Trial Outcomes & Findings for Efficacy and Safety of Fingolimod in Patients With Relapsing-remitting Multiple Sclerosis With Optional Extension Phase (NCT NCT00340834)

NCT ID: NCT00340834

Last Updated: 2017-09-21

Results Overview

The ARR is defined as the number of confirmed relapses in a year. A relapse is defined as the appearance of a new or worsening of a previously stable or improving pre existing neurological abnormality, separated by at least 30 days from onset of a preceding relapse. The abnormality must be present for at least 24 hours and occur in the absence of fever or infection. The annualized ARR for each treatment group was calculated using negative binomial regression adjusted by treatment, country, number of relapses in the previous 2 years, and the baseline Expanded Disability Status Scale score.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1292 participants

Primary outcome timeframe

Baseline to Month 12

Results posted on

2017-09-21

Participant Flow

Patients randomized in the Core Phase (CP) to receive 0.5 mg or 1.25 mg fingolimod received the same dose in the Extension Phase (EP). Patients randomized to receive interferon-β-1a in the CP were re-randomized to receive either 0.5 mg or 1.25 mg fingolimod in a 1:1 ratio in the EP. Upon protocol amendment, all patients received 0.5 mg fingolimod.

Participant milestones

Participant milestones
Measure
Fingolimod 1.25 mg
Patients self-administered fingolimod 1.25 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Fingolimod 0.5 mg
Patients self-administered fingolimod 0.5 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Interferon β-1a 30 µg
Patients self-administered interferon β-1a 30 μg in an intramuscular (im) injection once weekly. In addition, they self-administered a fingolimod placebo capsule orally once daily.
Interferon β-1a/Fingolimod 1.25 mg
Patients who received Interferon β-1a 30 µg in the core phase of the study were randomized to receive self-administered fingolimod 1.25 mg capsules orally once daily.
Interferon β-1a/Fingolimod 0.5 mg
Patients who received Interferon β-1a 30 µg in the core phase of the study were randomized to receive self-administered fingolimod 0.5 mg capsules orally once daily.
Core Phase of Study
STARTED
426
431
435
0
0
Core Phase of Study
COMPLETED
369
398
386
0
0
Core Phase of Study
NOT COMPLETED
57
33
49
0
0
Extension Phase of Study
STARTED
330
357
0
176
167
Extension Phase of Study
Received Study Drug
330
356
0
174
167
Extension Phase of Study
COMPLETED
245
281
0
123
123
Extension Phase of Study
NOT COMPLETED
85
76
0
53
44

Reasons for withdrawal

Reasons for withdrawal
Measure
Fingolimod 1.25 mg
Patients self-administered fingolimod 1.25 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Fingolimod 0.5 mg
Patients self-administered fingolimod 0.5 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Interferon β-1a 30 µg
Patients self-administered interferon β-1a 30 μg in an intramuscular (im) injection once weekly. In addition, they self-administered a fingolimod placebo capsule orally once daily.
Interferon β-1a/Fingolimod 1.25 mg
Patients who received Interferon β-1a 30 µg in the core phase of the study were randomized to receive self-administered fingolimod 1.25 mg capsules orally once daily.
Interferon β-1a/Fingolimod 0.5 mg
Patients who received Interferon β-1a 30 µg in the core phase of the study were randomized to receive self-administered fingolimod 0.5 mg capsules orally once daily.
Core Phase of Study
Adverse Event
26
9
9
0
0
Core Phase of Study
Withdrawal by Subject
11
9
16
0
0
Core Phase of Study
Administrative Problems
6
2
7
0
0
Core Phase of Study
Lack of Efficacy
3
3
7
0
0
Core Phase of Study
Abnormal laboratory value(s)
4
6
1
0
0
Core Phase of Study
Abnormal test procedure result(s)
4
3
3
0
0
Core Phase of Study
Lost to Follow-up
1
1
4
0
0
Core Phase of Study
Death
2
0
0
0
0
Core Phase of Study
Protocol Violation
0
0
2
0
0
Extension Phase of Study
Subject did not receive study drug
0
1
0
2
0
Extension Phase of Study
Subject withdrew consent
26
31
0
12
15
Extension Phase of Study
Adverse Event
21
22
0
19
7
Extension Phase of Study
Abnormal laboratory value(s)
14
13
0
13
4
Extension Phase of Study
Unsatisfactory therapeutic effect
13
7
0
4
9
Extension Phase of Study
Lost to Follow-up
1
1
0
2
3
Extension Phase of Study
Subject no longer requires study drug
4
0
0
0
2
Extension Phase of Study
Administrative problems
3
0
0
1
1
Extension Phase of Study
Abnormal test procedure result(s)
0
1
0
0
2
Extension Phase of Study
Protocol Violation
3
0
0
0
0
Extension Phase of Study
Death
0
0
0
0
1

Baseline Characteristics

Efficacy and Safety of Fingolimod in Patients With Relapsing-remitting Multiple Sclerosis With Optional Extension Phase

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fingolimod 1.25 mg
n=426 Participants
Patients self-administered fingolimod 1.25 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Fingolimod 0.5 mg
n=431 Participants
Patients self-administered fingolimod 0.5 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Interferon β-1a 30 µg
n=435 Participants
Patients self-administered interferon β-1a 30 μg in an intramuscular (im) injection once weekly. In addition, they self-administered a fingolimod placebo capsule orally once daily.
Interferon β-1a/Fingolimod 1.25 mg
n=174 Participants
Patients who received Interferon β-1a 30 µg in the core phase of the study were randomized to receive self-administered fingolimod 1.25 mg capsules orally once daily.
Interferon β-1a/Fingolimod 0.5 mg
n=167 Participants
Patients who received Interferon β-1a 30 µg in the core phase of the study were randomized to receive self-administered fingolimod 0.5 mg capsules orally once daily.
Total
n=1633 Participants
Total of all reporting groups
Age, Continuous
35.5 Years
STANDARD_DEVIATION 8.42 • n=5 Participants
36.5 Years
STANDARD_DEVIATION 8.67 • n=7 Participants
NA Years
STANDARD_DEVIATION NA • n=5 Participants
36.1 Years
STANDARD_DEVIATION 8.11 • n=4 Participants
36.1 Years
STANDARD_DEVIATION 8.59 • n=21 Participants
36.0 Years
STANDARD_DEVIATION 8.48 • n=10 Participants
Age, Customized
< 18
0 Participants
n=5 Participants
0 Participants
n=7 Participants
NA Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Age, Customized
18-30
100 Participants
n=5 Participants
98 Participants
n=7 Participants
NA Participants
n=5 Participants
39 Participants
n=4 Participants
48 Participants
n=21 Participants
285 Participants
n=10 Participants
Age, Customized
31-40
122 Participants
n=5 Participants
127 Participants
n=7 Participants
NA Participants
n=5 Participants
83 Participants
n=4 Participants
62 Participants
n=21 Participants
394 Participants
n=10 Participants
Age, Customized
41-55
108 Participants
n=5 Participants
131 Participants
n=7 Participants
NA Participants
n=5 Participants
52 Participants
n=4 Participants
57 Participants
n=21 Participants
348 Participants
n=10 Participants
Age, Customized
> 55
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
NA Participants
n=4 Participants
NA Participants
n=21 Participants
0 Participants
n=10 Participants
Age, Customized
>55
0 Participants
n=5 Participants
0 Participants
n=7 Participants
NA Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Sex: Female, Male
Female
293 Participants
n=5 Participants
282 Participants
n=7 Participants
295 Participants
n=5 Participants
NA Participants
n=4 Participants
NA Participants
n=21 Participants
NA Participants
n=10 Participants
Sex: Female, Male
Male
133 Participants
n=5 Participants
149 Participants
n=7 Participants
140 Participants
n=5 Participants
NA Participants
n=4 Participants
NA Participants
n=21 Participants
NA Participants
n=10 Participants
Sex/Gender, Customized
Female
227 Participants
n=5 Participants
235 Participants
n=7 Participants
NA Participants
n=5 Participants
114 Participants
n=4 Participants
109 Participants
n=21 Participants
685 Participants
n=10 Participants
Sex/Gender, Customized
Male
103 Participants
n=5 Participants
121 Participants
n=7 Participants
NA Participants
n=5 Participants
60 Participants
n=4 Participants
58 Participants
n=21 Participants
342 Participants
n=10 Participants

PRIMARY outcome

Timeframe: Baseline to Month 12

Population: Intent-to-treat population (ITT): All patients who were randomized and received at least 1 dose of study medication.

The ARR is defined as the number of confirmed relapses in a year. A relapse is defined as the appearance of a new or worsening of a previously stable or improving pre existing neurological abnormality, separated by at least 30 days from onset of a preceding relapse. The abnormality must be present for at least 24 hours and occur in the absence of fever or infection. The annualized ARR for each treatment group was calculated using negative binomial regression adjusted by treatment, country, number of relapses in the previous 2 years, and the baseline Expanded Disability Status Scale score.

Outcome measures

Outcome measures
Measure
Fingolimod 1.25 mg
n=420 Participants
Patients self-administered fingolimod 1.25 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Fingolimod 0.5 mg
n=429 Participants
Patients self-administered fingolimod 0.5 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Interferon β-1a µg/Fingolimod 1.25 or 0.5 mg
n=431 Participants
Patients received Interferon β-1a 30 µg in the core phase of the study (Baseline to Month 12) and were then randomized to receive self administered fingolimod capsules orally once daily, either 1.25 or 0.5 mg, for the remainder of the study.
Estimated Annualized Aggregate Relapse Rate (ARR) in the Core Phase of the Study
0.203 Estimate relapses per year
Interval 0.157 to 0.264
0.161 Estimate relapses per year
Interval 0.122 to 0.212
0.331 Estimate relapses per year
Interval 0.262 to 0.417

SECONDARY outcome

Timeframe: Baseline to Month 12

Population: Intent-to-treat population (ITT): All randomized patients who received at least 1 dose of study medication.

The number of new or newly enlarged T2 lesions in comparison to baseline was assessed with T2-weighted magnetic resonance image (MRI) scans. A T2-weighted MRI scan utilizes particular values of the echo time (TE) and the repetition time (TR) parameters of image acquisition. Inflammation and tissue damage are seen as bright areas in T2 images and are often referred to as T2 lesions. T2-weighted MRI scans are a sensitive way to evaluate the brain for demyelinating diseases, such as multiple sclerosis.

Outcome measures

Outcome measures
Measure
Fingolimod 1.25 mg
n=420 Participants
Patients self-administered fingolimod 1.25 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Fingolimod 0.5 mg
n=429 Participants
Patients self-administered fingolimod 0.5 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Interferon β-1a µg/Fingolimod 1.25 or 0.5 mg
n=431 Participants
Patients received Interferon β-1a 30 µg in the core phase of the study (Baseline to Month 12) and were then randomized to receive self administered fingolimod capsules orally once daily, either 1.25 or 0.5 mg, for the remainder of the study.
Number of New or Newly Enlarged T2 Lesions in Comparison With Baseline in the Core Phase of the Study
1.6 T2 lesions
Standard Deviation 3.23
1.6 T2 lesions
Standard Deviation 3.16
2.6 T2 lesions
Standard Deviation 5.50

SECONDARY outcome

Timeframe: Baseline to Month 12

Population: Intent-to-treat population (ITT): All randomized patients who received at least 1 dose of study medication.

The EDSS is a scale for assessing disability in 8 functional systems (visual, brain stem, pyramidal, cerebellar, sensory, bowel \& bladder, cerebral, other functions). An overall score ranging from 0 (normal) to 10 (death due to MS) is calculated. Disability progression was determined by the EDSS score based on the following criteria: One point increase from baseline in patients with baseline EDSS score from 0 to 5.0; or half a point increase in patients with baseline EDSS score of 5.5 or above. Percent of patients free of disability progression was calculated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Fingolimod 1.25 mg
n=420 Participants
Patients self-administered fingolimod 1.25 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Fingolimod 0.5 mg
n=429 Participants
Patients self-administered fingolimod 0.5 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Interferon β-1a µg/Fingolimod 1.25 or 0.5 mg
n=431 Participants
Patients received Interferon β-1a 30 µg in the core phase of the study (Baseline to Month 12) and were then randomized to receive self administered fingolimod capsules orally once daily, either 1.25 or 0.5 mg, for the remainder of the study.
Percentage of Participants Free of 3-month Disability Progression Assessed With the Expanded Disability Status Scale (EDSS) at the End of the Core Phase of the Study
93.3 Percentage of participants
Interval 90.92 to 95.77
94.1 Percentage of participants
Interval 91.82 to 96.33
92.1 Percentage of participants
Interval 89.45 to 94.66

SECONDARY outcome

Timeframe: Month 0 to end of study (up to approximately 4.5 years)

Population: Intent-to-treat population (ITT): All patients who were randomized and received at least 1 dose of study medication.

The ARR is defined as the number of confirmed relapses in a year. A relapse is defined as the appearance of a new or worsening of a previously stable or improving pre existing neurological abnormality, separated by at least 30 days from onset of a preceding relapse. The abnormality must be present for at least 24 hours and occur in the absence of fever or infection. The annualized ARR for each treatment group was calculated using negative binomial regression adjusted by treatment, country, number of relapses in the previous 2 years, and the baseline Expanded Disability Status Scale score.

Outcome measures

Outcome measures
Measure
Fingolimod 1.25 mg
n=420 Participants
Patients self-administered fingolimod 1.25 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Fingolimod 0.5 mg
n=429 Participants
Patients self-administered fingolimod 0.5 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Interferon β-1a µg/Fingolimod 1.25 or 0.5 mg
n=431 Participants
Patients received Interferon β-1a 30 µg in the core phase of the study (Baseline to Month 12) and were then randomized to receive self administered fingolimod capsules orally once daily, either 1.25 or 0.5 mg, for the remainder of the study.
Estimated Annualized Aggregate Relapse Rate (ARR) in the Core and Extension Phases of the Study
Month 12 to Month 24, n=330, 356, 341
0.156 Estimated relapses per year
Interval 0.114 to 0.214
0.182 Estimated relapses per year
Interval 0.138 to 0.242
0.266 Estimated relapses per year
Interval 0.207 to 0.341
Estimated Annualized Aggregate Relapse Rate (ARR) in the Core and Extension Phases of the Study
Month 24 to Month 36, n=287, 321, 293
0.116 Estimated relapses per year
Interval 0.079 to 0.169
0.110 Estimated relapses per year
Interval 0.076 to 0.16
0.121 Estimated relapses per year
Interval 0.084 to 0.176
Estimated Annualized Aggregate Relapse Rate (ARR) in the Core and Extension Phases of the Study
Month 36 to Month 48, n=267, 303, 271
NA Estimated relapses per year
Not estimable due to sparse data.
NA Estimated relapses per year
Not estimable due to sparse data.
NA Estimated relapses per year
Not estimable due to sparse data.
Estimated Annualized Aggregate Relapse Rate (ARR) in the Core and Extension Phases of the Study
Month 48 to end of study, n=36, 38, 29
NA Estimated relapses per year
Not estimable due to sparse data.
NA Estimated relapses per year
Not estimable due to sparse data.
NA Estimated relapses per year
Not estimable due to sparse data.
Estimated Annualized Aggregate Relapse Rate (ARR) in the Core and Extension Phases of the Study
Month 0 to end of study, n=420, 429, 431
0.192 Estimated relapses per year
Interval 0.16 to 0.229
0.166 Estimated relapses per year
Interval 0.139 to 0.199
0.271 Estimated relapses per year
Interval 0.23 to 0.318

SECONDARY outcome

Timeframe: Month 12 to end of study (up to approximately 3.5 years)

Population: Intent-to-treat population (ITT): All randomized patients who received at least 1 dose of study medication.

The number of new or newly enlarged T2 lesions in comparison to baseline was assessed with T2-weighted magnetic resonance image (MRI) scans. A T2-weighted MRI scan utilizes particular values of the echo time (TE) and the repetition time (TR) parameters of image acquisition. Inflammation and tissue damage are seen as bright areas in T2 images and are often referred to as T2 lesions. T2-weighted MRI scans are a sensitive way to evaluate the brain for demyelinating diseases, such as multiple sclerosis.

Outcome measures

Outcome measures
Measure
Fingolimod 1.25 mg
n=279 Participants
Patients self-administered fingolimod 1.25 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Fingolimod 0.5 mg
n=317 Participants
Patients self-administered fingolimod 0.5 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Interferon β-1a µg/Fingolimod 1.25 or 0.5 mg
n=288 Participants
Patients received Interferon β-1a 30 µg in the core phase of the study (Baseline to Month 12) and were then randomized to receive self administered fingolimod capsules orally once daily, either 1.25 or 0.5 mg, for the remainder of the study.
Number of New or Newly Enlarged T2 Lesions in the Extension Phase of the Study
Month 12 to Month 24
1.08 T2 lesions
Standard Deviation 2.644
0.87 T2 lesions
Standard Deviation 1.624
0.97 T2 lesions
Standard Deviation 1.923
Number of New or Newly Enlarged T2 Lesions in the Extension Phase of the Study
Month 24 to Month 36, n=255, 289, 258
1.40 T2 lesions
Standard Deviation 3.418
1.04 T2 lesions
Standard Deviation 4.408
0.72 T2 lesions
Standard Deviation 1.733
Number of New or Newly Enlarged T2 Lesions in the Extension Phase of the Study
Month 36 to Month 48, n=36, 34, 35
0.97 T2 lesions
Standard Deviation 1.682
0.59 T2 lesions
Standard Deviation 1.438
0.49 T2 lesions
Standard Deviation 1.483
Number of New or Newly Enlarged T2 Lesions in the Extension Phase of the Study
Last MRI scan to end of study, n=275, 309, 290
1.75 T2 lesions
Standard Deviation 7.248
0.86 T2 lesions
Standard Deviation 2.674
1.03 T2 lesions
Standard Deviation 4.350

SECONDARY outcome

Timeframe: Baseline to end of study (up to approximately 4.5 years)

Population: Intent-to-treat population (ITT): All randomized patients who received at least 1 dose of study medication.

The EDSS is a scale for assessing disability in 8 functional systems (visual, brain stem, pyramidal, cerebellar, sensory, bowel \& bladder, cerebral, other functions). An overall score ranging from 0 (normal) to 10 (death due to MS) is calculated. Disability progression was determined by the EDSS score based on the following criteria: One point increase from baseline in patients with baseline EDSS score from 0 to 5.0; or half a point increase in patients with baseline EDSS score of 5.5 or above. Percent of patients free of disability progression was calculated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Fingolimod 1.25 mg
n=420 Participants
Patients self-administered fingolimod 1.25 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Fingolimod 0.5 mg
n=429 Participants
Patients self-administered fingolimod 0.5 mg capsules orally once daily. In addition, they self-administered an interferon β-1a placebo intramuscular (im) injection once weekly.
Interferon β-1a µg/Fingolimod 1.25 or 0.5 mg
n=431 Participants
Patients received Interferon β-1a 30 µg in the core phase of the study (Baseline to Month 12) and were then randomized to receive self administered fingolimod capsules orally once daily, either 1.25 or 0.5 mg, for the remainder of the study.
Percentage of Participants Free of 3-month and 6-month Disability Progression Assessed With the Expanded Disability Status Scale (EDSS) at the End of the Extension Phase of the Study
Free of 3-month progression
67.01 Percentage of participants
Interval 57.26 to 95.77
71.28 Percentage of participants
Interval 63.69 to 78.87
73.40 Percentage of participants
Interval 68.56 to 78.23
Percentage of Participants Free of 3-month and 6-month Disability Progression Assessed With the Expanded Disability Status Scale (EDSS) at the End of the Extension Phase of the Study
Free of 6-month progression
79.54 Percentage of participants
Interval 75.07 to 84.0
79.76 Percentage of participants
Interval 75.53 to 83.98
81.61 Percentage of participants
Interval 77.39 to 85.83

Adverse Events

COR FTY720 1.25 mg

Serious events: 45 serious events
Other events: 310 other events
Deaths: 0 deaths

COR FTY720 0.5 mg

Serious events: 30 serious events
Other events: 302 other events
Deaths: 0 deaths

COR Interferon Beta-1a

Serious events: 25 serious events
Other events: 359 other events
Deaths: 0 deaths

EXT FTY720 1.25 mg

Serious events: 77 serious events
Other events: 446 other events
Deaths: 0 deaths

EXT FTY720 0.5 mg

Serious events: 76 serious events
Other events: 439 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
COR FTY720 1.25 mg
n=420 participants at risk
COR FTY720 1.25 mg
COR FTY720 0.5 mg
n=429 participants at risk
COR FTY720 0.5 mg
COR Interferon Beta-1a
n=431 participants at risk
COR Interferon beta-1a
EXT FTY720 1.25 mg
n=504 participants at risk
EXT FTY720 1.25 mg
EXT FTY720 0.5 mg
n=523 participants at risk
EXT FTY720 0.5 mg
Psychiatric disorders
Depression
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.40%
2/504
0.00%
0/523
Psychiatric disorders
Generalised anxiety disorder
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Psychiatric disorders
Paranoia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Psychiatric disorders
Suicide attempt
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Renal and urinary disorders
Nephrolithiasis
0.00%
0/420
0.23%
1/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Reproductive system and breast disorders
Acquired hydrocele
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.19%
1/523
Reproductive system and breast disorders
Adenomyosis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Reproductive system and breast disorders
Cervical dysplasia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Reproductive system and breast disorders
Epididymitis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Reproductive system and breast disorders
Haemorrhagic ovarian cyst
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Reproductive system and breast disorders
Infertility
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Reproductive system and breast disorders
Menometrorrhagia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Reproductive system and breast disorders
Menorrhagia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.40%
2/504
0.00%
0/523
Reproductive system and breast disorders
Spermatocele
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Reproductive system and breast disorders
Testicular pain
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Reproductive system and breast disorders
Uterine polyp
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.48%
2/420
0.00%
0/429
0.00%
0/431
0.40%
2/504
0.00%
0/523
Respiratory, thoracic and mediastinal disorders
Hyperventilation
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Respiratory, thoracic and mediastinal disorders
Lung disorder
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Respiratory, thoracic and mediastinal disorders
Pleurisy
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/420
0.23%
1/429
0.23%
1/431
0.20%
1/504
0.19%
1/523
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Skin and subcutaneous tissue disorders
Psoriasis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Skin and subcutaneous tissue disorders
Skin lesion
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Surgical and medical procedures
Abortion induced
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Vascular disorders
Arterial occlusive disease
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Vascular disorders
Hypertensive crisis
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Vascular disorders
Peripheral arterial occlusive disease
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Blood and lymphatic system disorders
Autoimmune thrombocytopenia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Blood and lymphatic system disorders
Iron deficiency anaemia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Blood and lymphatic system disorders
Leukopenia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Blood and lymphatic system disorders
Lymphadenopathy
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Blood and lymphatic system disorders
Lymphopenia
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.60%
3/504
0.19%
1/523
Blood and lymphatic system disorders
Splenomegaly
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Cardiac disorders
Angina unstable
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.20%
1/504
0.00%
0/523
Cardiac disorders
Arrhythmia
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Cardiac disorders
Atrial fibrillation
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.38%
2/523
Cardiac disorders
Atrioventricular block complete
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Cardiac disorders
Atrioventricular block first degree
0.48%
2/420
0.23%
1/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Cardiac disorders
Atrioventricular block second degree
0.71%
3/420
0.23%
1/429
0.00%
0/431
0.40%
2/504
0.00%
0/523
Cardiac disorders
Bradycardia
1.9%
8/420
0.23%
1/429
0.00%
0/431
0.60%
3/504
0.19%
1/523
Cardiac disorders
Cardiogenic shock
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Cardiac disorders
Coronary artery disease
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Cardiac disorders
Coronary artery occlusion
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Cardiac disorders
Myocardial infarction
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Cardiac disorders
Palpitations
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Cardiac disorders
Sinus bradycardia
0.48%
2/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Cardiac disorders
Sinus tachycardia
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Cardiac disorders
Supraventricular extrasystoles
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Cardiac disorders
Ventricular extrasystoles
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Congenital, familial and genetic disorders
Atrial septal defect
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Congenital, familial and genetic disorders
Congenital absence of cranial vault
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Congenital, familial and genetic disorders
Congenital anomaly in offspring
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Ear and labyrinth disorders
Ear disorder
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Ear and labyrinth disorders
Tinnitus
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Ear and labyrinth disorders
Vertigo
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.79%
4/504
0.00%
0/523
Endocrine disorders
Goitre
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Eye disorders
Cystoid macular oedema
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Eye disorders
Diplopia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Eye disorders
Macular oedema
0.24%
1/420
0.23%
1/429
0.00%
0/431
0.40%
2/504
0.19%
1/523
Eye disorders
Tolosa-Hunt syndrome
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Gastrointestinal disorders
Abdominal pain
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.20%
1/504
0.19%
1/523
Gastrointestinal disorders
Abdominal pain lower
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Gastrointestinal disorders
Anal skin tags
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Gastrointestinal disorders
Colitis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Gastrointestinal disorders
Constipation
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Gastrointestinal disorders
Crohn's disease
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Gastrointestinal disorders
Gastritis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.19%
1/523
Gastrointestinal disorders
Haemorrhoidal haemorrhage
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Gastrointestinal disorders
Inguinal hernia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Gastrointestinal disorders
Nausea
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Gastrointestinal disorders
Pancreatitis acute
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Gastrointestinal disorders
Peritonitis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Gastrointestinal disorders
Rectal haemorrhage
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Gastrointestinal disorders
Sigmoiditis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Gastrointestinal disorders
Vomiting
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
General disorders
Abasia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
General disorders
Chest discomfort
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.40%
2/504
0.00%
0/523
General disorders
Complication of device insertion
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
General disorders
Influenza like illness
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
General disorders
Multi-organ failure
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
General disorders
Non-cardiac chest pain
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
General disorders
Pyrexia
0.24%
1/420
0.00%
0/429
0.23%
1/431
0.20%
1/504
0.19%
1/523
Hepatobiliary disorders
Biliary colic
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.19%
1/523
Hepatobiliary disorders
Cholangitis acute
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Hepatobiliary disorders
Cholelithiasis
0.00%
0/420
0.23%
1/429
0.23%
1/431
0.00%
0/504
0.76%
4/523
Hepatobiliary disorders
Jaundice
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Infections and infestations
Abscess sweat gland
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Infections and infestations
Administration site infection
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Infections and infestations
Anal abscess
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Infections and infestations
Appendicitis
0.48%
2/420
0.00%
0/429
0.46%
2/431
0.20%
1/504
0.19%
1/523
Infections and infestations
Bartholin's abscess
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.19%
1/523
Infections and infestations
Cholecystitis infective
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.19%
1/523
Infections and infestations
Chronic tonsillitis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Infections and infestations
Cystitis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.38%
2/523
Infections and infestations
Encephalitis herpes
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Infections and infestations
Encephalitis viral
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Infections and infestations
Gastroenteritis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Infections and infestations
Gastrointestinal candidiasis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Infections and infestations
Helicobacter gastritis
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Infections and infestations
Herpes ophthalmic
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Infections and infestations
Herpes virus infection
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Infections and infestations
Herpes zoster
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.79%
4/504
0.19%
1/523
Infections and infestations
Herpes zoster disseminated
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Infections and infestations
Herpes zoster ophthalmic
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.40%
2/504
0.00%
0/523
Infections and infestations
Incision site abscess
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Infections and infestations
Influenza
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Infections and infestations
Laryngitis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Infections and infestations
Lower respiratory tract infection
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Infections and infestations
Nasopharyngitis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Infections and infestations
Papilloma viral infection
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Infections and infestations
Perirectal abscess
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Infections and infestations
Pneumonia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.60%
3/504
0.19%
1/523
Infections and infestations
Pyelonephritis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.19%
1/523
Infections and infestations
Salpingitis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.19%
1/523
Infections and infestations
Septic encephalopathy
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Infections and infestations
Urinary tract infection
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.20%
1/504
0.00%
0/523
Infections and infestations
Urosepsis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Infections and infestations
Varicella
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Infections and infestations
Viral infection
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Injury, poisoning and procedural complications
Ankle fracture
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.20%
1/504
0.19%
1/523
Injury, poisoning and procedural complications
Complicated fracture
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Injury, poisoning and procedural complications
Facial bones fracture
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Injury, poisoning and procedural complications
Fall
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.40%
2/504
0.00%
0/523
Injury, poisoning and procedural complications
Femoral neck fracture
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Injury, poisoning and procedural complications
Incisional hernia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Injury, poisoning and procedural complications
Jaw fracture
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Injury, poisoning and procedural complications
Laceration
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Injury, poisoning and procedural complications
Ligament rupture
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Injury, poisoning and procedural complications
Lower limb fracture
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.38%
2/523
Injury, poisoning and procedural complications
Meniscus lesion
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Injury, poisoning and procedural complications
Patella fracture
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Injury, poisoning and procedural complications
Radius fracture
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Injury, poisoning and procedural complications
Rib fracture
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Injury, poisoning and procedural complications
Road traffic accident
0.00%
0/420
0.23%
1/429
0.23%
1/431
0.00%
0/504
0.38%
2/523
Injury, poisoning and procedural complications
Skull fracture
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Injury, poisoning and procedural complications
Tendon rupture
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Injury, poisoning and procedural complications
Upper limb fracture
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Investigations
Electrocardiogram QT prolonged
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Investigations
Electrocardiogram ST segment elevation
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Investigations
Hepatic enzyme increased
0.24%
1/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Investigations
Human papilloma virus test positive
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Investigations
Lymphocyte count decreased
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Investigations
Weight decreased
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Metabolism and nutrition disorders
Abnormal loss of weight
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Metabolism and nutrition disorders
Diabetes mellitus
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.19%
1/523
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Musculoskeletal and connective tissue disorders
Foot deformity
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Musculoskeletal and connective tissue disorders
Lumbar spinal stenosis
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Musculoskeletal and connective tissue disorders
Osteonecrosis
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Musculoskeletal and connective tissue disorders
Plica syndrome
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Musculoskeletal and connective tissue disorders
Sjogren's syndrome
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Musculoskeletal and connective tissue disorders
Spondylolisthesis
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Musculoskeletal and connective tissue disorders
Synovial cyst
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.48%
2/420
0.47%
2/429
0.00%
0/431
0.79%
4/504
1.3%
7/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign mediastinal neoplasm
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign neoplasm of thyroid gland
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bone neoplasm malignant
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.48%
2/420
0.23%
1/429
0.00%
0/431
0.20%
1/504
0.38%
2/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer in situ
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lymphoma
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.00%
0/420
0.47%
2/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma in situ
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm malignant
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian epithelial cancer
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian neoplasm
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma of skin
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.19%
1/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Testis cancer
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Thyroid cancer
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.19%
1/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Transitional cell carcinoma
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.00%
0/420
0.23%
1/429
0.23%
1/431
0.20%
1/504
0.38%
2/523
Nervous system disorders
Ataxia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Nervous system disorders
Carotid artery occlusion
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Nervous system disorders
Carotid artery stenosis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Nervous system disorders
Central nervous system lesion
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Nervous system disorders
Cerebral ischaemia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.40%
2/504
0.00%
0/523
Nervous system disorders
Cervicobrachial syndrome
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Nervous system disorders
Cognitive disorder
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Nervous system disorders
Coma
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Nervous system disorders
Critical illness polyneuropathy
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Nervous system disorders
Demyelination
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Nervous system disorders
Dural fistula
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Nervous system disorders
Facial neuralgia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Nervous system disorders
Grand mal convulsion
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Nervous system disorders
Headache
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Nervous system disorders
Migraine
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Nervous system disorders
Multiple sclerosis relapse
0.00%
0/420
0.23%
1/429
0.23%
1/431
0.79%
4/504
1.1%
6/523
Nervous system disorders
Nerve root lesion
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Nervous system disorders
Neuropathy peripheral
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Nervous system disorders
Optic neuritis
0.00%
0/420
0.23%
1/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Nervous system disorders
Paraesthesia
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Nervous system disorders
Paraparesis
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Nervous system disorders
Presyncope
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Nervous system disorders
Progressive relapsing multiple sclerosis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Nervous system disorders
Radicular syndrome
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Nervous system disorders
Radiculitis
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Nervous system disorders
Sciatica
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Nervous system disorders
Sensorimotor disorder
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Nervous system disorders
Spinal cord ischaemia
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.00%
0/523
Nervous system disorders
Status epilepticus
0.24%
1/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Nervous system disorders
Tension headache
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Nervous system disorders
Transient ischaemic attack
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523
Pregnancy, puerperium and perinatal conditions
Abortion
0.00%
0/420
0.00%
0/429
0.23%
1/431
0.00%
0/504
0.00%
0/523
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.38%
2/523
Pregnancy, puerperium and perinatal conditions
Complication of pregnancy
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Pregnancy, puerperium and perinatal conditions
Unintended pregnancy
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.20%
1/504
0.00%
0/523
Psychiatric disorders
Completed suicide
0.00%
0/420
0.00%
0/429
0.00%
0/431
0.00%
0/504
0.19%
1/523

Other adverse events

Other adverse events
Measure
COR FTY720 1.25 mg
n=420 participants at risk
COR FTY720 1.25 mg
COR FTY720 0.5 mg
n=429 participants at risk
COR FTY720 0.5 mg
COR Interferon Beta-1a
n=431 participants at risk
COR Interferon beta-1a
EXT FTY720 1.25 mg
n=504 participants at risk
EXT FTY720 1.25 mg
EXT FTY720 0.5 mg
n=523 participants at risk
EXT FTY720 0.5 mg
Blood and lymphatic system disorders
Lymphopenia
0.71%
3/420
0.23%
1/429
0.00%
0/431
21.4%
108/504
14.7%
77/523
Gastrointestinal disorders
Diarrhoea
8.3%
35/420
7.5%
32/429
4.9%
21/431
9.5%
48/504
9.6%
50/523
Gastrointestinal disorders
Nausea
6.9%
29/420
9.3%
40/429
6.7%
29/431
7.3%
37/504
6.9%
36/523
Gastrointestinal disorders
Toothache
4.3%
18/420
2.8%
12/429
2.1%
9/431
2.6%
13/504
6.3%
33/523
General disorders
Fatigue
14.3%
60/420
10.3%
44/429
10.4%
45/431
7.7%
39/504
7.6%
40/523
General disorders
Influenza like illness
3.6%
15/420
3.5%
15/429
36.7%
158/431
4.8%
24/504
3.4%
18/523
General disorders
Pyrexia
3.3%
14/420
4.2%
18/429
17.6%
76/431
6.5%
33/504
5.7%
30/523
Infections and infestations
Bronchitis
4.5%
19/420
4.7%
20/429
2.6%
11/431
7.7%
39/504
9.4%
49/523
Infections and infestations
Gastroenteritis
2.9%
12/420
2.3%
10/429
2.6%
11/431
6.2%
31/504
6.9%
36/523
Infections and infestations
Influenza
6.7%
28/420
6.8%
29/429
7.4%
32/431
8.7%
44/504
9.9%
52/523
Infections and infestations
Nasopharyngitis
22.1%
93/420
20.5%
88/429
20.4%
88/431
31.3%
158/504
31.0%
162/523
Infections and infestations
Oral herpes
2.1%
9/420
0.70%
3/429
1.6%
7/431
7.1%
36/504
6.5%
34/523
Infections and infestations
Pharyngitis
4.5%
19/420
3.0%
13/429
3.0%
13/431
4.0%
20/504
5.9%
31/523
Infections and infestations
Sinusitis
4.3%
18/420
2.3%
10/429
2.6%
11/431
6.7%
34/504
6.9%
36/523
Infections and infestations
Upper respiratory tract infection
8.6%
36/420
7.2%
31/429
6.3%
27/431
14.9%
75/504
11.3%
59/523
Infections and infestations
Urinary tract infection
5.7%
24/420
6.1%
26/429
4.9%
21/431
9.7%
49/504
11.1%
58/523
Investigations
Alanine aminotransferase increased
5.7%
24/420
6.5%
28/429
1.9%
8/431
8.7%
44/504
6.5%
34/523
Investigations
Gamma-glutamyltransferase increased
4.5%
19/420
3.3%
14/429
0.23%
1/431
6.3%
32/504
4.8%
25/523
Investigations
Lymphocyte count decreased
0.24%
1/420
0.47%
2/429
0.00%
0/431
14.3%
72/504
8.0%
42/523
Metabolism and nutrition disorders
Hypercholesterolaemia
2.1%
9/420
2.3%
10/429
0.70%
3/431
3.8%
19/504
6.1%
32/523
Musculoskeletal and connective tissue disorders
Arthralgia
4.0%
17/420
2.8%
12/429
5.6%
24/431
7.5%
38/504
7.5%
39/523
Musculoskeletal and connective tissue disorders
Back pain
6.4%
27/420
6.1%
26/429
5.3%
23/431
11.9%
60/504
10.1%
53/523
Musculoskeletal and connective tissue disorders
Myalgia
3.3%
14/420
3.3%
14/429
10.2%
44/431
3.0%
15/504
3.1%
16/523
Musculoskeletal and connective tissue disorders
Pain in extremity
4.8%
20/420
4.9%
21/429
6.5%
28/431
7.7%
39/504
5.2%
27/523
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Melanocytic naevus
10.0%
42/420
6.5%
28/429
5.6%
24/431
10.5%
53/504
9.8%
51/523
Nervous system disorders
Dizziness
5.5%
23/420
6.1%
26/429
4.9%
21/431
5.0%
25/504
4.4%
23/523
Nervous system disorders
Headache
22.9%
96/420
23.1%
99/429
20.4%
88/431
17.1%
86/504
20.5%
107/523
Psychiatric disorders
Depression
4.3%
18/420
4.9%
21/429
7.4%
32/431
7.9%
40/504
8.4%
44/523
Psychiatric disorders
Insomnia
4.5%
19/420
4.0%
17/429
3.0%
13/431
6.3%
32/504
5.7%
30/523
Respiratory, thoracic and mediastinal disorders
Cough
7.1%
30/420
4.7%
20/429
3.7%
16/431
10.7%
54/504
10.1%
53/523
Respiratory, thoracic and mediastinal disorders
Dyspnoea
5.0%
21/420
1.9%
8/429
1.6%
7/431
3.4%
17/504
2.7%
14/523
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
4.8%
20/420
4.0%
17/429
3.5%
15/431
6.2%
31/504
7.3%
38/523
Vascular disorders
Hypertension
5.0%
21/420
3.7%
16/429
1.9%
8/431
7.3%
37/504
5.5%
29/523

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee There IS an agreement between the Principal Investigator and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER