    2 / 4
    0 / 1
    1 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    1 / 1
    0 / 1
    Staphylococcal bacteraemia
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    1 / 173 (0.58%)
    4 / 174 (2.30%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
    0 / 1
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 2
    Staphylococcal sepsis
         subjects affected / exposed
    2 / 396 (0.51%)
    3 / 397 (0.76%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 3
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    Staphylococcal infection
         subjects affected / exposed
    0 / 396 (0.00%)
    4 / 397 (1.01%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 4
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    Bronchopulmonary aspergillosis
         subjects affected / exposed
    3 / 396 (0.76%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    Enterobacter pneumonia
         subjects affected / exposed
    2 / 396 (0.51%)
    1 / 397 (0.25%)
    1 / 173 (0.58%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    1 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia klebsiella
         subjects affected / exposed
    2 / 396 (0.51%)
    1 / 397 (0.25%)
    1 / 173 (0.58%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    1 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    Bacterial sepsis
         subjects affected / exposed
    2 / 396 (0.51%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    1 / 2
    0 / 1
    0 / 0
    0 / 0
    Pneumonia bacterial
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Pneumonia haemophilus
         subjects affected / exposed
    3 / 396 (0.76%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia serratia
         subjects affected / exposed
    3 / 396 (0.76%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urosepsis
         subjects affected / exposed
    2 / 396 (0.51%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 1
    Acinetobacter infection
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bacteraemia
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Device related bacteraemia
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Enterococcal infection
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Escherichia sepsis
         subjects affected / exposed
    0 / 396 (0.00%)
    2 / 397 (0.50%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    Lung abscess
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    Pneumonia acinetobacter
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Pneumonia proteus
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia streptococcal
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pseudomonal bacteraemia
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pulmonary sepsis
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    2 / 174 (1.15%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
    Stenotrophomonas infection
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Tracheobronchitis bacterial
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Acinetobacter sepsis
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Bacterial infection
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Candida pneumonia
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Citrobacter infection
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Citrobacter sepsis
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    Clostridium difficile colitis
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (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
    Coronavirus infection
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (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
    Device related sepsis
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Diverticulitis
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Enterobacter sepsis
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    Fusobacterium infection
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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 / 1
    0 / 0
    0 / 0
    Lactobacillus infection
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Mycetoma mycotic
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    Oral candidiasis
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (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
    Peritonitis
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia pneumococcal
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Pneumonia escherichia
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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 / 1
    0 / 0
    0 / 0
    Pseudomembranous colitis
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    0 / 174 (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
    Serratia bacteraemia
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Soft tissue infection
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Superinfection
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Tracheitis
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Tracheobronchitis
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    1 / 174 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Urinary tract infection enterococcal
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Failure to thrive
         subjects affected / exposed
    0 / 396 (0.00%)
    0 / 397 (0.00%)
    1 / 173 (0.58%)
    2 / 174 (1.15%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 2
    Metabolic acidosis
         subjects affected / exposed
    3 / 396 (0.76%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypernatraemia
         subjects affected / exposed
    1 / 396 (0.25%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Acidosis
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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 / 1
    0 / 0
    0 / 0
    Gout
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Hypokalaemia
         subjects affected / exposed
    1 / 396 (0.25%)
    0 / 397 (0.00%)
    0 / 173 (0.00%)
    0 / 174 (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
    Lactic acidosis
         subjects affected / exposed
    0 / 396 (0.00%)
    1 / 397 (0.25%)
    0 / 173 (0.00%)
    0 / 174 (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
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Part 1: Placebo 1 Part 1: Otilimab 90 mg Part 2: Placebo 2 Part 2: Otilimab 90 mg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    97 / 396 (24.49%)
    115 / 397 (28.97%)
    57 / 173 (32.95%)
    51 / 174 (29.31%)
    Vascular disorders
    Hypotension
         subjects affected / exposed
    13 / 396 (3.28%)
    13 / 397 (3.27%)
    11 / 173 (6.36%)
    9 / 174 (5.17%)
         occurrences all number
    17
    14
    13
    11
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    15 / 396 (3.79%)
    11 / 397 (2.77%)
    10 / 173 (5.78%)
    7 / 174 (4.02%)
         occurrences all number
    15
    13
    11
    7
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    22 / 396 (5.56%)
    18 / 397 (4.53%)
    10 / 173 (5.78%)
    11 / 174 (6.32%)
         occurrences all number
    22
    19
    10
    11
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    35 / 396 (8.84%)
    39 / 397 (9.82%)
    15 / 173 (8.67%)
    16 / 174 (9.20%)
         occurrences all number
    35
    42
    16
    16
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    17 / 396 (4.29%)
    15 / 397 (3.78%)
    11 / 173 (6.36%)
    8 / 174 (4.60%)
         occurrences all number
    18
    16
    13
    9
    Infections and infestations
    Pneumonia
         subjects affected / exposed
    21 / 396 (5.30%)
    37 / 397 (9.32%)
    12 / 173 (6.94%)
    6 / 174 (3.45%)
         occurrences all number
    21
    43
    12
    7
    Urinary tract infection
         subjects affected / exposed
    13 / 396 (3.28%)
    12 / 397 (3.02%)
    10 / 173 (5.78%)
    5 / 174 (2.87%)
         occurrences all number
    13
    13
    10
    5
    Metabolism and nutrition disorders
    Hyperglycaemia
         subjects affected / exposed
    14 / 396 (3.54%)
    12 / 397 (3.02%)
    4 / 173 (2.31%)
    10 / 174 (5.75%)
         occurrences all number
    15
    13
    5
    14
    Hypernatraemia
         subjects affected / exposed
    9 / 396 (2.27%)
    20 / 397 (5.04%)
    0 / 173 (0.00%)
    0 / 174 (0.00%)
         occurrences all number
    9
    22
    0
    0
    Fluid overload
         subjects affected / exposed
    2 / 396 (0.51%)
    1 / 397 (0.25%)
    5 / 173 (2.89%)
    9 / 174 (5.17%)
         occurrences all number
    2
    1
    5
    10

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    18 May 2020
    Amendment 1: Modifications to the protocol in response to regulatory feedback, and clarifications based on investigator feedback. The key change is revision of the primary endpoint (where definition of “free of respiratory failure” is participants in categories 1-4 on GlaxoSmithKline [GSK] Ordinal Scale). Other changes are (1) to revise recording of blood pressure and pulse rate; (2) to add details of randomization caps; (3) to simplify/clarify some Inclusion and Exclusion Criteria; (4) to clarify medications permitted during the study.
    02 Jul 2020
    Amendment 2: Modifications to the protocol in response to regulatory and ethics committee feedback, and clarifications based on investigator feedback. The main changes are (1) clarification that Day 1 pre-dose assessments do not need to be repeated if Screening and Randomization are within 24 hours; (2) expedited reporting of cytokine release syndrome (CRS) as an adverse event of special interest (AESI); (3) clarification that organ transplant participants are excluded per Exclusion Criteria #11; (4) clarification of conditions by which convalescent plasma is permitted or not during the study; (5) removed specific mention of chloroquine and hydroxychloroquine; (6) expanded the null hypothesis; (7) consent may be collected before the 48hour screening window.
    25 Jan 2021
    Amendment 3: Before the last of 806 participants completed the study (Last Subject Last Visit, Day 60), an interim analysis of the primary endpoint and all-cause mortality data at Day 28 showed that substantial clinical benefit was evident in one of the pre-defined stratification subgroups “Age 70 to less than (<)80 years”, with no safety concerns in any subgroup. Given the ongoing pandemic and particularly high mortality of Coronavirus Disease-2019 (COVID-19) disease in participants over 70 years old, together with recent publications that support the hypothesis that the severity of the disease is driven by a maladaptive innate immune response in which Granulocyte-macrophage colony stimulating factor (GM-CSF) plays a key role and which is more commonly elevated in older participants. GSK has therefore determined to urgently confirm these subgroup findings by amending the protocol to allow the enrolment of an additional cohort of participants aged 70 years and above with no upper age limit. GSK has reviewed the results from what is now considered as the first part of the study (Part 1) and decided that a second part will be added to the study (Part 2) which has less frequent assessments to decrease the burden on sites

    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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