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    Clinical Trial Results:
    A Phase 2/3, Multicenter, Open-Label Study to Evaluate the Efficacy and Safety of Baricitinib in Adult and Pediatric Japanese Patients with NNS/CANDLE, SAVI, and AGS

    Summary
    EudraCT number
    2025-000001-16
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    28 Nov 2024

    Results information
    Results version number
    v1(current)
    This version publication date
    12 Jun 2025
    First version publication date
    12 Jun 2025
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    I4V-JE-JAJE
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04517253
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Trial Number: 17571
    Sponsors
    Sponsor organisation name
    Eli Lilly and Company
    Sponsor organisation address
    Lilly Corporate Center, Indianapolis, United States, 46285
    Public contact
    Available Mon ‐ Fri 9 AM ‐ 5 PM EST, Eli Lilly and Company, 1 877-CTLilly,
    Scientific contact
    Available Mon ‐ Fri 9 AM ‐ 5 PM EST, Eli Lilly and Company, 1 877-285-455,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    28 Nov 2024
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    04 Apr 2023
    Global end of trial reached?
    Yes
    Global end of trial date
    28 Nov 2024
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main purpose of this study is to evaluate the efficacy and safety of baricitinib in adult and pediatric Japanese participants with Nakajo-Nishimura Syndrome/chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature (NNS/CANDLE), STING-associated vasculopathy with onset during infancy (SAVI), and Aicardi-Goutières Syndrome (AGS).
    Protection of trial subjects
    This study was conducted in accordance with International Conference on Harmonization (ICH) Good Clinical Practice, and the principles of the Declaration of Helsinki, in addition to following the laws and regulations of the country or countries in which a study is conducted.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    27 Oct 2020
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Japan: 10
    Worldwide total number of subjects
    10
    EEA total number of subjects
    0
    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)
    4
    Adolescents (12-17 years)
    1
    Adults (18-64 years)
    5
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Per analysis plan,only for participants with chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature (CANDLE),a pretreatment period lasted for 12 weeks, during which natural history data were collected. This data serves as baseline to assess changes during baricitinib treatment for evaluating some key secondary outcomes

    Pre-assignment
    Screening details
    Participants who met all eligibility criteria underwent an 8-week dose adjustment period,received optimized dosage of baricitinib during primary treatment period (12 weeks for CANDLE,24 weeks for SAVI or AGS participants),followed by maintenance period of up to 191.1 weeks for CANDLE, 202.9 weeks for SAVI, and up to 206.1 weeks for AGS participants

    Period 1
    Period 1 title
    Primary Treatment Period
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    CANDLE
    Arm description
    Participants with chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature (CANDLE) were administered an optimized final dosage of baricitinib, ranging from 8 mg to 12 mg daily (initially 8 mg, with gradual escalation to 10 mg and 12 mg), either as tablets or oral suspension, for 12 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and estimated glomerular filtration rate (eGFR). Participants then continued receiving baricitinib at their optimized dosage for 191.1 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3009104
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for oral solution
    Routes of administration
    Oral use
    Dosage and administration details
    Participants with CANDLE were administered an optimized final dosage of baricitinib, ranging from 8 mg to 12 mg daily (initially 8 mg, with gradual escalation to 10 mg and 12 mg), either as tablets or oral suspension, for 12 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 191.1 weeks.

    Arm title
    SAVI
    Arm description
    Participants with stimulator of interferon genes (STING)-associated vasculopathy with onset during infancy (SAVI) were administered an optimized final dosage of baricitinib, ranging from 6 mg to 12 mg daily (initially 6 mg, with gradual escalation to 8 mg, 10 mg, and 12 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 202.9 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3009104
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Participants with SAVI were administered an optimized final dosage of baricitinib, ranging from 6 mg to 12 mg daily (initially 6 mg, with gradual escalation to 8 mg, 10 mg, and 12 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 202.9 weeks.

    Arm title
    Aicardi-Goutières Syndrome (AGS)
    Arm description
    Participants with Aicardi-Goutières Syndrome (AGS) were administered an optimized final dosage of baricitinib, ranging from 6 mg to 8 mg daily (initially 6 mg, with gradual escalation to 8 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 206.1 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3009104
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Participants with AGS were administered an optimized final dosage of baricitinib, ranging from 6 mg to 8 mg daily (initially 6 mg, with gradual escalation to 8 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 206.1 weeks

    Number of subjects in period 1
    CANDLE SAVI Aicardi-Goutières Syndrome (AGS)
    Started
    5
    3
    2
    Received at least one dose of study drug
    5
    3
    2
    Completed
    4
    2
    2
    Not completed
    1
    1
    0
         Adverse event, non-fatal
    1
    -
    -
         Death
    -
    1
    -
    Period 2
    Period 2 title
    Maintenance Period
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    CANDLE
    Arm description
    Participants with CANDLE were administered an optimized final dosage of baricitinib, ranging from 8 mg to 12 mg daily (initially 8 mg, with gradual escalation to 10 mg and 12 mg), either as tablets or oral suspension, for 12 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 191.1 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3009104
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for oral solution
    Routes of administration
    Oral use
    Dosage and administration details
    Participants with CANDLE were administered an optimized final dosage of baricitinib, ranging from 8 mg to 12 mg daily (initially 8 mg, with gradual escalation to 10 mg and 12 mg), either as tablets or oral suspension, for 12 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 191.1 weeks

    Arm title
    SAVI
    Arm description
    Participants with SAVI were administered an optimized final dosage of baricitinib, ranging from 6 mg to 12 mg daily (initially 6 mg, with gradual escalation to 8 mg, 10 mg, and 12 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 202.9 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3009104
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Participants with SAVI were administered an optimized final dosage of baricitinib, ranging from 6 mg to 12 mg daily (initially 6 mg, with gradual escalation to 8 mg, 10 mg, and 12 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 202.9 weeks.

    Arm title
    Aicardi-Goutières Syndrome (AGS)
    Arm description
    Participants with AGS were administered an optimized final dosage of baricitinib, ranging from 6 mg to 8 mg daily (initially 6 mg, with gradual escalation to 8 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 206.1 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3009104
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Participants with AGS were administered an optimized final dosage of baricitinib, ranging from 6 mg to 8 mg daily (initially 6 mg, with gradual escalation to 8 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 206.1 weeks.

    Number of subjects in period 2
    CANDLE SAVI Aicardi-Goutières Syndrome (AGS)
    Started
    4
    2
    2
    Completed
    0
    0
    0
    Not completed
    4
    2
    2
         Consent withdrawn by subject
    1
    -
    -
         Study Terminated by Sponsor
    3
    2
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    CANDLE
    Reporting group description
    Participants with chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature (CANDLE) were administered an optimized final dosage of baricitinib, ranging from 8 mg to 12 mg daily (initially 8 mg, with gradual escalation to 10 mg and 12 mg), either as tablets or oral suspension, for 12 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and estimated glomerular filtration rate (eGFR). Participants then continued receiving baricitinib at their optimized dosage for 191.1 weeks.

    Reporting group title
    SAVI
    Reporting group description
    Participants with stimulator of interferon genes (STING)-associated vasculopathy with onset during infancy (SAVI) were administered an optimized final dosage of baricitinib, ranging from 6 mg to 12 mg daily (initially 6 mg, with gradual escalation to 8 mg, 10 mg, and 12 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 202.9 weeks.

    Reporting group title
    Aicardi-Goutières Syndrome (AGS)
    Reporting group description
    Participants with Aicardi-Goutières Syndrome (AGS) were administered an optimized final dosage of baricitinib, ranging from 6 mg to 8 mg daily (initially 6 mg, with gradual escalation to 8 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 206.1 weeks.

    Reporting group values
    CANDLE SAVI Aicardi-Goutières Syndrome (AGS) Total
    Number of subjects
    5 3 2 10
    Age categorical
    Units: Subjects
    Age continuous
    All enrolled participants who received at least one dose of study drug.
    Units: years
        arithmetic mean (standard deviation)
    39.20 ( 13.79 ) 9.70 ( 9.81 ) 7.50 ( 2.12 ) -
    Gender categorical
    All enrolled participants who received at least one dose of study drug.
    Units: Subjects
        Female
    1 3 1 5
        Male
    4 0 1 5
    Ethnicity (NIH/OMB)
    All enrolled participants who received at least one dose of study drug.
    Units: Subjects
        Hispanic or Latino
    0 0 0 0
        Not Hispanic or Latino
    5 3 2 10
        Unknown or Not Reported
    0 0 0 0
    Race (NIH/OMB)
    All enrolled participants who received at least one dose of study drug.
    Units: Subjects
        American Indian or Alaska Native
    0 0 0 0
        Asian
    5 3 2 10
        Native Hawaiian or Other Pacific Islander
    0 0 0 0
        Black or African American
    0 0 0 0
        White
    0 0 0 0
        More than one race
    0 0 0 0
        Unknown or Not Reported
    0 0 0 0
    Region of Enrollment
    All enrolled participants who received at least one dose of study drug.
    Units: Subjects
        Japan
    5 3 2 10
    Weight
    All enrolled participants who received at least one dose of study drug.
    Units: Subjects
        >=10 -<20
    0 2 2 4
        >=40 -<50
    4 1 0 5
        >=50 -<60
    1 0 0 1
    Pre- Treatment Period:Baseline (Average) Mean Daily Diary Score
    For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, headache and fatigue in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]. The mean daily score range was 0-4 with the higher score indicating a more severe symptom. 9999= Data Not available: SAVI and AGS did not have Pre-treatment period data therefore only CANDLE cohort data were collected
    Units: score on a scale
        arithmetic mean (standard deviation)
    0.642 ( 0.322 ) 9999 ( 9999 ) 9999 ( 9999 ) -
    Pre-Treatment Period:Baseline (Average) Physician’s Global Assessment of Disease Activity Scores
    The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms. The instrument uses a 21-circle Visual Analog Scale (VAS) ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity" (Filocamo et al. 2010). Higher scores indicate greater disease severity. 9999= Data Not available: SAVI and AGS did not have Pre-treatment period data therefore only CANDLE cohort data were collected.
    Units: score on a scale
        arithmetic mean (standard deviation)
    5.45 ( 1.33 ) 9999 ( 9999 ) 9999 ( 9999 ) -
    Pre-Treatment Period: Baseline (Average) % of days where participants' daily diary score was < 0.5
    Baseline (Average) Percentage of Days Meeting the Criteria of Participant's Mean Daily Diary Score <0.5 was reported. 9999= Data Not available: SAVI and AGS did not have Pre-treatment period data therefore only CANDLE cohort data were collected.
    Units: percentage (%)
        arithmetic mean (standard deviation)
    35.6 ( 24.4 ) 9999 ( 9999 ) 9999 ( 9999 ) -
    Mean Daily Diary Score
    Diaries were specific to conditions (NNS/CANDLE, SAVI, AGS). For NNS/CANDLE, participants rated symptoms (fever, rash, pain, headache, fatigue), and for SAVI, participants rated symptoms (fever, rash, pain, fatigue, respiratory issues, ulcers) on a scale from 0 (no symptoms) to 4 (severe). The mean daily score range was 0-4, with higher scores indicating more severe symptoms. For AGS, symptoms (neurologic disability, crying, sleep, seizures, fever, irritability, skin findings) were rated similarly. The mean daily score range was 0-4.25. Total score was not utilized.
    Units: score on a scale
        arithmetic mean (standard deviation)
    0.92 ( 0.345 ) 0.786 ( 0.275 ) 0.705 ( 0.77 ) -
    Baseline estimated glomerular filtration rate (eGFR)
    All enrolled participants who received at least one dose of study drug.
    Units: mL/min/1.73m^2
        arithmetic mean (standard deviation)
    124.69 ( 19.32 ) 109.37 ( 22.50 ) 99.80 ( 9.77 ) -

    End points

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    End points reporting groups
    Reporting group title
    CANDLE
    Reporting group description
    Participants with chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature (CANDLE) were administered an optimized final dosage of baricitinib, ranging from 8 mg to 12 mg daily (initially 8 mg, with gradual escalation to 10 mg and 12 mg), either as tablets or oral suspension, for 12 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and estimated glomerular filtration rate (eGFR). Participants then continued receiving baricitinib at their optimized dosage for 191.1 weeks.

    Reporting group title
    SAVI
    Reporting group description
    Participants with stimulator of interferon genes (STING)-associated vasculopathy with onset during infancy (SAVI) were administered an optimized final dosage of baricitinib, ranging from 6 mg to 12 mg daily (initially 6 mg, with gradual escalation to 8 mg, 10 mg, and 12 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 202.9 weeks.

    Reporting group title
    Aicardi-Goutières Syndrome (AGS)
    Reporting group description
    Participants with Aicardi-Goutières Syndrome (AGS) were administered an optimized final dosage of baricitinib, ranging from 6 mg to 8 mg daily (initially 6 mg, with gradual escalation to 8 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 206.1 weeks.
    Reporting group title
    CANDLE
    Reporting group description
    Participants with CANDLE were administered an optimized final dosage of baricitinib, ranging from 8 mg to 12 mg daily (initially 8 mg, with gradual escalation to 10 mg and 12 mg), either as tablets or oral suspension, for 12 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 191.1 weeks.

    Reporting group title
    SAVI
    Reporting group description
    Participants with SAVI were administered an optimized final dosage of baricitinib, ranging from 6 mg to 12 mg daily (initially 6 mg, with gradual escalation to 8 mg, 10 mg, and 12 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 202.9 weeks.

    Reporting group title
    Aicardi-Goutières Syndrome (AGS)
    Reporting group description
    Participants with AGS were administered an optimized final dosage of baricitinib, ranging from 6 mg to 8 mg daily (initially 6 mg, with gradual escalation to 8 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 206.1 weeks.

    Primary: Change From Baseline in Mean Daily Diary Scores in Participants With CANDLE (Primary Treatment Period)

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    End point title
    Change From Baseline in Mean Daily Diary Scores in Participants With CANDLE (Primary Treatment Period) [1] [2]
    End point description
    Diaries were specific to individual indications or conditions (ie, NNS/CANDLE,SAVI, or AGS). For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, headache and fatigue in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]. The mean daily score range was 0-4 with the higher score indicating a more severe symptom. Total score was not utilized. Analysis Population Description (APD): CANDLE: All enrolled participants who received at least one dose of study drug.
    End point type
    Primary
    End point timeframe
    Baseline, 20 weeks
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The endpoint was planned only for CANDLE reporting arm in the baseline period.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned only for CANDLE reporting arm in the baseline period.
    End point values
    CANDLE
    Number of subjects analysed
    5
    Units: score on a scale
        arithmetic mean (standard deviation)
    -0.217 ( 0.586 )
    No statistical analyses for this end point

    Primary: Change From Baseline in Mean Daily Diary Scores in Participants With SAVI (Primary Treatment Period)

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    End point title
    Change From Baseline in Mean Daily Diary Scores in Participants With SAVI (Primary Treatment Period) [3] [4]
    End point description
    Diaries were specific to individual indications or conditions (i.e. NNS/CANDLE, SAVI, or AGS). For SAVI, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, fatigue, respiratory/breathing problems, and ulcers/ischemic lesions in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms,3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms].The mean daily score range was 0-4 with the higher score indicating a more severe symptom. Total score was not utilized. APD: SAVI: All enrolled participants who received at least one dose of study drug.
    End point type
    Primary
    End point timeframe
    Baseline, 32 weeks
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The endpoint was planned only for SAVI reporting arm in the baseline period.
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned only for SAVI reporting arm in the baseline period.
    End point values
    SAVI
    Number of subjects analysed
    3
    Units: score on a scale
        arithmetic mean (standard deviation)
    -0.23 ( 0.238 )
    No statistical analyses for this end point

    Primary: Change From Baseline in Mean Daily Diary Scores in Participants With AGS (Primary Treatment Period)

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    End point title
    Change From Baseline in Mean Daily Diary Scores in Participants With AGS (Primary Treatment Period) [5] [6]
    End point description
    Diaries were specific to individual indications or conditions (i.e. NNS/CANDLE, SAVI, or AGS). For AGS, participant or caregiver was instructed to rate each symptom (rating) (neurologic disability (0, 5, 7,10) crying (0, 1, 2, 3), length of uninterrupted sleep (0, 1, 2, 3), generalized seizure (0, 8), fever (0,1), excessive irritability (0, 1, 2, 3), skin findings(body) (0, 1, 2, 3), and skin findings (hands, feet, and ears) (0, 1, 2, 3) with a higher score for each symptom indicating a more severe symptom. The mean daily diary score was the average of all symptom scores and the range was 0 - 4.25 with the higher score indicating a more severe symptom. Total score was not utilized. APD: AGS: All enrolled participants who received at least one dose of study drug.
    End point type
    Primary
    End point timeframe
    Baseline, 32 weeks
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The endpoint was planned only for AGS reporting arm in the baseline period.
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned only for AGS reporting arm in the baseline period.
    End point values
    Aicardi-Goutières Syndrome (AGS)
    Number of subjects analysed
    2
    Units: score on a scale
        arithmetic mean (standard deviation)
    -0.045 ( 0.164 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Mean Daily Diary Scores in Participants With CANDLE (Primary Treatment and Maintenance Period)

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    End point title
    Change From Baseline in Mean Daily Diary Scores in Participants With CANDLE (Primary Treatment and Maintenance Period) [7]
    End point description
    Diaries were specific to individual indications or conditions (ie, NNS/CANDLE,SAVI, or AGS). For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, headache and fatigue in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]. The mean daily score range was 0-4 with the higher score indicating a more severe symptom. Total score was not utilized. APD : CANDLE: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline, 191.1 weeks
    Notes
    [7] - 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 endpoint was planned only for CANDLE reporting arm in the baseline period.
    End point values
    CANDLE
    Number of subjects analysed
    5
    Units: score on a scale
        arithmetic mean (standard deviation)
    -0.24 ( 0.613 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Mean Daily Diary Scores in Participants With SAVI (Primary Treatment and Maintenance Period)

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    End point title
    Change From Baseline in Mean Daily Diary Scores in Participants With SAVI (Primary Treatment and Maintenance Period) [8]
    End point description
    Diaries were specific to individual indications or conditions (i.e. NNS/CANDLE, SAVI, or AGS). For SAVI, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, fatigue, respiratory/breathing problems, and ulcers/ischemic lesions in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms,3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms].The mean daily score range was 0-4 with the higher score indicating a more severe symptom. Total score was not utilized. APD: SAVI: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline, 202.9 weeks
    Notes
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned only for SAVI reporting arm in the baseline period.
    End point values
    SAVI
    Number of subjects analysed
    2
    Units: score on a scale
        arithmetic mean (standard deviation)
    -0.286 ( 0.333 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Mean Daily Diary Scores in Participants With AGS (Primary Treatment and Maintenance Period)

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    End point title
    Change From Baseline in Mean Daily Diary Scores in Participants With AGS (Primary Treatment and Maintenance Period) [9]
    End point description
    Diaries were specific to individual indications or conditions (i.e. NNS/CANDLE, SAVI, or AGS). For AGS, participant or caregiver was instructed to rate each symptom (rating) (neurologic disability (0, 5, 7,10) crying (0, 1, 2, 3), length of uninterrupted sleep (0, 1, 2, 3), generalized seizure (0, 8), fever (0,1), excessive irritability (0, 1, 2, 3), skin findings(body) (0, 1, 2, 3), and skin findings (hands, feet, and ears) (0, 1, 2, 3) with a higher score for each symptom indicating a more severe symptom. The mean daily diary score was the average of all symptom scores and the range was 0 - 4.25 with the higher score indicating a more severe symptom. Total score was not utilized. APD : AGS: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline, 206.1 weeks
    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 endpoint was planned only for AGS reporting arm in the baseline period.
    End point values
    Aicardi-Goutières Syndrome (AGS)
    Number of subjects analysed
    2
    Units: score on a scale
        arithmetic mean (standard deviation)
    -0.08 ( 0.114 )
    No statistical analyses for this end point

    Secondary: Number of Participants With Decrease in Daily Dose of Corticosteroids in Participants With CANDLE, SAVI and AGS (Primary Treatment Period)

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    End point title
    Number of Participants With Decrease in Daily Dose of Corticosteroids in Participants With CANDLE, SAVI and AGS (Primary Treatment Period)
    End point description
    Decrease was defined as total steroid dose at the visit <0.15 mg/kg/day (prednisone-equivalent) or >=50% decrease from baseline. APD : CANDLE, SAVI and AGS: All enrolled participants who received at least one dose of study drug and took corticosteroids at baseline.
    End point type
    Secondary
    End point timeframe
    CANDLE: Week 20, SAVI and AGS: Week 32
    End point values
    CANDLE SAVI Aicardi-Goutières Syndrome (AGS)
    Number of subjects analysed
    5
    1
    1
    Units: participants
        number (not applicable)
    4
    1
    1
    No statistical analyses for this end point

    Secondary: Number of Participants With Decrease in Daily Dose of Corticosteroids in Participants With CANDLE, SAVI and AGS (Primary Treatment and Maintenance Period)

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    End point title
    Number of Participants With Decrease in Daily Dose of Corticosteroids in Participants With CANDLE, SAVI and AGS (Primary Treatment and Maintenance Period)
    End point description
    Decrease was defined as total steroid dose <0.15 mg/kg/day (prednisone-equivalent) or >=50% decrease from baseline.
    End point type
    Secondary
    End point timeframe
    CANDLE: Week 191.1; SAVI: 202.9 and AGS: Week 206.1
    End point values
    CANDLE SAVI Aicardi-Goutières Syndrome (AGS)
    Number of subjects analysed
    5
    1
    1
    Units: participants
        number (not applicable)
    3
    1
    1
    No statistical analyses for this end point

    Secondary: Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With CANDLE (Primary Treatment Period)

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    End point title
    Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With CANDLE (Primary Treatment Period) [10]
    End point description
    Diaries were specific to individual indications or conditions (i.e, NNS/CANDLE,SAVI, or AGS). For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fatigue, fever, headache, musculoskeletal pain and rash in the diary on a scale from 0 to 4, where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]). The mean daily score range was 0-4 with the higher score indicating a more severe symptom. APD : CANDLE: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline, 20 weeks
    Notes
    [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned only for CANDLE reporting arm in the baseline period.
    End point values
    CANDLE
    Number of subjects analysed
    5
    Units: score on a scale
    arithmetic mean (standard deviation)
        Fatigue
    -0.029 ( 0.997 )
        Fever
    0 ( 0 )
        Headache
    0.057 ( 0.128 )
        Musculo-skeletal Pain
    -0.514 ( 1.128 )
        Rash
    -0.6 ( 0.894 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With SAVI (Primary Treatment Period)

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    End point title
    Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With SAVI (Primary Treatment Period) [11]
    End point description
    Diaries were specific to individual indications or conditions (i.e. NNS/CANDLE, SAVI, or AGS). For SAVI, participant or caregiver was instructed to rate each symptom (fatigue, fever, musculoskeletal pain, rash, respiratory/breathing problems, and ulcers/ischemic lesions in the diary on a scale from 0 to 4, where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]). The mean daily score range was 0-4 with the higher score indicating a more severe symptom. APD : SAVI: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 weeks
    Notes
    [11] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned only for SAVI reporting arm in the baseline period.
    End point values
    SAVI
    Number of subjects analysed
    3
    Units: score on a scale
    arithmetic mean (standard deviation)
        Fatigue
    -0.381 ( 0.541 )
        Fever
    -0.095 ( 0.165 )
        Musculo-skeletal Pain
    -0.238 ( 0.412 )
        Rash
    0.333 ( 0.577 )
        Respiratory / Breathing Symptoms
    0.333 ( 0.577 )
        Ulcers / Ischemic Lesions
    0 ( 0 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With AGS (Primary Treatment Period)

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    End point title
    Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With AGS (Primary Treatment Period) [12]
    End point description
    Diaries were specific to individual indications or conditions (i.e. NNS/CANDLE, SAVI, or AGS). For AGS, participant or caregiver was instructed to rate each symptom (rating) (crying (0, 1, 2, 3), excessive irritability (0, 1, 2, 3), fever (0,1), generalized seizure (0, 8), length of uninterrupted sleep (0, 1, 2, 3), neurologic disability (0, 5, 7,10), skin findings(body) (0, 1, 2, 3), and skin findings (hands, feet, and ears) (0, 1, 2, 3) with a higher score for each symptom indicating a more severe symptom. APD : AGS: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 weeks
    Notes
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned only for AGS reporting arm in the baseline period.
    End point values
    Aicardi-Goutières Syndrome (AGS)
    Number of subjects analysed
    2
    Units: score on a scale
    arithmetic mean (standard deviation)
        Crying
    0 ( 0 )
        Excessive Irritability
    0 ( 0 )
        Fever
    -0.071 ( 0.101 )
        Generalized Seizure
    0 ( 0 )
        Length of Uninterrupted Sleep
    0.286 ( 0.404 )
        Neurologic Disability
    0 ( 0 )
        Skin Findings (Body)
    -0.5 ( 0.707 )
        Skin Findings (Hands, Feet, Ears)
    -0.707 ( 0.101 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With CANDLE (Primary Treatment and Maintenance Period)

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    End point title
    Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With CANDLE (Primary Treatment and Maintenance Period) [13]
    End point description
    Diaries were specific to individual indications or conditions (i.e, NNS/CANDLE,SAVI, or AGS). For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fatigue, fever, headache, musculoskeletal pain and rash in the diary on a scale from 0 to 4, where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]). The mean daily score range was 0-4 with the higher score indicating a more severe symptom. APD : CANDLE: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline, 191.1 weeks
    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 endpoint was planned only for CANDLE reporting arm in the baseline period.
    End point values
    CANDLE
    Number of subjects analysed
    5
    Units: score on a scale
    arithmetic mean (standard deviation)
        Fatigue
    -0.057 ( 1.172 )
        Fever
    0 ( 0 )
        Headache
    0.057 ( 0.128 )
        Musculo-skeletal Pain
    -0.514 ( 1.128 )
        Rash
    -0.686 ( 0.842 )
    No statistical analyses for this end point

    Secondary: change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With SAVI (Primary Treatment and Maintenance Period)

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    End point title
    change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With SAVI (Primary Treatment and Maintenance Period) [14]
    End point description
    Diaries were specific to individual indications or conditions (i.e. NNS/CANDLE, SAVI, or AGS). For SAVI, participant or caregiver was instructed to rate each symptom (fatigue, fever, musculoskeletal pain, rash, respiratory/breathing problems, and ulcers/ischemic lesions in the diary on a scale from 0 to 4, where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]). The mean daily score range was 0-4 with the higher score indicating a more severe symptom. APD : SAVI: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline, 202.9 weeks
    Notes
    [14] - 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 endpoint was planned only for SAVI reporting arm in the baseline period.
    End point values
    SAVI
    Number of subjects analysed
    3
    Units: score on a scale
    arithmetic mean (standard deviation)
        Fatigue
    -0.381 ( 0.541 )
        Fever
    -0.095 ( 0.165 )
        Musculo-skeletal Pain
    -0.238 ( 0.412 )
        Rash
    -0.333 ( 0.577 )
        Respiratory / Breathing Symptoms
    -0.667 ( 1.155 )
        Ulcers / Ischemic Lesions
    0 ( 0 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With AGS (Primary Treatment and Maintenance Period)

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    End point title
    Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With AGS (Primary Treatment and Maintenance Period) [15]
    End point description
    Diaries were specific to individual indications or conditions (i.e. NNS/CANDLE, SAVI, or AGS). For AGS, participant or caregiver was instructed to rate each symptom (rating) (crying (0, 1, 2, 3), excessive irritability (0, 1, 2, 3), fever (0,1), generalized seizure (0, 8), length of uninterrupted sleep (0, 1, 2, 3), neurologic disability (0, 5, 7,10), skin findings(body) (0, 1, 2, 3), and skin findings (hands, feet, and ears) (0, 1, 2, 3) with a higher score for each symptom indicating a more severe symptom. APD : AGS: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline, 206.1 weeks
    Notes
    [15] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned only for AGS reporting arm in the baseline period.
    End point values
    Aicardi-Goutières Syndrome (AGS)
    Number of subjects analysed
    2
    Units: score on a scale
    arithmetic mean (standard deviation)
        Crying
    0 ( 0 )
        Excessive Irritability
    -0.071 ( 0.101 )
        Fever
    0 ( 0 )
        Generalized Seizure
    0 ( 0 )
        Length of Uninterrupted Sleep
    0 ( 0 )
        Neurologic Disability
    0 ( 0 )
        Skin Findings (Body)
    -0.5 ( 0.707 )
        Skin Findings on (Hands, Feet, Ears)
    -0.071 ( 0.101 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in the Physician’s Global Assessment of Disease Activity Scores in Participants With CANDLE (Primary Treatment Period)

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    End point title
    Change From Baseline in the Physician’s Global Assessment of Disease Activity Scores in Participants With CANDLE (Primary Treatment Period) [16]
    End point description
    The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms. The instrument uses a 21-circle Visual Analog Scale (VAS) ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity". Higher scores indicate greater disease severity. APD : CANDLE: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline, 20 weeks
    Notes
    [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned only for CANDLE reporting arm in the baseline period.
    End point values
    CANDLE
    Number of subjects analysed
    5
    Units: score on a scale
        arithmetic mean (standard deviation)
    -2.1 ( 0.82 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in the Physician’s Global Assessment of Disease Activity Scores in Participants With SAVI and AGS (Primary Treatment Period)

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    End point title
    Change From Baseline in the Physician’s Global Assessment of Disease Activity Scores in Participants With SAVI and AGS (Primary Treatment Period) [17]
    End point description
    The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms. The instrument uses a 21-circle VAS ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity". Higher scores indicate greater disease severity. APD : SAVI and AGS: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline, 32 weeks
    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 endpoint was planned only for SAVI and AGS reporting arm in the baseline period.
    End point values
    SAVI Aicardi-Goutières Syndrome (AGS)
    Number of subjects analysed
    3
    2
    Units: score on a scale
        arithmetic mean (standard deviation)
    -1.33 ( 1.76 )
    -3 ( 3.54 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in the Physician’s Global Assessment of Disease Activity Scores in Participants With CANDLE (Primary Treatment and Maintenance Period)

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    End point title
    Change From Baseline in the Physician’s Global Assessment of Disease Activity Scores in Participants With CANDLE (Primary Treatment and Maintenance Period) [18]
    End point description
    The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms. The instrument uses a 21-circle Visual Analog Scale (VAS) ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity". Higher scores indicate greater disease severity. APD : CANDLE: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline, 191.1 weeks
    Notes
    [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned only for CANDLE reporting arm in the baseline period.
    End point values
    CANDLE
    Number of subjects analysed
    5
    Units: score on a scale
        arithmetic mean (standard deviation)
    -2.6 ( 2.07 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in the Physician’s Global Assessment of Disease Activity Scores in Participants With SAVI and AGS (Primary Treatment and Maintenance Period)

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    End point title
    Change From Baseline in the Physician’s Global Assessment of Disease Activity Scores in Participants With SAVI and AGS (Primary Treatment and Maintenance Period) [19]
    End point description
    The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms. The instrument uses a 21-circle VAS ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity". Higher scores indicate greater disease severity. APD : SAVI and AGS: All enrolled participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    SAVI: Baseline, 202.9 weeks; AGS: Baseline, 206.1 weeks
    Notes
    [19] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned only for SAVI and AGS reporting arm in the baseline period.
    End point values
    SAVI Aicardi-Goutières Syndrome (AGS)
    Number of subjects analysed
    3
    2
    Units: score on a scale
        arithmetic mean (standard deviation)
    -1.5 ( 1.73 )
    -3.75 ( 3.89 )
    No statistical analyses for this end point

    Secondary: Change of Percentage of Days Meeting the Criteria of Participant's Mean Daily Diary Score <0.5 Compared to That in Pre-treatment Period in Participants With CANDLE (Primary Treatment Period)

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    End point title
    Change of Percentage of Days Meeting the Criteria of Participant's Mean Daily Diary Score <0.5 Compared to That in Pre-treatment Period in Participants With CANDLE (Primary Treatment Period) [20]
    End point description
    Change of Percentage of Days Meeting the Criteria of Participant's Mean Daily Diary Score <0.5 Compared to that in Pre-treatment period in Participants with CANDLE was evaluated APD : CANDLE: All enrolled participants who received at least one dose of study drug. SAVI and AGS did not have Pre-treatment period data therefore only CANDLE cohort data were collected.
    End point type
    Secondary
    End point timeframe
    Pre-treatment period (average of 12-week pre-treatment data), up to 20 weeks
    Notes
    [20] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned only for CANDLE reporting arm in the baseline period.
    End point values
    CANDLE
    Number of subjects analysed
    5
    Units: Percentage Change
        arithmetic mean (standard deviation)
    4.4 ( 48.7 )
    No statistical analyses for this end point

    Secondary: Change of Percentage of Days Meeting the Criteria of Participant's Mean Daily Diary Score <0.5 Compared to That in Pre-treatment Period in Participants With CANDLE (Primary Treatment and Maintenance Period)

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    End point title
    Change of Percentage of Days Meeting the Criteria of Participant's Mean Daily Diary Score <0.5 Compared to That in Pre-treatment Period in Participants With CANDLE (Primary Treatment and Maintenance Period) [21]
    End point description
    Change of Percentage of Days Meeting the Criteria of Participant's Mean Daily Diary Score <0.5 Compared to That in Pre-treatment Period in Participants With CANDLE was evaluated. APD : CANDLE: All enrolled participants who received at least one dose of study drug. SAVI and AGS did not have Pre-treatment period data therefore only CANDLE cohort data were collected.
    End point type
    Secondary
    End point timeframe
    Pre-treatment period (average of 12-week pre-treatment data), up to 191.1 weeks
    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 endpoint was planned only for CANDLE reporting arm in the baseline period.
    End point values
    CANDLE
    Number of subjects analysed
    5
    Units: Percentage Change
        arithmetic mean (standard deviation)
    2.0 ( 47.1 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Growth Velocity (Height and Weight Z Score) (Primary Treatment and Maintenance Period)

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    End point title
    Change From Baseline in Growth Velocity (Height and Weight Z Score) (Primary Treatment and Maintenance Period)
    End point description
    The change from baseline in normalized scores for body weight or height is measured using Z-scores. A Z-score indicates how many standard deviations a person's height or body weight is above or below the average for their age and gender. Z-score which was calculated by (value - [mean of the population]) / [SD of the population] at a given age/sex. Interpretation: Z-score of 0: The measurement is equal to the population mean. Z-score less than 0: The measurement is below the population mean. Z-score greater than 0: The measurement is above the population mean. An increase in the Z-score for weight or height means that the weight or height of the participants has increased more than the standard population during the study. For study participants with Z-scores less than 0 at baseline, an increase in Z-score is considered a positive outcome. A Z-score within the range of -2 to +2 indicates that the height or weight is within the normal range
    End point type
    Secondary
    End point timeframe
    CANDLE: Baseline, 191.1 weeks; SAVI: Baseline, 202.9 weeks and AGS: Baseline, 206.1 weeks APD: CANDLE, SAVI and AGS: All enrolled participants who received at least one dose of study drug and had evaluable data for this outcome.
    End point values
    CANDLE SAVI Aicardi-Goutières Syndrome (AGS)
    Number of subjects analysed
    1 [22]
    2
    2
    Units: Z-score
    arithmetic mean (standard deviation)
        Height
    3.03 ( 99999 )
    0.75 ( 0.88 )
    0.13 ( 1.17 )
        Weight
    0.92 ( 99999 )
    1.17 ( 0.03 )
    0.46 ( 1.16 )
    Notes
    [22] - 99999; standard deviation is not calculable as n=1
    No statistical analyses for this end point

    Secondary: Change From Pre-treatment Period in Mean Daily Diary Scores For Participants With CANDLE (Primary Treatment Period)

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    End point title
    Change From Pre-treatment Period in Mean Daily Diary Scores For Participants With CANDLE (Primary Treatment Period) [23]
    End point description
    Diaries were specific to individual indications or conditions (ie, NNS/CANDLE,SAVI, or AGS). For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, headache and fatigue in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]. The mean daily score range was 0-4 with the higher score indicating a more severe symptom. APD : CANDLE: All participants who received at least one dose of study drug. SAVI and AGS did not have Pre-treatment period data therefore only CANDLE cohort data were collected.
    End point type
    Secondary
    End point timeframe
    Pre-treatment period (average of 12-week pre-treatment data), up to 20 weeks
    Notes
    [23] - 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 endpoint was planned only for CANDLE reporting arm in the baseline period.
    End point values
    CANDLE
    Number of subjects analysed
    5
    Units: score on a scale
        arithmetic mean (standard deviation)
    0.061 ( 0.432 )
    No statistical analyses for this end point

    Secondary: Change From Pre-treatment Period in Mean Daily Diary Scores For Participants With CANDLE (Primary Treatment and Maintenance Period)

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    End point title
    Change From Pre-treatment Period in Mean Daily Diary Scores For Participants With CANDLE (Primary Treatment and Maintenance Period) [24]
    End point description
    Diaries were specific to individual indications or conditions (ie, NNS/CANDLE,SAVI, or AGS). For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, headache and fatigue in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]. The mean daily score range was 0-4 with the higher score indicating a more severe symptom. APD : CANDLE: All participants who received at least one dose of study drug. SAVI and AGS did not have Pre-treatment period data therefore only CANDLE cohort data were collected
    End point type
    Secondary
    End point timeframe
    Pre-treatment period (average of 12-week pre-treatment data), up to 191.1 weeks
    Notes
    [24] - 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 endpoint was planned only for CANDLE reporting arm in the baseline period.
    End point values
    CANDLE
    Number of subjects analysed
    5
    Units: score on a scale
        arithmetic mean (standard deviation)
    0.038 ( 0.464 )
    No statistical analyses for this end point

    Secondary: Change From Pre-treatment Period in the Physician’s Global Assessment of Disease Activity Scores For Participants With CANDLE (Primary Treatment Period)

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    End point title
    Change From Pre-treatment Period in the Physician’s Global Assessment of Disease Activity Scores For Participants With CANDLE (Primary Treatment Period) [25]
    End point description
    The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms. The instrument uses a 21-circle Visual Analog Scale (VAS) ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity" (Filocamo et al. 2010). Higher scores indicate greater disease severity. APD : CANDLE: All participants who received at least one dose of study drug. SAVI and AGS did not have Pre-treatment period data therefore only CANDLE cohort data were collected. APD : CANDLE: All participants who received at least one dose of study drug. SAVI and AGS did not have Pre-treatment period data therefore only CANDLE cohort data were collected.
    End point type
    Secondary
    End point timeframe
    Pre-treatment period (average of 12-week pre-treatment data), up to 20 weeks
    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 endpoint was planned only for CANDLE reporting arm in the baseline period.
    End point values
    CANDLE
    Number of subjects analysed
    5
    Units: score on a scale
        arithmetic mean (standard deviation)
    -1.75 ( 0.83 )
    No statistical analyses for this end point

    Secondary: Change From Pre-treatment Period in the Physician’s Global Assessment of Disease Activity Scores For Participants With CANDLE (Primary Treatment and Maintenance Period)

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    End point title
    Change From Pre-treatment Period in the Physician’s Global Assessment of Disease Activity Scores For Participants With CANDLE (Primary Treatment and Maintenance Period) [26]
    End point description
    The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms. The instrument uses a 21-circle Visual Analog Scale (VAS) ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity" (Filocamo et al. 2010). Higher scores indicate greater disease severity. APD : CANDLE: All participants who received at least one dose of study drug. SAVI and AGS did not have Pre-treatment period data therefore only CANDLE cohort data were collected.
    End point type
    Secondary
    End point timeframe
    Pre-treatment period (average of 12-week pre-treatment data), up to 191.1 weeks
    Notes
    [26] - 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 endpoint was planned only for CANDLE reporting arm in the baseline period.
    End point values
    CANDLE
    Number of subjects analysed
    5
    Units: score on a scale
        arithmetic mean (standard deviation)
    -2.25 ( 1.79 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    CANDLE: Baseline Up to 191.1 Weeks; SAVI: Baseline Up to 202.9 Weeks and AGS: Baseline Up to 206.1 Weeks
    Adverse event reporting additional description
    All enrolled participants who received at least one dose of study drug. Based on the planned safety analysis, adverse events were collected per the treatment regimen, irrespective of dose. Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    27.1
    Reporting groups
    Reporting group title
    CANDLE
    Reporting group description
    Participants with CANDLE were administered an optimized final dosage of baricitinib, ranging from 8 mg to 12 mg daily (initially 8 mg, with gradual escalation to 10 mg and 12 mg), either as tablets or oral suspension, for 12 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 191.1 weeks.

    Reporting group title
    Aicardi-Goutières Syndrome (AGS)
    Reporting group description
    Participants with AGS were administered an optimized final dosage of baricitinib, ranging from 6 mg to 8 mg daily (initially 6 mg, with gradual escalation to 8 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 206.1 weeks.

    Reporting group title
    SAVI
    Reporting group description
    Participants with SAVI were administered an optimized final dosage of baricitinib, ranging from 6 mg to 12 mg daily (initially 6 mg, with gradual escalation to 8 mg, 10 mg, and 12 mg), either as tablets or oral suspension, for 24 weeks. This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR. Participants then continued receiving baricitinib at their optimized dosage for 202.9 weeks.

    Serious adverse events
    CANDLE Aicardi-Goutières Syndrome (AGS) SAVI
    Total subjects affected by serious adverse events
         subjects affected / exposed
    3 / 5 (60.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         number of deaths (all causes)
    0
    0
    1
         number of deaths resulting from adverse events
    Cardiac disorders
    acute coronary syndrome
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    haemorrhage intracranial
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    hypoaesthesia
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    pancytopenia
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    nausea
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    atypical mycobacterial infection
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    bronchopulmonary aspergillosis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    pneumonia
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    CANDLE Aicardi-Goutières Syndrome (AGS) SAVI
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    5 / 5 (100.00%)
    2 / 2 (100.00%)
    3 / 3 (100.00%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    skin papilloma
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    Surgical and medical procedures
    continuous haemodiafiltration
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    haematoma evacuation
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    lung assist device therapy
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    mechanical ventilation
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    pneumonectomy
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    tracheostomy
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    General disorders and administration site conditions
    oedema peripheral
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    pyrexia
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    xerosis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    Reproductive system and breast disorders
    menstruation irregular
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed [1]
    1 / 1 (100.00%)
    0 / 1 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    Respiratory, thoracic and mediastinal disorders
    cough
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    1 / 2 (50.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    nasal inflammation
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    rhinorrhoea
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    upper respiratory tract inflammation
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    1 / 2 (50.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    2
    1
    rhinitis allergic
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    Psychiatric disorders
    head banging
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    Investigations
    bk polyomavirus test positive
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    3 / 5 (60.00%)
    1 / 2 (50.00%)
    0 / 3 (0.00%)
         occurrences all number
    3
    1
    0
    blood creatine phosphokinase increased
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    1 / 2 (50.00%)
    2 / 3 (66.67%)
         occurrences all number
    1
    1
    2
    lymphocyte count decreased
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    3
    lymphocyte count increased
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    weight increased
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    weight decreased
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    Injury, poisoning and procedural complications
    contusion
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    spinal compression fracture
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    tooth fracture
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    Nervous system disorders
    dizziness
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    2 / 5 (40.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    0
    headache
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    neuropathy peripheral
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    restless legs syndrome
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    post herpetic neuralgia
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    Blood and lymphatic system disorders
    anaemia
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    2 / 5 (40.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    0
    iron deficiency anaemia
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    pancytopenia
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    thrombocytosis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    1 / 2 (50.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    2
    1
    Eye disorders
    blepharitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    1 / 2 (50.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    conjunctivitis allergic
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    Gastrointestinal disorders
    abdominal distension
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    dental caries
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    1 / 2 (50.00%)
    2 / 3 (66.67%)
         occurrences all number
    0
    1
    3
    enterocolitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    diarrhoea
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    1
    0
    2
    gastritis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    mouth ulceration
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    nausea
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    2 / 5 (40.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    0
    stomatitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    0
    Hepatobiliary disorders
    hepatic function abnormal
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    hepatic steatosis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    Skin and subcutaneous tissue disorders
    acne
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    dermatitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    eczema
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    2 / 5 (40.00%)
    2 / 2 (100.00%)
    1 / 3 (33.33%)
         occurrences all number
    4
    2
    1
    pruritus
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    2 / 5 (40.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    4
    0
    0
    rosacea
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    seborrhoeic dermatitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    urticaria
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    Musculoskeletal and connective tissue disorders
    arthralgia
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    Infections and infestations
    bk virus infection
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    covid-19
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    2 / 5 (40.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    2
    0
    1
    adenoviral conjunctivitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    1 / 2 (50.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    cytomegalovirus chorioretinitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    conjunctivitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    diarrhoea infectious
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    folliculitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    gastroenteritis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    2 / 3 (66.67%)
         occurrences all number
    0
    0
    2
    influenza
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    2
    0
    1
    hordeolum
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    herpes zoster
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    localised infection
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    metapneumovirus infection
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    1 / 2 (50.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    nasopharyngitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    2 / 5 (40.00%)
    2 / 2 (100.00%)
    0 / 3 (0.00%)
         occurrences all number
    2
    23
    0
    otitis media
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    1 / 2 (50.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    1
    0
    parotitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    periodontitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    pharyngitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    1 / 2 (50.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    1
    0
    pneumocystis jirovecii pneumonia
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    pneumonia
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    1 / 2 (50.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    1
    pneumonia cytomegaloviral
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    respiratory syncytial virus infection
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    0 / 5 (0.00%)
    0 / 2 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    2
    upper respiratory tract infection
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    2 / 3 (66.67%)
         occurrences all number
    1
    0
    17
    tinea capitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    tracheitis
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    2 / 5 (40.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    0
    Metabolism and nutrition disorders
    hyperuricaemia
    alternative dictionary used: MedDRA 27.1
         subjects affected / exposed
    1 / 5 (20.00%)
    0 / 2 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    Notes
    [1] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly.

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    18 Jun 2020
    - Modified endpoints for secondary objective on participant’s daily diary scores - Schedule of activities were modified - Modified sentences and added information for Overall Design - inclusion and exclusion criteria were modified - Modified sentences on Adverse Events of Special Interest for virus infection and thrombocytosis (add the definition of thrombocytosis)
    28 Jul 2020
    - CANDLE was changed to NNS or NNS/CANDLE - Hepatic Monitoring Tests for Treatment-Emergent Abnormality Table was replaced with the latest version of the required template - Inequality symbols were corrected to appropriately describe patient weight class above and below40 kilogram (kg)
    09 Dec 2020
    - Schedule of Activities, Benefit/Risk Assessment, Inclusion and Exclusion criteria were modified - Added a note in Hepatic Safety Data Collection To follow latest lilly guidance for hepatic monitoring - Added new procedure during exceptional circumstances (To maintain this study during COVID-19 restrictions)
    07 Apr 2022
    - Added wording to explain that the study will be considered a postmarketing clinical trial after marketing authorization under summary of design - Updated visit and week numbers for maintenance treatment period from Visit 24 (Week 100) to Visit 30 (Week 172) - Schedule of Activities were modified - Added “The investigator will be responsible for reporting significant issues related to participant safety, participant rights, or data integrity.” to align with protocol requirement update - Revised Final Report Signature to “The clinical study report (CSR) coordinating investigator will sign the final CSR for this study, indicating agreement that, to the best of his or her knowledge, the report accurately describes the conduct and results of the study.”
    04 Sep 2023
    - Update visit and week numbers for maintenance treatment period from visit 30 (Week 172) to Visit 36 (Week 244) - Schedule of Activities were updated - Added relevant visits to Hepatitis B Virus DNA Monitoring To reflect changes made to the schedule of activities

    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.
    The study was terminated due to efficacy/effectiveness reasons.
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