Trial Outcomes & Findings for Reversing Tissue Fibrosis to Improve Immune Reconstitution in HIV (NCT NCT01852942)

NCT ID: NCT01852942

Last Updated: 2020-12-11

Results Overview

The Impact of Losartan Treatment on Lymphoid Tissue (LT) Fibrosis will be determined by measuring the amount of collagen deposition in LT using immunohistochemistry (IHC) and quantitative image analysis (QIA). LT will be obtained at baseline, month 12 and month 30.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

52 participants

Primary outcome timeframe

30 months

Results posted on

2020-12-11

Participant Flow

Participant milestones

Participant milestones
Measure
Losartan
Losartan: We will start with 50 mg of losartan by mouth daily. We will increase the dosage to 100 mg by mouth daily after 14 days. The maximal tolerable dosage (up to 100mg by mouth daily) will be continued for a total of 30 months.
Sugar Pill
Placebo: one tablet by mouth daily
Overall Study
STARTED
25
27
Overall Study
COMPLETED
20
21
Overall Study
NOT COMPLETED
5
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Losartan
Losartan: We will start with 50 mg of losartan by mouth daily. We will increase the dosage to 100 mg by mouth daily after 14 days. The maximal tolerable dosage (up to 100mg by mouth daily) will be continued for a total of 30 months.
Sugar Pill
Placebo: one tablet by mouth daily
Overall Study
Physician Decision
1
0
Overall Study
Death
1
1
Overall Study
Withdrawal by Subject
2
3
Overall Study
Lost to Follow-up
1
2

Baseline Characteristics

Reversing Tissue Fibrosis to Improve Immune Reconstitution in HIV

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Losartan
n=25 Participants
Losartan: We will start with 50 mg of losartan by mouth daily. We will increase the dosage to 100 mg by mouth daily after 14 days. The maximal tolerable dosage (up to 100mg by mouth daily) will be continued for a total of 30 months.
Sugar Pill
n=27 Participants
Placebo: one tablet by mouth daily
Total
n=52 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
23 Participants
n=5 Participants
26 Participants
n=7 Participants
49 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Age, Continuous
51 years
STANDARD_DEVIATION 11 • n=5 Participants
50 years
STANDARD_DEVIATION 11 • n=7 Participants
50 years
STANDARD_DEVIATION 11 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Male
25 Participants
n=5 Participants
26 Participants
n=7 Participants
51 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
11 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
White
19 Participants
n=5 Participants
14 Participants
n=7 Participants
33 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
4 Participants
n=5 Participants
0 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
25 participants
n=5 Participants
27 participants
n=7 Participants
52 participants
n=5 Participants

PRIMARY outcome

Timeframe: 30 months

Population: Some participant data was left out of this analysis due to sample quality.

The Impact of Losartan Treatment on Lymphoid Tissue (LT) Fibrosis will be determined by measuring the amount of collagen deposition in LT using immunohistochemistry (IHC) and quantitative image analysis (QIA). LT will be obtained at baseline, month 12 and month 30.

Outcome measures

Outcome measures
Measure
Losartan
n=12 Participants
Losartan: We will start with 50 mg of losartan by mouth daily. We will increase the dosage to 100 mg by mouth daily after 14 days. The maximal tolerable dosage (up to 100mg by mouth daily) will be continued for a total of 30 months.
Sugar Pill
n=13 Participants
Placebo: one tablet by mouth daily
Collagen Deposition in LT
12 months
34.866 percent area
Standard Deviation 9.3914
31.02 percent area
Standard Deviation 5.6795
Collagen Deposition in LT
30 months
30.8925 percent area
Standard Deviation 9.4894
29.4492 percent area
Standard Deviation 6.2988

PRIMARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan Treatment on Lymphoid Tissue (LT) Fibrosis will be determined by measuring the Integrity of the fibroblastic reticular cell network (FRCn) using immunohistochemistry (IHC) and quantitative image analysis (QIA). LT will be obtained at baseline, month 12 and month 30.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

Impact of losartan on immune reconstitution and function will be determined by frequency of CD4+ T cells in LT using IHC.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

Impact of losartan on immune reconstitution and function will be determined by frequency of TUNEL+CD3+CD8+ T cells in LT using IHC.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

Impact of losartan on immune reconstitution and function will be determined by frequency of cells expressing TGF-beta and lymphotoxin-beta in LT using IHC.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

Impact of losartan on immune reconstitution and function will be determine by serum concentrations of IL-7 measured with ELISA.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

Impact of losartan on immune reconstitution and function will be determine by serum concentrations of TGF-beta measured with ELISA.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

Impact of losartan on immune reconstitution and function will be determine by measuring the immune response to HPV vaccination using flow cytometry to identify cells stimulated by specific HPV peptides.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the frequency of activated T-cell populations (specifically CD3+CD4+CD38+, CD3+,CD8+CD38+,CD4+Ki67+ and CD8+Ki67+ T cells) in LT using immunofluorescence staining

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the percentage of activated T cells in peripheral blood mononuclear cells (PBMCs) using flow cytometry.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the percentage of activated macrophages in peripheral blood mononuclear cells (PBMCs) using flow cytometry.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the percentage of activated dendritic cells in peripheral blood mononuclear cells (PBMCs) using flow cytometry.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the percentage of activated T cells in lymphoid tissues (LT) using flow cytometry.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the percentage of activated macrophages in lymphoid tissues (LT) using flow cytometry.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the percentage of activated dendritic cells in lymphoid tissues (LT) using flow cytometry.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the intracellular levels of the inflammatory cytokine IL-17 in PBMCs using cytokine staining.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the intracellular levels of the inflammatory cytokine IFNg in PBMCs using cytokine staining.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the intracellular levels of the inflammatory cytokine IL-2 in PBMCs using cytokine staining.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the intracellular levels of the inflammatory cytokine TNF in PBMCs using cytokine staining.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the intracellular levels of the inflammatory cytokine IL-10 in PBMCs using cytokine staining.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the intracellular levels of the inflammatory cytokine GM-CSF in PBMCs using cytokine staining.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the intracellular levels of the inflammatory cytokine IL-17 in lymphoid tissue (LT) using cytokine staining.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the intracellular levels of the inflammatory cytokine IFNg in lymphoid tissue (LT) using cytokine staining.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the intracellular levels of the inflammatory cytokine IL-2 in lymphoid tissue (LT) using cytokine staining.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the intracellular levels of the inflammatory cytokine TNF in lymphoid tissue (LT) using cytokine staining.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the intracellular levels of the inflammatory cytokine IL-10 in lymphoid tissue (LT) using cytokine staining.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the intracellular levels of the inflammatory cytokine GM-CSF in lymphoid tissue (LT) using cytokine staining.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the plasma concentration of LPS by ELISA.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the plasma concentration of sCD14 by limulus assay.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the plasma concentration of I-FABP using ELISA.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the plasma concentration of IL-1b using ELISA.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the plasma concentration of IL-1RA using ELISA.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the plasma concentration of IL-6 using ELISA.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the plasma concentration of TNF using ELISA.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the plasma concentration of amyloid A using ELISA.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the plasma concentration of CRP using ELISA.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Impact of Losartan on Immune Activation in HIV Infected, Treated Individuals will be determined by measuring the plasma concentration of D-dimer using ELISA.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Potential for Losartan to Reduce the Size of the Viral Reservoir will be assessed by determining the frequency of HIV RNA+ and DNA+ cells in LN using radiolabeled in situ hybridization (ISH).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Potential for Losartan to Reduce the Size of the Viral Reservoir will be assessed by determining the frequency of HIV RNA+ and DNA+ cells in LN using RNAscopeTM in situ technology.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Potential for Losartan to Reduce the Size of the Viral Reservoir will be assessed by determining the frequency of HIV RNA+ and DNA+ cells in GALT radiolabeled in situ hybridization (ISH).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

The Potential for Losartan to Reduce the Size of the Viral Reservoir will be assessed by determining the frequency of HIV RNA+ and DNA+ cells in GALT using RNAscopeTM in situ technology.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

Potential Drug-drug Interactions Between Losartan and Antiretrovirals (ARVs) will be assessed by measuring levels of ARVs and losartan in plasma and peripheral blood mononuclear cells (PBMCs).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 months

Population: This measure was planned at the time of registration, however it was not collected during the course of the trial. This data is not able to be reported.

Potential Drug-drug Interactions Between Losartan and Antiretrovirals (ARVs) will be assessed by measuring intracellular concentration of losartan and ARVs in lympoidtissue.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 months

Population: This exploratory endpoint was not analyzed and data are not available to be reported.

As an exploratory endpoint, we will determine the impact of losartan on frequency of dendritic cell and CD4 T cell interactions with the FRCn. This will be determined using two-photon microscopy in sections on LN obtained from study subjects. Given that this is an exploratory endpoint, these assays will be performed in a subset of subjects (5 losartan treated, 2 placebo treated and 5 HIV uninfected controls).

Outcome measures

Outcome data not reported

Adverse Events

Losartan

Serious events: 2 serious events
Other events: 25 other events
Deaths: 1 deaths

Sugar Pill

Serious events: 6 serious events
Other events: 27 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Losartan
n=25 participants at risk
Losartan: We will start with 50 mg of losartan by mouth daily. We will increase the dosage to 100 mg by mouth daily after 14 days. The maximal tolerable dosage (up to 100mg by mouth daily) will be continued for a total of 30 months.
Sugar Pill
n=27 participants at risk
Placebo: one tablet by mouth daily
General disorders
Hospitalization for Chemotherapy
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
General disorders
Hospitalization for Illness
4.0%
1/25 • Number of events 1 • 30 months
18.5%
5/27 • Number of events 6 • 30 months
General disorders
Hospitalization for Surgery
4.0%
1/25 • Number of events 1 • 30 months
18.5%
5/27 • Number of events 5 • 30 months
General disorders
Unintentional Weight Loss
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months

Other adverse events

Other adverse events
Measure
Losartan
n=25 participants at risk
Losartan: We will start with 50 mg of losartan by mouth daily. We will increase the dosage to 100 mg by mouth daily after 14 days. The maximal tolerable dosage (up to 100mg by mouth daily) will be continued for a total of 30 months.
Sugar Pill
n=27 participants at risk
Placebo: one tablet by mouth daily
Gastrointestinal disorders
Gas, belching
8.0%
2/25 • Number of events 3 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Infections and infestations
Food poisoning
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Vascular disorders
Brain aneurysm
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Injury, poisoning and procedural complications
Pain/swelling at incision site
12.0%
3/25 • Number of events 3 • 30 months
14.8%
4/27 • Number of events 4 • 30 months
Metabolism and nutrition disorders
Elevated blood glucose
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 2 • 30 months
Infections and infestations
Sinus infection
8.0%
2/25 • Number of events 2 • 30 months
7.4%
2/27 • Number of events 4 • 30 months
Musculoskeletal and connective tissue disorders
Restless leg syndrome diagnoses
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Shortness of breath
4.0%
1/25 • Number of events 1 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Jock itch
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
General disorders
Sciatica, worsened
8.0%
2/25 • Number of events 2 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Nervous system disorders
Neuropathy, worsened
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
General disorders
Fever
12.0%
3/25 • Number of events 3 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Infections and infestations
Infected scatch
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Respiratory, thoracic and mediastinal disorders
Cough
36.0%
9/25 • Number of events 10 • 30 months
25.9%
7/27 • Number of events 10 • 30 months
General disorders
Headache
12.0%
3/25 • Number of events 3 • 30 months
7.4%
2/27 • Number of events 2 • 30 months
Musculoskeletal and connective tissue disorders
Orthopedic injury
20.0%
5/25 • Number of events 5 • 30 months
7.4%
2/27 • Number of events 2 • 30 months
Infections and infestations
Neuro-syphillis diagnosis
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Eye disorders
Eye watering
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Gastrointestinal disorders
Constipation
4.0%
1/25 • Number of events 1 • 30 months
11.1%
3/27 • Number of events 3 • 30 months
Musculoskeletal and connective tissue disorders
Joint pain
8.0%
2/25 • Number of events 2 • 30 months
29.6%
8/27 • Number of events 9 • 30 months
Respiratory, thoracic and mediastinal disorders
Bronchitis
0.00%
0/25 • 30 months
7.4%
2/27 • Number of events 2 • 30 months
Musculoskeletal and connective tissue disorders
Arm pain/numbness
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Cold/flu symptoms
8.0%
2/25 • Number of events 2 • 30 months
18.5%
5/27 • Number of events 5 • 30 months
General disorders
Toothache
0.00%
0/25 • 30 months
7.4%
2/27 • Number of events 2 • 30 months
Renal and urinary disorders
Urinary urgency
8.0%
2/25 • Number of events 2 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Gastrointestinal disorders
Inguinal hernia
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Cellulitis
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
General disorders
Light-headedness
12.0%
3/25 • Number of events 3 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Pustular node
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
General disorders
Mild sleep apnea
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Infections and infestations
Shingles
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Hepatobiliary disorders
Liver cirrhosis
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Fatigue/sluggishness
24.0%
6/25 • Number of events 7 • 30 months
0.00%
0/27 • 30 months
General disorders
"Tight" feeling in nose and throat
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Musculoskeletal and connective tissue disorders
Back pain
16.0%
4/25 • Number of events 4 • 30 months
11.1%
3/27 • Number of events 5 • 30 months
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract infection
8.0%
2/25 • Number of events 2 • 30 months
14.8%
4/27 • Number of events 4 • 30 months
Eye disorders
Dry eyes
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
General disorders
Dry mouth/cotton mouth
8.0%
2/25 • Number of events 2 • 30 months
0.00%
0/27 • 30 months
Renal and urinary disorders
Urinary tract infection
8.0%
2/25 • Number of events 2 • 30 months
0.00%
0/27 • 30 months
General disorders
Benign prostate hypertrophy
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Night sweats
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Gastrointestinal disorders
Diarrhea
16.0%
4/25 • Number of events 4 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Dehydration
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Abdominal pain
12.0%
3/25 • Number of events 3 • 30 months
0.00%
0/27 • 30 months
Renal and urinary disorders
Kidney stones
4.0%
1/25 • Number of events 1 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Fainting episode
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Gastrointestinal disorders
Blood in stool
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Gastrointestinal disorders
Vomiting
12.0%
3/25 • Number of events 3 • 30 months
0.00%
0/27 • 30 months
Nervous system disorders
Seizure
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Respiratory, thoracic and mediastinal disorders
Asthma exacerbation
4.0%
1/25 • Number of events 1 • 30 months
3.7%
1/27 • Number of events 3 • 30 months
General disorders
High blood pressure
0.00%
0/25 • 30 months
11.1%
3/27 • Number of events 3 • 30 months
Injury, poisoning and procedural complications
Hot water burn
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Injury, poisoning and procedural complications
Bump at injection site
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Injury, poisoning and procedural complications
Red, swollen area at drug injection site
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Sinus pain/congestion
4.0%
1/25 • Number of events 1 • 30 months
11.1%
3/27 • Number of events 3 • 30 months
Renal and urinary disorders
Urinary incontinence
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Skin abrasion
0.00%
0/25 • 30 months
7.4%
2/27 • Number of events 2 • 30 months
General disorders
Sores on gums
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Injury, poisoning and procedural complications
Head injury
8.0%
2/25 • Number of events 2 • 30 months
7.4%
2/27 • Number of events 2 • 30 months
Nervous system disorders
Pinched nerve
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Injury, poisoning and procedural complications
Flu vaccine reaction
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
General disorders
Dizziness
4.0%
1/25 • Number of events 1 • 30 months
7.4%
2/27 • Number of events 2 • 30 months
General disorders
Unknown weight loss
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Gastrointestinal disorders
Borborygmus
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Bloody nose
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Renal and urinary disorders
Urinary frequency
12.0%
3/25 • Number of events 3 • 30 months
0.00%
0/27 • 30 months
Nervous system disorders
Vertigo
4.0%
1/25 • Number of events 1 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Nervous system disorders
Numbness in hand
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Gastrointestinal disorders
Heart burn
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Infections and infestations
Lyme disease
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
General disorders
Groin pain
0.00%
0/25 • 30 months
7.4%
2/27 • Number of events 2 • 30 months
Cardiac disorders
Heart palpitations
4.0%
1/25 • Number of events 1 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Infections and infestations
Blastocis hominus
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Vascular disorders
Venous insufficiency
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Gastrointestinal disorders
Nausea
4.0%
1/25 • Number of events 1 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Itchy rash
4.0%
1/25 • Number of events 1 • 30 months
11.1%
3/27 • Number of events 4 • 30 months
General disorders
Elevated creatinine
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Insomnia
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Foot callus
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Injury, poisoning and procedural complications
Hand injury
0.00%
0/25 • 30 months
11.1%
3/27 • Number of events 3 • 30 months
Musculoskeletal and connective tissue disorders
Gout
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Increased acne
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Psychiatric disorders
Mood swings
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Bilateral foot pain
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Surgical and medical procedures
Microdiscectomy
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Infections and infestations
Giardia
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Psychiatric disorders
Depression
4.0%
1/25 • Number of events 10 • 30 months
0.00%
0/27 • 30 months
Gastrointestinal disorders
Colon polyp
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Infections and infestations
Syphilis
0.00%
0/25 • 30 months
7.4%
2/27 • Number of events 2 • 30 months
General disorders
Temporal mandibular joint pain
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Immune system disorders
Seasonal allergies
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Sleep disturbance
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Rectal pain
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Chest pain
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
Infections and infestations
Increased viral load
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Surgical and medical procedures
Excision of anal lesion
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Multiple sclerosis flare-up
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Pruritis
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Cold sore
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
General disorders
Basal cell carcinoma
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Actinic keratosis
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
Infections and infestations
Toe infection
0.00%
0/25 • 30 months
3.7%
1/27 • Number of events 1 • 30 months
General disorders
Loss of consciousness during blood draw
4.0%
1/25 • Number of events 2 • 30 months
0.00%
0/27 • 30 months
Eye disorders
Conjuctivitis
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
General disorders
Chills
8.0%
2/25 • Number of events 2 • 30 months
0.00%
0/27 • 30 months
Blood and lymphatic system disorders
Low blood pressure
4.0%
1/25 • Number of events 1 • 30 months
0.00%
0/27 • 30 months
General disorders
Sore throat
8.0%
2/25 • Number of events 3 • 30 months
11.1%
3/27 • Number of events 3 • 30 months

Additional Information

Timothy Schacker, MD

University of Minnesota

Phone: 612-626-6577

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place