Trial Outcomes & Findings for Study to Show a Superior Benefit in Terms of Reduction of Ranibizumab Injections in Patients Receiving Ranibizumab Plus Laser Photocoagulation Combination Therapy Without Loss of Efficacy and Safety (NCT NCT02953938)

NCT ID: NCT02953938

Last Updated: 2020-02-25

Results Overview

Number of ranibizumab treatments from Day 1 to Month 11 using full analysis set (observed) based on a stratified Cochran-Mantel-Haenszel (CMH) test. Stratification was done based on categories of baseline decimal VA (\<0.3, or =\>0.3). Difference of mean number of injections, 95% confidence interval (CI) of difference and one-sided p-value of the CMH test was reported. Analysis was conducted within the FAS with observed data. Stratification was based on baseline visual acuity on logMAR scale (\<0.52, \>=0.52). Test was one-sided.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

59 participants

Primary outcome timeframe

Month 1 through Month 12

Results posted on

2020-02-25

Participant Flow

73 patients were screened and 59 were randomized on a 1:1 ratio to the ranibizumab group (29 patients) and ranibizumab with laser group (30 patients). Of the randomized patients, 56 (94.9%) completed the study and 11 months of treatment. 3 (5.1%) discontinued both study and study treatment: 2 (3.4%) withdrew consent and 1 (1.7%) had adverse event

Below is the participant flow of Randomized patients

Participant milestones

Participant milestones
Measure
Ranibizumab 0.5 mg
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL
Ranibizumab 0.5 mg and Laser
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL with the laser treatment
Overall Study
STARTED
29
30
Overall Study
COMPLETED
28
28
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Ranibizumab 0.5 mg
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL
Ranibizumab 0.5 mg and Laser
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL with the laser treatment
Overall Study
Adverse Event
0
1
Overall Study
Withdrawal by Subject
1
1

Baseline Characteristics

Study to Show a Superior Benefit in Terms of Reduction of Ranibizumab Injections in Patients Receiving Ranibizumab Plus Laser Photocoagulation Combination Therapy Without Loss of Efficacy and Safety

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ranibizumab 0.5 mg
n=29 Participants
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL
Ranibizumab 0.5 mg and Laser
n=30 Participants
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL with the laser treatment
Total
n=59 Participants
Total of all reporting groups
Age, Continuous
66.8 years
STANDARD_DEVIATION 9.91 • n=99 Participants
66.7 years
STANDARD_DEVIATION 9.83 • n=107 Participants
66.8 years
STANDARD_DEVIATION 9.78 • n=206 Participants
Age, Customized
<65 years
12 Participants
n=99 Participants
11 Participants
n=107 Participants
23 Participants
n=206 Participants
Age, Customized
>=65 years
17 Participants
n=99 Participants
19 Participants
n=107 Participants
36 Participants
n=206 Participants
Sex: Female, Male
Female
10 Participants
n=99 Participants
19 Participants
n=107 Participants
29 Participants
n=206 Participants
Sex: Female, Male
Male
19 Participants
n=99 Participants
11 Participants
n=107 Participants
30 Participants
n=206 Participants
Race/Ethnicity, Customized
Asian
29 Participants
n=99 Participants
30 Participants
n=107 Participants
59 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Month 1 through Month 12

Population: Randomized Set, i.e.; all randomized patients.

Number of ranibizumab treatments from Day 1 to Month 11 using full analysis set (observed) based on a stratified Cochran-Mantel-Haenszel (CMH) test. Stratification was done based on categories of baseline decimal VA (\<0.3, or =\>0.3). Difference of mean number of injections, 95% confidence interval (CI) of difference and one-sided p-value of the CMH test was reported. Analysis was conducted within the FAS with observed data. Stratification was based on baseline visual acuity on logMAR scale (\<0.52, \>=0.52). Test was one-sided.

Outcome measures

Outcome measures
Measure
Ranibizumab 0.5 mg
n=29 Participants
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL
Ranibizumab 0.5 mg Laser
n=30 Participants
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL with the laser treatment.
Difference in Mean Number of Ranibizumab Injections
4.3 number of injections
Standard Deviation 2.51
4.1 number of injections
Standard Deviation 2.41

SECONDARY outcome

Timeframe: Month 1 through Month 12 (for ETDRS: Month 6 and Month 12)

Population: The Full Analysis Set (FAS) consisted of all randomized patients who received at least one administration of ranibizumab injection.

Summary of BCVA (letters) absolute value and change from Baseline at Month 12 in the study eye - full analysis set (LOCF) was based on an analysis of variance (ANOVA) model with treatment group, and stratification factors. Stratification was done based on categories of baseline decimal VA (\<0.3, or =\>0.3). The analyses was conducted within the FAS using the LOCF approach Stratification was based on baseline visual acuity on logMAR scale (\<0.52, \>=0.52). Test was one-sided.

Outcome measures

Outcome measures
Measure
Ranibizumab 0.5 mg
n=29 Participants
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL
Ranibizumab 0.5 mg Laser
n=30 Participants
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL with the laser treatment.
The Mean Change in Best Corrected Visual Acuity (BCVA) Using Decimal Chart and Early Treatment Diabetic Retinopathy Study (ETDRS) Compared to Baseline
baseline
52.86 letters read correctly
Standard Deviation 13.384
54.03 letters read correctly
Standard Deviation 9.828
The Mean Change in Best Corrected Visual Acuity (BCVA) Using Decimal Chart and Early Treatment Diabetic Retinopathy Study (ETDRS) Compared to Baseline
month 12
74.83 letters read correctly
Standard Deviation 9.740
69.59 letters read correctly
Standard Deviation 8.842
The Mean Change in Best Corrected Visual Acuity (BCVA) Using Decimal Chart and Early Treatment Diabetic Retinopathy Study (ETDRS) Compared to Baseline
change from baseline to month 12
21.97 letters read correctly
Standard Deviation 14.749
15.00 letters read correctly
Standard Deviation 10.296

SECONDARY outcome

Timeframe: Month 1 through Month 12

Population: FAS

Summary of BCVA (logMAR) absolute value and change from Baseline at Month 12 in the study eye - full analysis set (LOCF) was based on an analysis of variance (ANOVA) model with treatment group, and stratification factors. Stratification was based on baseline visual acuity (\< 0.52, \>= 0.52). The analyses was conducted within the FAS using the LOCF approach

Outcome measures

Outcome measures
Measure
Ranibizumab 0.5 mg
n=29 Participants
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL
Ranibizumab 0.5 mg Laser
n=30 Participants
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL with the laser treatment.
The Mean Change in BCVA From Month 1 Through Month 12 Compared to Baseline (Day 1) by the Treatment Arms
baseline
0.553 logMAR
Standard Deviation 0.2276
0.558 logMAR
Standard Deviation 0.1719
The Mean Change in BCVA From Month 1 Through Month 12 Compared to Baseline (Day 1) by the Treatment Arms
month12
0.075 logMAR
Standard Deviation 0.1909
0.143 logMAR
Standard Deviation 0.1682
The Mean Change in BCVA From Month 1 Through Month 12 Compared to Baseline (Day 1) by the Treatment Arms
change from baseline to month 12
-0.478 logMAR
Standard Deviation 0.2586
-0.413 logMAR
Standard Deviation 0.1969

SECONDARY outcome

Timeframe: Month 6 and Month 12

Population: Full Analysis Set (FAS) consisted of all randomized patients who received at least one administration of ranibizumab injection

Endpoints related to the number and proportion of patients with BCVA letter gain or loss from Baseline (Day1) was analyzed via stratified CMH test with stratification factors as described in primary model. The mean (SD) average (per patient) BCVA (logMAR) change from Baseline through Month 12 Summary of BCVA (logMAR) mean average change from Baseline from Month 1 through Month 12 in the study eye

Outcome measures

Outcome measures
Measure
Ranibizumab 0.5 mg
n=29 Participants
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL
Ranibizumab 0.5 mg Laser
n=30 Participants
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL with the laser treatment.
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
month 12 Score >=80
8 Participants
13 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
Month 6 - BCVA improvement of >=1
27 Participants
24 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
month 6 - BCVA improvement of >=5
26 Participants
21 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
month 6 - BCVA improvement of >=10
22 Participants
16 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
Month 6 - BCVA improvement of >=15
17 Participants
12 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
Month 6 - BCVA improvement of >=30
4 Participants
1 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
month 6 Score >=73
12 Participants
10 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
month 6 Score >=80
8 Participants
2 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
month 6 Score >=85
3 Participants
1 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
month 6 loss of <15
28 Participants
29 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
Month 12 - BCVA improvement of >=1
27 Participants
28 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
Month 12 - BCVA improvement of >=5
27 Participants
25 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
Month 12 - BCVA improvement of >=10
24 Participants
18 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
Month 12 - BCVA improvement of >=15
21 Participants
15 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
Month 12 - BCVA improvement of >=30
9 Participants
3 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
month 12 Score >=73
20 Participants
10 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
month 12 Score >=85
4 Participants
0 Participants
BCVA (Letters) Number and Proportion of Patients With a BCVA Improvement vs. Baseline, Loss Less Than 15 Letters, or Attainment of Greater Than or Equal to 85 Letters at Month 6 and at Month 12 in the Study Eye
month 12 Loss of <15
29 Participants
29 Participants

SECONDARY outcome

Timeframe: Month 1 through Month 12

Population: Full Analysis Set (FAS)

The mean change in investigator-assessed CSFT from Month 1 through Month 12 was compared to Baseline (Day1) by the treatment arms. The analyses at each visit was based on an analysis of variance (ANOVA) model as analogous to BCVA. The analyses was conducted within the FAS using the Last-Observation-Carried-Forward (LOCF) approach

Outcome measures

Outcome measures
Measure
Ranibizumab 0.5 mg
n=29 Participants
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL
Ranibizumab 0.5 mg Laser
n=30 Participants
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL with the laser treatment.
The Mean Change in Change in Central Subfield Foveal Thickness (CSFT) From Month 1 Through Month 12 Compared to Baseline (Day1) by the Treatment Arms
month 12
257.0 mm
Standard Deviation 43.44
285.1 mm
Standard Deviation 82.80
The Mean Change in Change in Central Subfield Foveal Thickness (CSFT) From Month 1 Through Month 12 Compared to Baseline (Day1) by the Treatment Arms
baseline
563.3 mm
Standard Deviation 146.92
553.3 mm
Standard Deviation 182.39
The Mean Change in Change in Central Subfield Foveal Thickness (CSFT) From Month 1 Through Month 12 Compared to Baseline (Day1) by the Treatment Arms
change in baseline from month 12
-306.3 mm
Standard Deviation 164.35
-261.3 mm
Standard Deviation 180.23

Adverse Events

Ranibizumab 0.5 mg

Serious events: 1 serious events
Other events: 16 other events
Deaths: 0 deaths

Ranibizumab 0.5 mg+ Laser

Serious events: 2 serious events
Other events: 15 other events
Deaths: 0 deaths

Total

Serious events: 3 serious events
Other events: 31 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ranibizumab 0.5 mg
n=29 participants at risk
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL
Ranibizumab 0.5 mg+ Laser
n=30 participants at risk
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL with the laser treatment.
Total
n=59 participants at risk
Total
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bowen's disease
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Nervous system disorders
Putamen haemorrhage
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Renal and urinary disorders
Haematuria
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
0.00%
0/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months

Other adverse events

Other adverse events
Measure
Ranibizumab 0.5 mg
n=29 participants at risk
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL
Ranibizumab 0.5 mg+ Laser
n=30 participants at risk
0.5 mg ranibizumab applied one + PRN as intravitreal injection of 0.05 mL with the laser treatment.
Total
n=59 participants at risk
Total
Ear and labyrinth disorders
Tinnitus
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Eye disorders
Conjunctival haemorrhage
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Eye disorders
Corneal erosion
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Eye disorders
Dry eye
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.4%
2/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Eye disorders
Keratitis
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
0.00%
0/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Eye disorders
Macular fibrosis
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Eye disorders
Photopsia
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Gastrointestinal disorders
Nausea
6.9%
2/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
5.1%
3/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
General disorders
Feeling abnormal
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Hepatobiliary disorders
Hepatic function abnormal
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
0.00%
0/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Immune system disorders
Seasonal allergy
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.4%
2/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Infections and infestations
Influenza
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.4%
2/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Infections and infestations
Nasopharyngitis
20.7%
6/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
16.7%
5/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
18.6%
11/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Infections and infestations
Periodontitis
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
0.00%
0/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Infections and infestations
Urinary tract infection
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
0.00%
0/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Injury, poisoning and procedural complications
Foot fracture
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
0.00%
0/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Injury, poisoning and procedural complications
Tooth fracture
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
0.00%
0/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Investigations
Intraocular pressure increased
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
10.0%
3/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
5.1%
3/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Musculoskeletal and connective tissue disorders
Arthritis
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
0.00%
0/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Nervous system disorders
Dizziness
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.4%
2/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Nervous system disorders
Dysarthria
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Nervous system disorders
Headache
10.3%
3/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
0.00%
0/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
5.1%
3/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Nervous system disorders
Hemiplegia
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Nervous system disorders
Migraine
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Reproductive system and breast disorders
Atrophic vulvovaginitis
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Skin and subcutaneous tissue disorders
Dry skin
3.4%
1/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
0.00%
0/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
1.7%
1/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
Vascular disorders
Hypertension
6.9%
2/29 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
3.3%
1/30 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months
5.1%
3/59 • AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 12 months.
All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 12 months

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: +1 (862) 778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreement with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publications of the pooled data (i.e., data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER